dicom.nema.orgdicom.nema.org/medical/dicom/2015a/output/docx/... · Web viewMulti-frame Grayscale...

DICOM PS3.3 2015a - Information Object Definitions

Page

Page



Page

PS3.3


PS3.3: DICOM PS3.3 2015a - Information Object Definitions

Copyright 2015 NEMA

Page

Page

- Standard -

- Standard -

Table of Contents

Notice and Disclaimer 59

Foreword 60

1. Scope and Field of Application 61

2. Normative References 62

3. Definitions 65

4. Symbols and Abbreviations 70

5. Conventions 73

5.1. Entity-Relationship Model 73

5.1.1. Entity 73

5.1.2. Relationship 73

5.2. Sequences 73

5.3. Triplet Encoding of Structured Data (Retired) 74

5.4. Attribute Macros 75

5.5. Types and Conditions in Normalized IODs 75

6. DICOM Information Model 77

6.1. Information Object Definition 77

6.1.1. Composite IOD 77

6.1.2. Normalized IOD 77

6.2. Attributes 78

6.3. On-line Communication and Media Storage Services 78

6.3.1. DIMSE-C Services 78

6.3.2. DIMSE-N Services 78

6.4. DIMSE Service Group 78

6.5. Service-Object Pair (SOP) Class 78

6.5.1. Normalized and Composite SOP Classes 78

6.6. Association Negotiation 79

6.7. Service Class Specification 79

7. DICOM Model of the Real World 80

7.1. DICOM Information Model 84

7.2. Organization of Annexes A, B and C 85

7.3. Extension of the DICOM Model of the Real World 85

7.3.1. Definition of the Extensions of the DICOM Real World Model 85

7.3.1.1. Patient 85

7.3.1.2. Service Episode and Visit 85

7.3.1.3. Imaging Service Request 86

7.3.1.4. Procedure Type 86

7.3.1.5. Requested Procedure 86

7.3.1.6. Scheduled Procedure Step 86

7.3.1.7. Procedure Plan 87

7.3.1.8. Protocol 87

7.3.1.9. Modality Performed Procedure Step 87

7.3.1.10. General Purpose Scheduled Procedure Step (Retired) 88

7.3.1.11. General Purpose Performed Procedure Step (Retired) 88

7.3.1.12. Workitem (Retired) 88

7.3.1.13. Clinical Document 88

7.4. Extension of the DICOM Model of the Real World for the General Purpose Worklist (Retired) 89

7.5. Organizing Large Sets of Information 89

7.5.1. Concatenation 90

7.5.2. Dimension Organization 90

7.6. Extension of the DICOM Model of the Real World for Clinical Trials 90

7.6.1. Clinical Trial Information Entities 91

7.6.1.1. Clinical Trial Sponsor 91

7.6.1.2. Clinical Trial Protocol 91

7.6.1.3. Clinical Trial Subject 91

7.6.1.4. Clinical Trial Site 91

7.6.1.5. Clinical Trial Time Point 92

7.6.1.6. Clinical Trial Coordinating Center 92

7.7. Extension of the DICOM Model of the Real World for Hanging Protocols 92

7.7.1. Hanging Protocol Information Entity 92

7.8. Extension of the DICOM Model of the Real World for Color Palettes 92

7.8.1. Color Palette Information Entity 92

7.9. Extension of the DICOM Model of the Real World for Specimens 92

7.9.1. Specimen 93

7.9.2. Container 93

7.9.3. Container Component 93

7.9.4. Preparation Step 94

7.10. Extension of DICOM Model of the Real World for Implant Templates 94

7.11. Extension of the DICOM Model of the Real World for the Unified Procedure Step (UPS) 95

7.11.1. Unified Procedure Step 96

7.11.2. Worklist 96

7.12. Extension of The DICOM Model of The Real World For Display System 96

8. Encoding of Coded Entry Data 99

8.1. Code Value 99

8.2. Coding Scheme Designator and Coding Scheme Version 100

8.3. Code Meaning 100

8.4. Mapping Resource 100

8.5. Context Group Version 101

8.6. Context Identifier and Context UID 101

8.7. Context Group Extensions 101

8.8. Standard Attribute Sets for Code Sequence Attributes 101

8.9. Equivalent Code Sequence 103

8.10. Coded Entry Data Examples 103

9. Template Identification Macro (Retired) 106

10. Miscellaneous Macros 107

10.1. Person Identification Macro 107

10.2. Content Item Macro 108

10.3. Image SOP Instance Reference Macro 110

10.4. Series and Instance Reference Macro 113

10.5. General Anatomy Macros 114

10.6. Request Attributes Macro 116

10.6.1. SOP Class UID in Referenced Study Sequence 118

10.7. Basic Pixel Spacing Calibration Macro 118

10.7.1. Basic Pixel Spacing Calibration Macro Attribute Descriptions 118

10.7.1.1. Pixel Spacing 118

10.7.1.2. Pixel Spacing Calibration Type 119

10.7.1.3. Pixel Spacing Value Order and Valid Values 119

10.8. SOP Instance Reference Macro 120

10.9. Content Identification Macro 120

10.10. General Contributing Sources Macro 121

10.11. Contributing Image Sources Macro 124

10.12. Patient Orientation Macro 124

10.12.1. Relation With Other Positioning Attributes 125

10.13. Performed Procedure Step Summary Macro 125

10.14. HL7v2 Hierarchic Designator Macro 126

10.15. Issuer of Patient ID Macro 127

10.16. Algorithm Identification Macro 128

10.17. Selector Attribute Macro 129

10.17.1. Selector Attribute Macro Attribute Descriptions 130

10.17.1.1. Referencing Nested Elements 130

10.17.1.2. Private Attribute References 130

10.18. Data Set Identification Macro 131

10.19. Exposure Index Macro 131

10.20. Mandatory View and Slice Progression Direction Macro 131

10.20.1. Mandatory View and Slice Progression Direction Macro Attributes 132

10.20.1.1. Slice Progression Direction 132

10.21. Optional View and Slice Progression Direction Macro 133

10.22. Numeric Value Macro 133

10.23. RT Equipment Correlation Macro 134

A. Composite Information Object Definitions (Normative) 135

A.1. Elements of An Information Object Definition 135

A.1.1. IOD Description 135

A.1.2. IOD Entity-Relationship Model 135

A.1.2.1. Patient IE 136

A.1.2.2. Study IE 136

A.1.2.3. Series IE 137

A.1.2.4. Equipment IE 137

A.1.2.5. Frame of Reference IE 137

A.1.2.6. Image IE 137

A.1.2.7. Overlay IE 138

A.1.2.8. Curve IE 138

A.1.2.9. Modality LUT IE 138

A.1.2.10. VOI LUT IE 138

A.1.2.11. Presentation State IE 138

A.1.2.12. Waveform IE 138

A.1.2.13. SR Document IE 138

A.1.2.14. MR Spectroscopy IE 139

A.1.2.15. Raw Data IE 139

A.1.2.16. Encapsulated Document IE 139

A.1.2.17. Real World Value Mapping IE 139

A.1.2.18. Surface IE 139

A.1.2.19. Measurements IE 139

A.1.3. IOD Module Table and Functional Group Macro Table 139

A.1.3.1. Mandatory Modules 139

A.1.3.2. Conditional Modules 139

A.1.3.3. User Option Modules 140

A.1.4. Overview of the Composite IOD Module Content 140

A.2. Computed Radiography Image IOD 165

A.2.1. CR Image IOD Description 165

A.2.2. CR Image IOD Entity-Relationship Model 165

A.2.3. CR Image IOD Module Table 165

A.3. Computed Tomography Image IOD 166

A.3.1. CT Image IOD Description 166

A.3.2. CT Image IOD Entity-Relationship Model 167

A.3.3. CT Image IOD Module Table 167

A.4. Magnetic Resonance Image IOD 167

A.4.1. MR Image IOD Description 167

A.4.2. MR Image IOD Entity-Relationship Model 168

A.4.3. MR Image IOD Module Table 168

A.5. Nuclear Medicine Image IOD 168

A.5.1. NM Image IOD Description 169

A.5.2. NM Image IOD Entity-Relationship Model 169

A.5.3. NM Image IOD Module Table (Retired) 169

A.5.4. NM Image IOD Module Table 169

A.5.4.1. Acquisition Context Module 170

A.6. Ultrasound Image IOD 170

A.6.1. US Image IOD Description 170

A.6.2. US Image IOD Entity-Relationship Model 171

A.6.3. US Image IOD Module Table (Retired) 171

A.6.4. US Image IOD Module Table 171

A.6.4.1. Mutually Exclusive IEs 172

A.7. Ultrasound Multi-frame Image IOD 172

A.7.1. US Image IOD Description 172

A.7.2. US Multi-frame Image IOD Entity-Relationship Model 172

A.7.3. US Image IOD Module Table (Retired) 172

A.7.4. US Multi-frame Image IOD Module Table 172

A.7.4.1. Mutually Exclusive IEs 174

A.8. Secondary Capture Image IOD 174

A.8.1. SC Image Information Objection Definition 174

A.8.1.1. SC Image IOD Description 174

A.8.1.2. SC Image IOD Entity-Relationship Model 174

A.8.1.3. SC Image IOD Module Table 174

A.8.2. Multi-frame Single Bit Secondary Capture Image IOD 175

A.8.2.1. Multi-frame Single Bit SC Image IOD Description 175

A.8.2.2. Multi-frame Single Bit SC Image IOD Entity-Relationship Model 175

A.8.2.3. Multi-frame Single Bit SC Image IOD Module Table 176

A.8.2.4. Multi-frame Single Bit SC Image IOD Content Constraints 177

A.8.3. Multi-frame Grayscale Byte Secondary Capture Image IOD 177

A.8.3.1. Multi-frame Grayscale Byte Image IOD Description 177

A.8.3.2. Multi-frame Grayscale Byte SC Image IOD Entity-Relationship Model 177

A.8.3.3. Multi-frame Grayscale Byte SC Image IOD Module Table 177

A.8.3.4. Multi-frame Grayscale Byte SC Image IOD Content Constraints 178

A.8.3.5. Multi-frame Grayscale Byte SC Image Functional Group Macros 179

A.8.4. Multi-frame Grayscale Word Secondary Capture Image IOD 179

A.8.4.1. Multi-frame Grayscale Word SC Image IOD Description 179

A.8.4.2. Multi-frame Grayscale Word SC Image IOD Entity-Relationship Model 179

A.8.4.3. Multi-frame Grayscale Word SC Image IOD Module Table 179

A.8.4.4. Multi-frame Grayscale Word SC Image IOD Content Constraints 181

A.8.4.5. Multi-frame Grayscale Word SC Image Functional Group Macros 181

A.8.5. Multi-frame True Color Secondary Capture Image IOD 181

A.8.5.1. Multi-frame True Color Image IOD Description 182

A.8.5.2. Multi-frame True Color SC Image IOD Entity-Relationship Model 182

A.8.5.3. Multi-frame True Color SC Image IOD Module Table 182

A.8.5.4. Multi-frame True Color SC Image IOD Content Constraints 183

A.8.5.5. Multi-frame True Color SC Image Functional Group Macros 183

A.9. Standalone Overlay IOD 184

A.10. Standalone Curve IOD 184

A.11. Basic Study Descriptor IOD 184

A.12. Standalone Modality LUT IOD 184

A.13. Standalone VOI LUT IOD 184

A.14. X-Ray Angiographic Image IOD 184

A.14.1. XA Image IOD Description 184

A.14.2. XA Image IOD Entity-Relationship Model 185

A.14.3. XA Image IOD Module Table 185

A.15. X-Ray Angiographic Bi-plane Image Information Object Definition (Retired) 186

A.16. X-Ray RF Image IOD 186

A.16.1. XRF Image IOD Description 186

A.16.2. XRF Image IOD Entity-Relationship Model 187

A.16.3. XRF Image IOD Module Table 187

A.17. RT Image IOD 188

A.17.1. RT Image IOD Description 188

A.17.2. RT Image IOD Entity-Relationship Model 189

A.17.3. RT Image IOD Module Table 189

A.18. RT Dose IOD 190

A.18.1. RT Dose IOD Description 190

A.18.2. RT Dose IOD Entity-Relationship Model 191

A.18.3. RT Dose IOD Module Table 191

A.19. RT Structure Set IOD 192

A.19.1. RT Structure Set IOD Description 193

A.19.2. RT Structure Set IOD Entity-Relationship Model 193

A.19.3. RT Structure Set IOD Module Table 193

A.20. RT Plan IOD 194

A.20.1. RT Plan IOD Description 194

A.20.2. RT Plan IOD Entity-Relationship Model 194

A.20.3. RT Plan IOD Module Table 195

A.20.3.1. RT Fraction Scheme Module 196

A.20.3.2. RT Prescription Module 196

A.20.3.3. RT Tolerance Tables Module 196

A.20.3.4. RT Patient Setup Module 196

A.21. Positron Emission Tomography Image IOD 196

A.21.1. PET Image IOD Description 196

A.21.2. PET Image IOD Entity-Relationship Model 196

A.21.3. PET Image IOD Module Table 196

A.21.3.1. Acquisition Context Module 197

A.22. Standalone PET Curve IOD 197

A.23. Stored Print IOD 198

A.24. Hardcopy Grayscale Image IOD 198

A.25. Hardcopy Color Image IOD 198

A.26. Digital X-Ray Image IOD 198

A.26.1. DX Image IOD Description 198

A.26.2. DX Image IOD Entity-Relationship Model 198

A.26.3. DX Image IOD Module Table 198

A.26.4. Overlay Plane Module 200

A.26.5. Acquisition Context Module 200

A.27. Digital Mammography X-Ray Image IOD 200

A.27.1. Digital Mammography X-Ray Image IOD Description 201

A.27.2. Digital Mammography X-Ray Image IOD Module Table 201


A.28. Digital Intra-Oral X-Ray Image IOD 202

A.28.1. Digital Intra-Oral X-Ray Image IOD Description 202

A.28.2. Digital Intra-Oral X-Ray Image IOD Module Table 203


A.29. RT Beams Treatment Record IOD 204

A.29.1. RT Beams Treatment Record IOD Description 204

A.29.2. RT Beams Treatment Record IOD Entity-Relationship Model 204

A.29.3. RT Beams Treatment Record IOD Module Table 205

A.30. RT Brachy Treatment Record IOD 206

A.30.1. RT Brachy Treatment Record IOD Description 206

A.30.2. RT Brachy Treatment Record IOD Entity-Relationship Model 206

A.30.3. RT Brachy Treatment Record IOD Module Table 206

A.31. RT Treatment Summary Record IOD 207

A.31.1. RT Treatment Summary Record IOD Description 207

A.31.2. RT Treatment Summary Record IOD Entity-Relationship Model 207

A.31.3. RT Treatment Summary Record IOD Module Table 208

A.32. Visible Light Image Information Object Definitions 209

A.32.1. VL Endoscopic Image IOD 209

A.32.1.1. VL Endoscopic Image IOD Description 209

A.32.1.2. VL Endoscopic Image IOD Entity-Relationship Model 209

A.32.1.3. VL Endoscopic Image IOD Content Constraints 210

A.32.1.3.1. Modality 210

A.32.2. VL Microscopic Image IOD 210

A.32.2.1. VL Microscopic Image IOD Description 210

A.32.2.2. VL Microscopic Image IOD Entity-Relationship Model 210

A.32.2.3. VL Microscopic Image IOD Content Constraints 211

A.32.2.3.1. Modality 211

A.32.3. VL Slide-coordinates Microscopic Image IOD 211

A.32.3.1. VL Slide-coordinates Microscopic Image IOD Description 211

A.32.3.2. VL Slide-coordinates Microscopic Image IOD Entity-Relationship Model 212

A.32.3.3. VL Slide-coordinates Microscopic Image IOD Content Constraints 213

A.32.3.3.1. Modality 213

A.32.4. VL Photographic Image IOD 213

A.32.4.1. VL Photographic Image IOD Description 213

A.32.4.2. VL Photographic Image IOD Entity-Relationship Model 213

A.32.4.3. VL Photographic Image IOD Content Constraints 214

A.32.4.3.1. Modality 214

A.32.5. Video Endoscopic Image IOD 214

A.32.5.1. Video Endoscopic Image IOD Description 214

A.32.5.2. Video Endoscopic Image IOD Entity-Relationship Model 214

A.32.5.3. Video Endoscopic Image IOD Content Constraints 215

A.32.5.3.1. Modality 215

A.32.5.3.2. Image Related Data Encoding 215

A.32.5.3.3. Anatomic Region Sequence 216

A.32.6. Video Microscopic Image IOD 216

A.32.6.1. Video Microscopic Image IOD Description 216

A.32.6.2. Video Microscopic Image IOD Entity-Relationship Model 216

A.32.6.3. Video Microscopic Image IOD Content Constraints 217

A.32.6.3.1. Modality 217


A.32.7. Video Photographic Image IOD 217

A.32.7.1. Video Photographic Image IOD Description 217

A.32.7.2. Video Photographic Image IOD Entity-Relationship Model 217

A.32.7.3. Video Photographic Image IOD Content Constraints 219

A.32.7.3.1. Modality 219


A.32.8. VL Whole Slide Microscopy Image IOD 219

A.32.8.1. VL Whole Slide Microscopy Image IOD Description 219

A.32.8.2. VL Whole Slide Microscopy Image IOD Entity-Relationship Model 219

A.32.8.3. VL Whole Slide Microscopy IOD Module Table 219

A.32.8.3.1. VL Whole Slide Microscopy IOD Content Constraints 220

A.32.8.3.1.1. Optical Path Module 220

A.32.8.4. VL Whole Slide Microscopy Functional Group Macros 221

A.32.8.4.1. VL Whole Slide Microscopy Functional Group Macros Content Constraints 221

A.32.8.4.1.1. Referenced Image 221

A.32.8.4.1.2. Plane Position (Slide) 221

A.33. Softcopy Presentation State Information Object Definitions 222

A.33.1. Grayscale Softcopy Presentation State IOD 222

A.33.1.1. Grayscale Softcopy Presentation State IOD Description 222

A.33.1.2. Grayscale Softcopy Presentation State IOD Module Table 222

A.33.2. Color Softcopy Presentation State IOD 224

A.33.2.1. Color Softcopy Presentation State IOD Description 224

A.33.2.2. Color Softcopy Presentation State IOD Module Table 224

A.33.3. Pseudo-color Softcopy Presentation State IOD 225

A.33.3.1. Pseudo-color Softcopy Presentation State IOD Description 225

A.33.3.2. Pseudo-color Softcopy Presentation State IOD Module Table 225

A.33.4. Blending Softcopy Presentation State IOD 227

A.33.4.1. Blending Softcopy Presentation State IOD Description 227

A.33.4.2. Blending Softcopy Presentation State IOD Module Table 227

A.33.5. Basic Structured Display IOD 228

A.33.5.1. Basic Structured Display IOD Description 228

A.33.6. XA/XRF Grayscale Softcopy Presentation State IOD 229

A.33.6.1. XA/XRF Grayscale Softcopy Presentation State IOD Description 229

A.33.6.2. XA/XRF Grayscale Softcopy Presentation State IOD Module Table 230

A.34. Waveform Information Object Definitions 231

A.34.1. Waveform IOD Entity-Relationship Model 231

A.34.2. Basic Voice Audio IOD 232

A.34.2.1. Basic Voice Audio IOD Description 232

A.34.2.2. Basic Voice Audio IOD Entity-Relationship Model 232

A.34.2.3. Basic Voice Audio IOD Module Table 232

A.34.2.4. Basic Voice Audio IOD Content Constraints 233

A.34.2.4.1. Modality 233

A.34.2.4.2. Waveform Sequence 233

A.34.2.4.3. Number of Waveform Channels 233

A.34.2.4.4. Sampling Frequency 233

A.34.2.4.5. Waveform Sample Interpretation 233

A.34.3. 12-Lead Electrocardiogram IOD 233

A.34.3.1. 12-Lead ECG IOD Description 233

A.34.3.2. 12-Lead ECG IOD Entity-Relationship Model 233

A.34.3.3. 12-Lead ECG IOD Module Table 233

A.34.3.4. 12-Lead ECG IOD Content Constraints 234

A.34.3.4.1. Modality 234

A.34.3.4.2. Acquisition Context Module 234



A.34.3.4.5. Number of Waveform Samples 235


A.34.3.4.7. Channel Source 235


A.34.3.4.9. Waveform Annotation Module 235

A.34.4. General Electrocardiogram IOD 235

A.34.4.1. General ECG IOD Description 235

A.34.4.2. General ECG IOD Entity-Relationship Model 235

A.34.4.3. General ECG IOD Module Table 236

A.34.4.4. General ECG IOD Content Constraints 236

A.34.4.4.1. Modality 236







A.34.5. Ambulatory Electrocardiogram IOD 237

A.34.5.1. Ambulatory ECG IOD Description 237

A.34.5.2. Ambulatory ECG IOD Entity-Relationship Model 237

A.34.5.3. Ambulatory ECG IOD Module Table 237

A.34.5.4. Ambulatory ECG IOD Content Constraints 238

A.34.5.4.1. Modality 238






A.34.6. Hemodynamic IOD 238

A.34.6.1. Hemodynamic IOD Description 238

A.34.6.2. Hemodynamic IOD Entity-Relationship Model 238

A.34.6.3. Hemodynamic IOD Module Table 238

A.34.6.4. Hemodynamic IOD Content Constraints 239

A.34.6.4.1. Modality 239








A.34.7. Basic Cardiac Electrophysiology IOD 240

A.34.7.1. Basic Cardiac EP IOD Description 240

A.34.7.2. Basic Cardiac EP IOD Entity-Relationship Model 240

A.34.7.3. Basic Cardiac EP IOD Module Table 240

A.34.7.4. Basic Cardiac EP IOD Content Constraints 241

A.34.7.4.1. Modality 241







A.34.8. Arterial Pulse Waveform IOD 242

A.34.8.1. Arterial Pulse Waveform IOD Description 242

A.34.8.2. Arterial Pulse Waveform IOD Entity-Relationship Model 242

A.34.8.3. Arterial Pulse Waveform IOD Module Table 242

A.34.8.4. Arterial Pulse Waveform IOD Content Constraints 243

A.34.8.4.1. Modality 243






A.34.9. Respiratory Waveform IOD 243

A.34.9.1. Respiratory Waveform IOD Description 243

A.34.9.2. Respiratory Waveform IOD Entity-Relationship Model 243

A.34.9.3. Respiratory Waveform IOD Module Table 243

A.34.9.4. Respiratory Waveform IOD Content Constraints 244

A.34.9.4.1. Modality 244






A.34.10. General Audio Waveform IOD 244

A.34.10.1. General Audio Waveform IOD Description 244

A.34.10.2. General Audio Waveform IOD Entity-Relationship Model 244

A.34.10.3. General Audio Waveform IOD Module Table 244

A.34.10.4. General Audio Waveform IOD Content Constraints 245

A.34.10.4.1. Modality 245






A.35. Structured Report Document Information Object Definitions 246

A.35.1. Basic Text SR IOD 246

A.35.1.1. Basic Text SR Information Object Description 246

A.35.1.2. Basic Text SR IOD Entity-Relationship Model 246

A.35.1.3. Basic Text SR IOD Module Table 246

A.35.1.3.1. Basic Text SR IOD Content Constraints 246

A.35.1.3.1.1. Value Type 247

A.35.1.3.1.2. Relationship Constraints 247

A.35.2. Enhanced SR IOD 248

A.35.2.1. Enhanced SR Information Object Description 248

A.35.2.2. Enhanced SR IOD Entity-Relationship Model 248

A.35.2.3. Enhanced SR IOD Module Table 248

A.35.2.3.1. Enhanced SR IOD Content Constraints 249

A.35.2.3.1.1. Value Type 249


A.35.3. Comprehensive SR IOD 250

A.35.3.1. Comprehensive SR Information Object Description 250

A.35.3.2. Comprehensive SR IOD Entity-Relationship Model 250

A.35.3.3. Comprehensive SR IOD Module Table 250

A.35.3.3.1. Comprehensive SR IOD Content Constraints 251

A.35.3.3.1.1. Value Type 251


A.35.4. Key Object Selection Document IOD 252

A.35.4.1. Key Object Selection Document Information Object Description 252

A.35.4.2. Key Object Selection Document IOD Entity-Relationship Model 252

A.35.4.3. Key Object Selection Document IOD Module Table 252

A.35.4.3.1. Key Object Selection Document IOD Content Constraints 253

A.35.4.3.1.1. Value Type 253


A.35.4.3.1.3. Template Constraints 254

A.35.5. Mammography CAD SR IOD 254

A.35.5.1. Mammography CAD SR Information Object Description 254

A.35.5.2. Mammography CAD SR IOD Entity-Relationship Model 254

A.35.5.3. Mammography CAD SR IOD Module Table 254

A.35.5.3.1. Mammography CAD SR IOD Content Constraints 255


A.35.5.3.1.2. Value Type 255


A.35.6. Chest CAD SR IOD 256

A.35.6.1. Chest CAD SR Information Object Description 256

A.35.6.2. Chest CAD SR IOD Entity-Relationship Model 256

A.35.6.3. Chest CAD SR IOD Module Table 256

A.35.6.3.1. Chest CAD SR IOD Content Constraints 257


A.35.6.3.1.2. Value Type 257


A.35.7. Procedure Log IOD 258

A.35.7.1. Procedure Log Information Object Description 258

A.35.7.2. Procedure Log IOD Entity-Relationship Model 258

A.35.7.3. Procedure Log IOD Module Table 258

A.35.7.3.1. Procedure Log IOD Content Constraints 259

A.35.7.3.1.1. Template 259

A.35.7.3.1.2. Observation DateTime 259

A.35.7.3.1.3. Value Type 259


A.35.8. X-Ray Radiation Dose SR IOD 260

A.35.8.1. X-Ray Radiation Dose SR Information Object Description 260

A.35.8.2. X-Ray Radiation Dose SR IOD Entity-Relationship Model 260

A.35.8.3. X-Ray Radiation Dose SR IOD Module Table 260

A.35.8.3.1. X-Ray Radiation Dose SR IOD Content Constraints 261

A.35.8.3.1.1. Template 261

A.35.8.3.1.2. Value Type 261


A.35.8.3.1.4. Completion Flag 262

A.35.9. Spectacle Prescription Report IOD 262

A.35.9.1. Spectacle Prescription Report Information Object Description 262

A.35.9.2. Spectacle Prescription Report IOD Entity-Relationship Model 262

A.35.9.3. Spectacle Prescription Report IOD Module Table 262

A.35.9.3.1. Spectacle Prescription Report IOD Content Constraints 263

A.35.9.3.1.1. Value Type 263



A.35.10. Colon CAD SR IOD 264

A.35.10.1. Colon CAD SR Information Object Description 264

A.35.10.2. Colon CAD SR IOD Entity-Relationship Model 264

A.35.10.3. Colon CAD SR IOD Module Table 264

A.35.10.3.1. Colon CAD SR IOD Content Constraints 264


A.35.10.3.1.2. Value Type 265


A.35.11. Macular Grid Thickness and Volume Report IOD 266

A.35.11.1. Macular Grid Thickness and Volume Report Information Object Description 266

A.35.11.2. Macular Grid Thickness and Volume Report IOD Entity-Relationship Model 266

A.35.11.3. Macular Grid Thickness and Volume Report IOD Module Table 266

A.35.11.3.1. Macular Grid Thickness and Volume Report IOD Content Constraints 266

A.35.11.3.1.1. Value Type 266



A.35.12. Implantation Plan SR Document IOD 267

A.35.12.1. Implantation Plan SR Document IOD Description 267

A.35.12.2. Implantation Plan SR Document IOD Entity-Relationship Model 267

A.35.12.3. Implantation Plan SR Document IOD Module Table 267

A.35.12.3.1. Implantation Plan SR Document IOD Content Constraints 268


A.35.12.3.1.2. Value Type 268


A.35.13. Comprehensive 3D SR IOD 269

A.35.13.1. Comprehensive 3D SR Information Object Description 269

A.35.13.2. Comprehensive 3D SR IOD Entity-Relationship Model 269

A.35.13.3. Comprehensive 3D SR IOD Module Table 269

A.35.13.3.1. Comprehensive 3D SR IOD Content Constraints 270

A.35.13.3.1.1. Value Type 270


A.35.14. Radiopharmaceutical Radiation Dose SR Information Object Definition 271

A.35.14.1. Radiopharmaceutical Radiation Dose SR Information Object Description 271

A.35.14.2. Radiopharmaceutical Radiation Dose SR IOD Entity-relationship Model 271

A.35.14.3. Radiopharmaceutical Radiation Dose SR IOD Module Table 271

A.35.14.3.1. Radiopharmaceutical Radiation Dose SR IOD Content Constraints 272

A.35.14.3.1.1. Template 272

A.35.14.3.1.2. Value Type 272


A.36. Enhanced MR Information Object Definitions 273

A.36.1. Relationship Between Enhanced MR IODs 273

A.36.2. Enhanced MR Image IOD 274

A.36.2.1. Enhanced MR Image IOD Description 274

A.36.2.2. Enhanced MR Image Entity-Relationship Model 274

A.36.2.3. Enhanced MR Image IOD Module Table 274

A.36.2.3.1. Enhanced MR Image IOD Content Constraints 275

A.36.2.4. Enhanced MR Image Functional Group Macros 275

A.36.3. MR Spectroscopy IOD 277

A.36.3.1. MR Spectroscopy IOD Description 277

A.36.3.2. MR Spectroscopy Entity-Relationship Model 277

A.36.3.3. MR Spectroscopy IOD Module Table 277

A.36.3.4. MR Spectroscopy Functional Group Macros 278

A.36.4. Enhanced MR Color Image IOD 280

A.36.4.1. Enhanced MR Color Image IOD Description 280

A.36.4.2. Enhanced MR Color Image Entity-Relationship Model 280

A.36.4.3. Enhanced MR Color Image IOD Module Table 280

A.36.4.3.1. Enhanced MR Color Image IOD Content Constraints 281

A.36.4.4. Enhanced MR Color Image Functional Group Macros 282

A.37. Raw Data IOD 282

A.37.1. Raw Data IOD Description 282

A.37.2Raw. Data Entity-Relationship Model 282

A.37.3. Raw Data IOD Module Table 282

A.38. Enhanced Computed Tomography Image IOD 283

A.38.1. Enhanced CT Image IOD 283

A.38.1.1. Enhanced CT Image IOD Description 283

A.38.1.2. Enhanced CT Image IOD Entity-Relationship Model 283

A.38.1.3. Enhanced CT Image IOD Module Table 283

A.38.1.3.1. Enhanced CT Image IOD Content Constraints 284

A.38.1.4. Enhanced CT Image Functional Group Macros 284

A.39. Spatial Registration Information Object Definitions 286

A.39.1. Spatial Registration IOD 286

A.39.1.1. Spatial Registration IOD Description 286

A.39.1.2. Spatial Registration IOD Entity-Relationship Model 286

A.39.1.3. Spatial Registration IOD Module Table 286

A.39.2. Deformable Spatial Registration IOD 287

A.39.2.1. Deformable Spatial Registration IOD Description 287

A.39.2.2. Deformable Spatial Registration IOD Entity-Relationship Model 287

A.39.2.3. Deformable Spatial Registration IOD Module Table 287

A.40. Spatial Fiducials IOD 288

A.40.1. Spatial Fiducials IOD Description 288

A.40.2. Spatial Fiducials IOD Entity-Relationship Model 288

A.40.3. Spatial Fiducials IOD Module Table 289

A.41. Ophthalmic Photography 8 Bit Image IOD 290

A.41.1. Ophthalmic Photography 8 Bit Image IOD Description 290

A.41.2. Ophthalmic Photography 8 Bit Image IOD Entity-Relationship Model 290

A.41.3. Ophthalmic Photography 8 Bit Image IOD Modules 290

A.41.4. Ophthalmic Photography 8 Bit Image IOD Content Constraints 291

A.41.4.1. Bits Allocated, Bits Stored, and High Bit 291

A.41.4.2. Contrast/Bolus Agent Sequence 291

A.42. Ophthalmic Photography 16 Bit Image IOD 291

A.42.1. Ophthalmic Photography 16 Bit Image IOD Description 291

A.42.2. Ophthalmic Photography 16 Bit Image IOD Entity-Relationship Model 292

A.42.3. Ophthalmic Photography 16 Bit Image IOD Modules 292

A.42.4. Ophthalmic Photography 16 Bit Image IOD Content Constraints 293

A.42.4.1. Bits Allocated, Bits Stored, and High Bit 293


A.43. Stereometric Relationship IOD 293

A.43.1. Stereometric Relationship IOD Entity-Relationship Model 293

A.43.2. Stereometric Relationship IOD Modules 294

A.44. Hanging Protocol IOD 295

A.44.1. Hanging Protocol IOD Description 295

A.44.2. Hanging Protocol IOD Entity-Relationship Model 295

A.44.3. Hanging Protocol IOD Module Table 295

A.45. Encapsulated Document IOD 295

A.45.1. Encapsulated PDF IOD 295

A.45.1.1. Encapsulated PDF IOD Description 295

A.45.1.2. Encapsulated PDF Entity-Relationship Model 295

A.45.1.3. Encapsulated PDF IOD Module Table 295

A.45.1.4. Encapsulated PDF IOD Content Constraints 296

A.45.1.4.1. MIME Type of Encapsulated Document 296

A.45.2. Encapsulated CDA IOD 296

A.45.2.1. Encapsulated CDA IOD Description 296

A.45.2.2. Encapsulated CDA Entity-Relationship Model 296

A.45.2.3. Encapsulated CDA IOD Module Table 296

A.45.2.4. Encapsulated CDA IOD Content Constraints 297

A.46. Real World Value Mapping IOD 297

A.46.1. Real World Value Mapping IOD Entity-Relationship Model 297

A.46.2. Real World Value Mapping IOD Modules 298

A.47. Enhanced X-Ray Angiographic Image IOD 299

A.47.1. Enhanced XA Image IOD Description 299

A.47.2. Enhanced XA Image IOD Entity-Relationship Model 299

A.47.3. Enhanced XA Image IOD Module Table 299

A.47.3.1. Enhanced XA Image IOD Content Constraints 301

A.47.3.1.1. Modality Type Attribute 301

A.47.3.1.2. Overlay Plane, Curve, VOI LUT and Specimen Identification Modules 301

A.47.3.1.3. Positioner Type 301

A.47.4. Enhanced XA Image Functional Group Macros 301

A.47.4.1. Enhanced XA Image Functional Group Macros Content Constraints 302

A.47.4.1.1. Frame Anatomy Functional Group Macro 302

A.48. Enhanced X-Ray RF Image IOD 302

A.48.1. Enhanced XRF Image IOD Description 302

A.48.2. Enhanced XRF Image IOD Entity-Relationship Model 303

A.48.3. Enhanced XRF Image IOD Module Table 303

A.48.3.1. Enhanced XRF Image IOD Content Constraints 304


A.48.3.1.2. Overlay Plane, Curve, VOI LUT and Specimen Identification Modules 304

A.48.3.1.3. Positioner Type 305

A.48.4. Enhanced XRF Image Functional Group Macros 305

A.48.4.1. Enhanced XRF Image Functional Group Macros Content Constraints 306


A.49. RT Ion Plan IOD 306


A.49.2. IOD Modules 306

A.50. RT Ion Beams Treatment Record IOD 307


A.50.2. IOD Modules 307

A.51. Segmentation IOD 308

A.51.1. Segmentation IOD Description 308

A.51.2. Segmentation IOD Entity-Relationship Model 308

A.51.3. Segmentation IOD Module Table 308

A.51.4. Segmentation IOD Content Constraints 309

A.51.5. Segmentation Functional Groups 309

A.51.5.1. Segmentation Functional Groups Description 310

A.52. Ophthalmic Tomography Image IOD 310

A.52.1. Ophthalmic Tomography Image IOD Description 310

A.52.2. Ophthalmic Tomography Image IOD Entity-Relationship Model 310

A.52.3. Ophthalmic Tomography Image IOD Modules 310

A.52.4. Ophthalmic Tomography Image IOD Content Constraints 312


A.52.4.2. Overlay Plane Module and VOI LUT Module 312

A.52.4.3. Ophthalmic Tomography Image Functional Group Macros 312

A.53. X-Ray 3D Angiographic Image IOD 313

A.53.1. X-Ray 3D Angiographic Image IOD Description 313

A.53.2. X-Ray 3D Angiographic Image IOD Entity-Relationship Model 313

A.53.3. X-Ray 3D Angiographic Image IOD Image Module Table 313

A.53.3.1. X-Ray 3D Angiographic Image IOD Content Constraints 314


A.53.3.1.2. Restrictions for Standard Extended SOP Classes 314

A.53.3.1.3. Image - Equipment Coordinate Relationship Module 314

A.53.4. X-Ray 3D Angiographic Image Functional Group Macros 315

A.53.4.1. X-Ray 3D Angiographic Image Functional Group Macros Content Constraints 315


A.54. X-Ray 3D Craniofacial Image IOD 315

A.54.1. X-Ray 3D Craniofacial Image IOD Description 315

A.54.2. X-Ray 3D Craniofacial Image IOD Entity-Relationship Model 316

A.54.3. X-Ray 3D Craniofacial Image IOD Module Table 316

A.54.3.1. X-Ray 3D Craniofacial Image IOD Content Constraints 317



A.54.4. X-Ray 3D Craniofacial Image Functional Group Macros 317

A.54.4.1. X-Ray 3D Craniofacial Image Functional Group Macros Content Constraints 318


A.55. Breast Tomosynthesis Image IOD 318

A.55.1. Breast Tomosynthesis Image IOD Description 318

A.55.2. Breast Tomosynthesis Image IOD Entity-Relationship Model 318

A.55.3. Breast Tomosynthesis Image IOD Module Table 318

A.55.3.1. Breast Tomosynthesis Image IOD Content Constraints 320


A.55.3.1.2. Image - Equipment Coordinate Relationship Module 320

A.55.4. Breast Tomosynthesis Image Functional Group Macros 320

A.55.4.1. Breast Tomosynthesis Image Functional Group Macros Content Constraints 320


A.56. Enhanced PET Image IOD 321

A.56.1. Enhanced PET Image IOD Description 321

A.56.2. Enhanced PET Image IOD Entity-Relationship Model 321

A.56.3. Enhanced PET Image IOD Module Table 321

A.56.3.1. Enhanced PET Image IOD Content Constraints 322

A.56.4. Enhanced PET Image Functional Group Macros 322

A.56.5. Acquisition Context Module 323

A.57. Surface Segmentation IOD 324

A.57.1. Surface Segmentation IOD Description 324

A.57.2. Surface Segmentation IOD Entity-Relationship Model 324

A.57.3. Surface Segmentation IOD Module Table 324

A.58. Color Palette IOD 325

A.58.1. Color Palette IOD Description 325

A.58.2. Color Palette IOD Entity-Relationship Model 325

A.58.3. Color Palette IOD Module Table 325

A.59. Enhanced US Volume IOD 325

A.59.1. Enhanced US Volume IOD Description 325

A.59.2. Enhanced US Volume IOD Entity-Relationship Model 326

A.59.3. Enhanced US Volume IOD Module Table 326

A.59.3.1. Enhanced US Volume IOD Content Constraints 328

A.59.3.1.1. Associated Physiological Waveforms 328

A.59.3.1.2. Contrast 328

A.59.4. Enhanced US Volume Functional Group Macros 328

A.59.4.1. Enhanced US Volume Functional Group Macros Content Constraints 329

A.59.4.1.1. US Image Description Macro 329

A.59.4.1.2. Plane Position (Volume) and Plane Orientation (Volume) Macros 329

A.60. Ophthalmic Refractive Measurements Information Object Definitions 329

A.60.1. Lensometry Measurements IOD 330

A.60.1.1. Lensometry Measurements Information Object Description 330

A.60.1.2. Lensometry Measurements IOD Entity-Relationship Model 330

A.60.1.3. Lensometry Measurements IOD Module Table 330

A.60.2. Autorefraction Measurements IOD 330

A.60.2.1. Autorefraction Measurements Information Object Description 330

A.60.2.2. Autorefraction Measurements IOD Entity-Relationship Model 330

A.60.2.3. Autorefraction Measurements IOD Module Table 330

A.60.3. Keratometry Measurements IOD 331

A.60.3.1. Keratometry Measurements Information Object Description 331

A.60.3.2. Keratometry Measurements IOD Entity-Relationship Model 331

A.60.3.3. Keratometry Measurements IOD Module Table 331

A.60.4. Subjective Refraction Measurements IOD 332

A.60.4.1. Subjective Refraction Measurements Information Object Description 332

A.60.4.2. Subjective Refraction Measurements IOD Entity-Relationship Model 332

A.60.4.3. Subjective Refraction Measurements IOD Module Table 332

A.60.5. Visual Acuity Measurements IOD 333

A.60.5.1. Visual Acuity Measurements Information Object Description 333

A.60.5.2. Visual Acuity Measurements IOD Entity-Relationship Model 333

A.60.5.3. Visual Acuity Measurements IOD Module Table 333

A.60.6. Ophthalmic Axial Measurements IOD 334

A.60.6.1. Ophthalmic Axial Measurements Information Object Description 334

A.60.6.2. Ophthalmic Axial Measurements IOD Entity-Relationship Model 334

A.60.6.3. Ophthalmic Axial Measurements IOD Module Table 334

A.60.7. Intraocular Lens Calculations IOD 334

A.60.7.1. Intraocular Lens Calculations Information Object Description 335

A.60.7.2. Intraocular Lens Calculations IOD Entity-Relationship Model 335

A.60.7.3. Intraocular Lens Calculations IOD Module Table 335

A.61. Generic Implant Template IOD 335

A.61.1. Generic Implant Template IOD Description 335

A.61.2. Generic Implant Template IOD Entity-relationship 335

A.61.3. Generic Implant Module IOD Module Table 336

A.62. Implant Assembly Template IOD 336

A.62.1. Implant Assembly Template IOD Description 336

A.62.2. Implant Assembly Template IOD Entity Relationship 336

A.62.3. Implant Assembly Template IOD Module Table 337

A.63. Implant Template Group IOD 337

A.63.1. Implant Template Group IOD Description 337

A.63.2. Implant Template Group IOD Entity Relationship 337

A.63.3. Implant Template Group IOD Module Table 337

A.64. RT Beams Delivery Instruction IOD 338

A.64.1. RT Beams Delivery Instruction IOD Description 338

A.64.2. RT Beams Delivery Instruction IOD Entity-Relationship Model 338

A.64.3. RT Beams Delivery Instruction IOD Module Table 338

A.64.4. RT Beams Delivery Instruction IOD Content Constraints 339

A.64.4.1. Modality 339

A.65. Ophthalmic Visual Field Static Perimetry Measurements IOD 339

A.65.1. Ophthalmic Visual Field Static Perimetry Measurements IOD Description 339

A.65.2. Ophthalmic Visual Field Static Perimetry Measurements IOD Entity-Relationship Model 339

A.65.3. Ophthalmic Visual Field Static Perimetry Measurements IOD Modules 339

A.66. Intravascular OCT IOD 340

A.66.1. Intravascular OCT Image IOD Description 340

A.66.2. Intravascular OCT Image IOD Entity-Relationship Model 340

A.66.3. Intravascular OCT Image IOD Modules 340

A.66.3.1. Intravascular OCT Image IOD Content Constraints 342

A.66.3.1.1. Contrast/Bolus Agent Sequence 342

A.66.3.1.2. Prohibited Modules 342

A.66.4. Intravascular OCT Image Functional Group Macros 342

A.66.4.1. Intravascular OCT Image Functional Group Macros Content Constraints 343


A.67. Ophthalmic Thickness Map IOD 343

A.67.1. Ophthalmic Thickness Map IOD Description 343

A.67.2. Ophthalmic Thickness Map IOD Entity-Relationship Model 343

A.67.3. Ophthalmic Thickness Map IOD Modules 343

A.67.4. Ophthalmic Thickness Map IOD Content Constraints 344

A.67.4.1. Prohibited Modules 344

A.68. Surface Scan Mesh IOD 344

A.68.1. Surface Scan Mesh IOD Description 344

A.68.2. Surface Scan Mesh IOD Entity-Relationship Model 344

A.68.3. Surface Scan Mesh IOD Module Table 344

A.69. Surface Scan Point Cloud IOD 345

A.69.1. Surface Scan Point Cloud IOD Description 345

A.69.2. Surface Scan Point Cloud IOD Entity Relationship Model 345

A.69.3. Surface Scan Point Cloud IOD Module Table 345

A.70. Legacy Converted Enhanced CT Image IOD 346

A.70.1. Legacy Converted Enhanced CT Image IOD Description 346

A.70.2. Legacy Converted Enhanced CT Image IOD Entity-Relationship Model 346

A.70.3. Legacy Converted Enhanced CT Image IOD Module Table 346

A.70.3.1. Legacy Converted Enhanced CT Image IOD Content Constraints 347

A.70.4. Legacy Converted Enhanced CT Image Functional Group Macros 348

A.71. Legacy Converted Enhanced MR Image IOD 349

A.71.1. Legacy Converted Enhanced MR Image IOD Description 349

A.71.2. Legacy Converted Enhanced MR Image IOD Entity-Relationship Model 349

A.71.3. Legacy Converted Enhanced MR Image IOD Module Table 349

A.71.3.1. Legacy Converted Enhanced MR Image IOD Content Constraints 350

A.71.4. Legacy Converted Enhanced MR Image Functional Group Macros 350

A.72. Legacy Converted Enhanced PET Image IOD 351

A.72.1. Legacy Converted Enhanced PET Image IOD Description 351

A.72.2. Legacy Converted Enhanced PET Image IOD Entity-Relationship Model 351

A.72.3. Legacy Converted Enhanced PET Image IOD Module Table 351

A.72.3.1. Legacy Converted Enhanced PET Image IOD Content Constraints 352

A.72.4. Legacy Converted Enhanced PET Image Functional Group Macros 353

A.73. Corneal Topography Map IOD 354

A.73.1. Corneal Topography Map IOD Description 354

A.73.2. Corneal IOD Entity-Relationship Model 354

A.73.3. Corneal Topography Map IOD Modules 354

A.73.4. Corneal Topography Map IOD Content Constraints 355

A.73.4.1. Prohibited Modules 355

A.74. Breast Projection X-Ray Image IOD 355

A.74.1. Breast Projection X-Ray Image IOD Description 355

A.74.2. Breast Projection X-Ray Image IOD Entity-relationship Model 355

A.74.3. Breast Projection X-Ray Image IOD Module Table 355

A.74.3.1. Breast Projection X-Ray Image IOD Content Constraints 357


A.74.3.1.2. Overlay Plane Module, Curve Module and VOI LUT Module 357

A.74.4. Breast Projection X-Ray Image Functional Group Macros 357

A.74.4.1. Breast Projection X-Ray Image Functional Group Macros Content Constraints 358


A.75. Parametric Map IOD 358

A.75.1. Parametric Map IOD Description 358

A.75.2. Parametric Map IOD Entity-Relationship Model 359

A.75.3. Parametric Map IOD Module Table 359

A.75.4. Parametric Map IOD Content Constraints 360

A.75.5. Parametric Map Functional Groups 360

A.75.5.1. Parametric Map Functional Groups Description 361

B. Normalized Information Object Definitions (Normative) 362

B.1. Patient Information Object Definition 362

B.2. Visit Information Object Definition 362

B.3. Study Information Object Definition 362

B.4. Study Component Information Object Definition 362

B.5. Results Information Object Definition 362

B.6. Interpretation Information Object Definition 362

B.7. Basic Film Session Information Object Definition 362

B.7.1. IOD Description 362

B.7.2. IOD Modules 362

B.8. Basic Film Box Information Object Definition 362



B.9. Basic Image Box Information Object Definition 363



B.10. Basic Annotation Box Information Object Definition 363



B.11. Print Job Information Object Definition 363



B.12. Printer Information Object Definition 364



B.13. VOI LUT Box Information Object Definition (Retired) 364

B.14. Image Overlay Box Information Object Definition (Retired) 364

B.15. Storage Commitment Information Object Definition 364

B.15.1. Storage Commitment IOD Description 364

B.15.2. Storage Commitment IOD Modules 364

B.16. Print Queue Information Object Definition 365

B.17. Modality Performed Procedure Step Information Object Definition 365



B.18. Presentation LUT Information Object Definition 365



B.19. Pull Print Request Information Object Definition 366

B.20. Printer Configuration Information Object Definition 366



B.21. Basic Print Image Overlay Box Information Object Definition 366

B.22. General Purpose Scheduled Procedure Step Information Object Definition (Retired) 366

B.23. General Purpose Performed Procedure Step Information Object Definition (Retired) 366

B.24. Instance Availability Notification Information Object Definition 366



B.25. Media Creation Management Information Object Definition 367



B.26. Unified Procedure Step Information Object Definition 367



B.27. RT Conventional Machine Verification Information Object Definition 368



B.28. RT Ion Machine Verification Information Object Definition 368



B.29. Display System Information Object Definition 368


C. Information Module Definitions (Normative) 370

C.1. Elements of a Module Definition 370

C.1.1. Module Description 370

C.1.2. Module Definition 370

C.1.2.1. Attribute Name 370

C.1.2.2. Attribute Tag 370

C.1.2.3. Type Designation 370

C.1.2.4. Attribute Definition 371

C.1.3. Attribute Descriptions 371

C.2. Patient Modules 371

C.2.1. Patient Relationship Module 371

C.2.2. Patient Identification Module 371

C.2.2.1. Patient Identification Module Attributes 372

C.2.2.1.1. Referenced Patient Photo Sequence 372

C.2.3. Patient Demographic Module 373

C.2.4. Patient Medical Module 375

C.3. Visit Modules 377

C.3.1. Visit Relationship Module 377

C.3.2. Visit Identification Module 377

C.3.3. Visit Status Module 378

C.3.4. Visit Admission Module 379

C.3.5. Visit Discharge Module 379

C.3.6. Visit Scheduling Module 379

C.4. Study Modules 379

C.4.1. Study Relationship Module 379

C.4.2. Study Identification Module 379

C.4.3. Study Classification Module 380

C.4.4. Study Scheduling Module 380

C.4.5. Study Acquisition Module 380

C.4.6. Study Read Module 380

C.4.7. Study Component Module 380

C.4.8. Study Component Relationship Module 380

C.4.9. Study Component Acquisition Module 380

C.4.10. Scheduled Procedure Step Module 380

C.4.10.1. Protocol Context Sequence 382

C.4.11. Requested Procedure Module 382

C.4.12. Imaging Service Request Module 384

C.4.13. Performed Procedure Step Relationship 386

C.4.14. Performed Procedure Step Information 389

C.4.15. Image Acquisition Results Module 390

C.4.16. Radiation Dose Module 393

C.4.17. Billing and Material Management Codes 395

C.4.18. General Purpose Scheduled Procedure Step Relationship Module (Retired) 396

C.4.19. General Purpose Scheduled Procedure Step Information Module (Retired) 396

C.4.20. General Purpose Performed Procedure Step Relationship Module (Retired) 396

C.4.21. General Purpose Performed Procedure Step Information Module (Retired) 396

C.4.22. General Purpose Results (Retired) 397

C.4.23. Instance Availability Notification Module 397

C.4.23.1. Instance Availability Notification Module Attribute Definitions 398

C.4.23.1.1. Instance Availability 398

C.5. Results Modules 398

C.6. Interpretation Modules 398

C.7. Common Composite Image IOD Modules 398

C.7.1. Common Patient IE Modules 399

C.7.1.1. Patient Module 399

C.7.1.1.1. Patient Module Attributes 402

C.7.1.1.1.1. Patient Breed Description and Code Sequence 402

C.7.1.1.1.2. Responsible Person Role 403

C.7.1.2. Specimen Identification Module 403

C.7.1.3. Clinical Trial Subject Module 403

C.7.1.3.1. Clinical Trial Subject Attribute Descriptions 404

C.7.1.3.1.1. Clinical Trial Sponsor Name 404

C.7.1.3.1.2. Clinical Trial Protocol ID 404

C.7.1.3.1.3. Clinical Trial Protocol Name 404

C.7.1.3.1.4. Clinical Trial Site ID 404

C.7.1.3.1.5. Clinical Trial Site Name 404

C.7.1.3.1.6. Clinical Trial Subject ID 404

C.7.1.3.1.7. Clinical Trial Subject Reading ID 404

C.7.2. Common Study IE Modules 404

C.7.2.1. General Study Module 405

C.7.2.1.1. General Study Attribute Descriptions 406

C.7.2.1.1.1. Referring Physician, Physician of Record, Physician Reading Study 406

C.7.2.2. Patient Study Module 407

C.7.2.3. Clinical Trial Study Module 408

C.7.2.3.1. Clinical Trial Study Attribute Descriptions 409

C.7.2.3.1.1. Clinical Trial Time Point 409

C.7.2.3.1.2. Consent For Clinical Trial Use Sequence 410

C.7.3. Common Series IE Modules 410

C.7.3.1. General Series Module 410

C.7.3.1.1. General Series Attribute Descriptions 414

C.7.3.1.1.1. Modality 414

C.7.3.1.1.2. Patient Position 415

C.7.3.2. Clinical Trial Series Module 416

C.7.3.2.1. Clinical Trial Series Attribute Descriptions 416

C.7.3.2.1.1. Clinical Trial Coordinating Center Name 416

C.7.3.2.1.2. Clinical Trial Series Identifier and Description 416

C.7.3.3. Enhanced Series Module 417

C.7.4. Common Frame of Reference Information Entity Modules 417

C.7.4.1. Frame of Reference Module 417

C.7.4.1.1. Frame of Reference Attribute Descriptions 418

C.7.4.1.1.1. Frame of Reference UID 418

C.7.4.1.1.2. Position Reference Indicator 418

C.7.4.2. Synchronization Module 418

C.7.4.2.1. Synchronization Attribute Descriptions 420

C.7.4.2.1.1. Synchronization Frame of Reference UID 420

C.7.4.2.1.2. Time Source and Time Distribution Protocol 420

C.7.4.2.1.3. Synchronization Channel 420

C.7.4.2.1.4. Acquisition Time Synchronized 420

C.7.5. Common Equipment IE Modules 421

C.7.5.1. General Equipment Module 421

C.7.5.1.1. General Equipment Attribute Descriptions 422

C.7.5.1.1.1. Date of Last Calibration, Time of Last Calibration 422

C.7.5.1.1.2. Pixel Padding Value and Pixel Padding Range Limit 422

C.7.5.1.1.3. Software Versions 424

C.7.5.2. Enhanced General Equipment Module 424

C.7.6. Common Image IE Modules 424

C.7.6.1. General Image Module 424

C.7.6.1.1. General Image Attribute Descriptions 429

C.7.6.1.1.1. Patient Orientation 429

C.7.6.1.1.2. Image Type 431

C.7.6.1.1.3. Derivation Description 431

C.7.6.1.1.4. Source Image Sequence 432

C.7.6.1.1.5. Lossy Image Compression 432

C.7.6.1.1.5.1. Lossy Image Compression Method 433

C.7.6.1.1.5.2. Lossy Image Compression Ratio 433

C.7.6.1.1.6. Icon Image Sequence 433

C.7.6.1.1.7. Irradiation Event UID 434

C.7.6.2. Image Plane Module 434

C.7.6.2.1. Image Plane Attribute Descriptions 434

C.7.6.2.1.1. Image Position and Image Orientation 434

C.7.6.2.1.2. Slice Location 436

C.7.6.3. Image Pixel Module 436

C.7.6.3.1. Image Pixel Attribute Descriptions 438

C.7.6.3.1.1. Samples Per Pixel 439

C.7.6.3.1.2. Photometric Interpretation 439

C.7.6.3.1.3. Planar Configuration 441

C.7.6.3.1.4. Pixel Data 442

C.7.6.3.1.5. Palette Color Lookup Table Descriptor 442

C.7.6.3.1.6. Palette Color Lookup Table Data 443

C.7.6.3.1.7. Pixel Aspect Ratio 443

C.7.6.4. Contrast/Bolus Module 444

C.7.6.4b. Enhanced Contrast/Bolus Module 445

C.7.6.4b.1. Enhanced Contrast/Bolus Module Attributes 446

C.7.6.4b.1.1. Contrast/Bolus Ingredient Opaque for X-Ray Equipment 446

C.7.6.5. Cine Module 447

C.7.6.5.1. Cine Attribute Descriptions 448

C.7.6.5.1.1. Frame Time 449

C.7.6.5.1.2. Frame Time Vector 449

C.7.6.5.1.3. Multiplexed Audio 449

C.7.6.6. Multi-frame Module 449

C.7.6.6.1. Multi-frame Attribute Descriptions 449

C.7.6.6.1.1. Number of Frames and Frame Increment Pointer 449

C.7.6.6.1.2. Frame Increment Pointer 450

C.7.6.7. Bi-plane Sequence Module (Retired) 450

C.7.6.8. Bi-plane Image Module (Retired) 450

C.7.6.9. Frame Pointers Module 450

C.7.6.10. Mask Module 451

C.7.6.10.1. Mask Subtraction Attribute Descriptions 452

C.7.6.10.1.1. Mask Operation 452

C.7.6.10.1.2. Mask Sub-pixel Shift 454

C.7.6.11. Display Shutter Module 454

C.7.6.12. Device Module 458

C.7.6.12.1. Device Attribute Descriptions 459

C.7.6.12.1.1. Device Type and Size 459

C.7.6.13. Intervention Module 459

C.7.6.14. Acquisition Context Module 460

C.7.6.15. Bitmap Display Shutter Module 463

C.7.6.16. Multi-frame Functional Groups Module 464

C.7.6.16.1. Multi-frame Functional Groups Module Attribute Description 466

C.7.6.16.1.1. Functional Group 466

C.7.6.16.1.2. Per-frame Functional Groups Sequence 467

C.7.6.16.1.3. SOP Instance UID of Concatenation Source 468

C.7.6.16.2. Common Functional Group Macros 469

C.7.6.16.2.1. Pixel Measures Macro 469

C.7.6.16.2.2. Frame Content Macro 470

C.7.6.16.2.2.1. Timing Parameter Relationships 472

C.7.6.16.2.2.2. Frame Reference DateTime 473

C.7.6.16.2.2.3. Frame Acquisition Duration 473

C.7.6.16.2.2.4. Concatenations and Stacks 473

C.7.6.16.2.2.5. Frame Label 475

C.7.6.16.2.2.6. Temporal Position Index and Stack ID in PET images 475

C.7.6.16.2.2.7. Stack ID usage in PET static, whole body and gated images 475

C.7.6.16.2.3. Plane Position (Patient) Macro 476

C.7.6.16.2.3.1. Position and Orientation for SAMPLED Frames 476

C.7.6.16.2.4. Plane Orientation (Patient) Macro 476

C.7.6.16.2.5. Referenced Image Macro 477

C.7.6.16.2.5.1. Use of Referenced Image Macro 477

C.7.6.16.2.6. Derivation Image Macro 477

C.7.6.16.2.7. Cardiac Synchronization Macro 479

C.7.6.16.2.7.1. Relationship of Cardiac Timing Attributes 480

C.7.6.16.2.8. Frame Anatomy Macro 481

C.7.6.16.2.9. Pixel Value Transformation Macro 482

C.7.6.16.2.9b. Identity Pixel Value Transformation Macro 483

C.7.6.16.2.10. Frame VOI LUT Macro 483

C.7.6.16.2.10b. Frame VOI LUT With LUT Macro 484

C.7.6.16.2.11. Real World Value Mapping Macro 484

C.7.6.16.2.11.1. Real World Value Representation 486

C.7.6.16.2.11.1.1. Real World Value Mapping Sequence 486

C.7.6.16.2.11.1.2. Real World Values Mapping Sequence Attributes 487

C.7.6.16.2.12. Contrast/Bolus Usage Macro 488

C.7.6.16.2.13. Pixel Intensity Relationship LUT Macro 489

C.7.6.16.2.13.1. Pixel Intensity Relationship LUT 490

C.7.6.16.2.13.2. Pixel Intensity Relationship LUT Data Attribute 490

C.7.6.16.2.14. Frame Pixel Shift Macro 490

C.7.6.16.2.14.1. Subtraction Item ID Description 491

C.7.6.16.2.15. Patient Orientation in Frame Macro 492

C.7.6.16.2.16. Frame Display Shutter 492

C.7.6.16.2.17. Respiratory Synchronization Macro 493

C.7.6.16.2.17.1. Relationship of Respiratory Timing Attributes 494

C.7.6.16.2.18. Irradiation Event Identification Macro 495

C.7.6.16.2.19. Radiopharmaceutical Usage Macro 495

C.7.6.16.2.20. Patient Physiological State Macro 495

C.7.6.16.2.21. Plane Position (Volume) Macro 496

C.7.6.16.2.22. Plane Orientation (Volume) Macro 496

C.7.6.16.2.23. Temporal Position Macro 496

C.7.6.16.2.24. Image Data Type Macro 496

C.7.6.16.2.24.1. Data Type 497

C.7.6.16.2.24.2. Aliased Data Type 497

C.7.6.16.2.24.3. Zero Velocity Pixel Value 498

C.7.6.16.2.25. Unassigned Shared and Per-frame Converted Attributes Macros 498

C.7.6.16.2.25.1. Unassigned Shared Converted Attributes Macro 499

C.7.6.16.2.25.2. Unassigned Per-Frame Converted Attributes Macro 499

C.7.6.16.2.25.3. Image Frame Conversion Source Macro 499

C.7.6.17. Multi-frame Dimension Module 500

C.7.6.17.1. Dimension Indices 501

C.7.6.17.2. Dimension Organization UID 504

C.7.6.18. Physiological Synchronization 505

C.7.6.18.1. Cardiac Synchronization Module 505

C.7.6.18.1.1. Attribute Descriptions 507

C.7.6.18.1.1.1. Cardiac Framing Type 508

C.7.6.18.2. Respiratory Synchronization Module 508

C.7.6.18.3. Bulk Motion Synchronization Module 509

C.7.6.19. Supplemental Palette Color Lookup Table Module 509

C.7.6.20. Patient Orientation Module 510

C.7.6.21. Image - Equipment Coordinate Relationship Module 510

C.7.6.21.1. Image to Equipment Mapping Matrix 511

C.7.6.21.2. Equipment Coordinate System Identification 511

C.7.6.22. Specimen Module 511

C.7.6.22.1. Specimen Module Attributes 514

C.7.6.22.1.1. Container Identifier and Specimen Identifier 514

C.7.6.22.1.2. Specimen Identifier and Specimen UID 515

C.7.6.22.1.3. Specimen Preparation Sequence and Specimen Preparation Step Content Item Sequence 515

C.7.6.22.1.4. Specimen Localization Content Item Sequence 515

C.7.6.23. Enhanced Palette Color Lookup Table Module 515

C.7.6.23.1. Description of the Enhanced Blending and Display Pipeline 519

C.7.6.23.2. Data Path Assignment 521

C.7.6.23.3. Bits Mapped to Color Lookup Table 521

C.7.6.23.4. Blending LUT Transfer Function 522

C.7.6.23.5. Blending LUT Descriptor 522

C.7.6.23.6. Lossy Compression and Palette Color Lookup Tables (Informative) 523

C.7.6.24. Floating Point Image Pixel Module 523

C.7.6.25. Double Floating Point Image Pixel Module 524

C.7.7. Patient Summary Module 525

C.7.8. Study Content Module 525

C.7.9. Palette Color Lookup Table Module 525

C.7.9.1. Palette Color Lookup Table UID 527

C.7.9.2. Segmented Palette Color Lookup Table Data 527

C.7.9.2.1. Discrete Segment Type 527

C.7.9.2.2. Linear Segment Type 528

C.7.9.2.3. Indirect Segment Type 528

C.8. Modality Specific Modules 529

C.8.1. Computed Radiography Modules 529

C.8.1.1. CR Series Module 529

C.8.1.2. CR Image Module 530

C.8.2. CT Modules 532

C.8.2.1. CT Image Module 532

C.8.2.1.1. CT Image Attribute Descriptions 537

C.8.2.1.1.1. Image Type 537



C.8.2.1.1.4. Bits Allocated 537

C.8.2.1.1.5. Bits Stored 537

C.8.2.1.1.6. High Bit 538

C.8.2.1.1.7. Calcium Scoring Mass Factor Patient and Device 538

C.8.3. MR Modules 538

C.8.3.1. MR Image Module 538

C.8.3.1.1. MR Image Attribute Descriptions 542

C.8.3.1.1.1. Image Type 542




C.8.4. Nuclear Medicine Modules 543

C.8.4.1. NM Series Module (Retired) 543

C.8.4.2. NM Equipment Module (Retired) 543

C.8.4.3. NM Image Module (Retired) 543

C.8.4.4. NM Spect Acquisition Image Module (Retired) 543

C.8.4.5. NM Multi-gated Acquisition Image Module (Retired) 543

C.8.4.6. NM/PET Patient Orientation Module 543

C.8.4.6.1. NM/PET Patient Orientation Attribute Descriptions 544

C.8.4.6.1.1. Patient Orientation Code Sequence 544

C.8.4.6.1.2. Patient Orientation Modifier Code Sequence 544

C.8.4.6.1.3. Patient Gantry Relationship Code Sequence 544

C.8.4.7. NM Image Pixel Module 544

C.8.4.7.1. NM Image Pixel Attribute Descriptions 545


C.8.4.8. NM Multi-frame Module 545

C.8.4.8.1. NM Multi-frame Attribute Descriptions 547


C.8.4.8.1.2. Number of Energy Windows and Energy Window Vector 548

C.8.4.8.1.3. Number of Detectors and Detector Vector 548

C.8.4.8.1.4. Number of Phases and Phase Vector 549

C.8.4.8.1.5. Number of Rotations and Rotation Vector 549

C.8.4.8.1.6. Number of R-R Intervals and R-R Interval Vector 549

C.8.4.8.1.7. Number of Time Slots and Time Slot Vector 549

C.8.4.8.1.8. Number of Slices and Slice Vector 549

C.8.4.8.1.9. Angular View Vector 549

C.8.4.8.1.10. Time Slice Vector 549

C.8.4.9. NM Image Module 550

C.8.4.9.1. NM Image Module Attribute Descriptions 552

C.8.4.9.1.1. Image Type 552

C.8.4.9.1.2. Counts Accumulated 553

C.8.4.9.1.3. Acquisition Termination Condition 553

C.8.4.9.1.4. Actual Frame Duration 553

C.8.4.10. NM Isotope Module 553

C.8.4.10.1. NM Isotope Module Attribute Descriptions 555

C.8.4.10.1.1. Energy Window Lower Limit 555

C.8.4.10.1.2. Energy Window Upper Limit 556

C.8.4.10.1.3. (Retired) 556

C.8.4.10.1.4. (Retired) 556

C.8.4.10.1.5. Radiopharmaceutical Start Time 556

C.8.4.10.1.6. Radiopharmaceutical Stop Time 556

C.8.4.10.1.7. Radionuclide Total Dose 556

C.8.4.10.1.8. Syringe Counts 556

C.8.4.10.1.9. Residual Syringe Counts 556

C.8.4.10.1.10. (Retired) 556

C.8.4.10.1.11. (Retired) 556

C.8.4.11. NM Detector Module 556

C.8.4.11.1. NM Detector Attribute Descriptions 558

C.8.4.11.1.1. Focal Distance 558

C.8.4.11.1.2. Focus Center 558

C.8.4.11.1.3. Zoom Center 558

C.8.4.11.1.4. Zoom Factor 558

C.8.4.11.1.5. Center of Rotation Offset 559

C.8.4.11.1.6. Gantry/Detector Tilt 559

C.8.4.12. NM Tomo Acquisition Module 559

C.8.4.12.1. NM Tomo Acquisition Attribute Descriptions 560

C.8.4.12.1.1. Angular Step 560

C.8.4.13. NM Multi-gated Acquisition Module 560

C.8.4.13.1. NM Multi-gated Acquisition Attribute Descriptions 562

C.8.4.13.1.1. Data Information Sequence 562

C.8.4.13.1.2. Time Slot Time 562

C.8.4.14. NM Phase Module 562

C.8.4.14.1. NM Phase Module Attributes Description 563

C.8.4.14.1.1. Trigger Vector 563

C.8.4.15. NM Reconstruction Module 563

C.8.5. Ultrasound Modules 564

C.8.5.1. US Frame of Reference Module (Retired) 564

C.8.5.2. US Region Calibration (Retired) 564

C.8.5.3. US Image Module (Retired) 564

C.8.5.4. US Frame of Reference Module 564

C.8.5.5. US Region Calibration Module 564

C.8.5.5.1. US Region Calibration Attribute Descriptions 568

C.8.5.5.1.1. Region Spatial Format 568

C.8.5.5.1.2. Region Data Type 568

C.8.5.5.1.3. Region Flags 569

C.8.5.5.1.4. Pixel Component Organization 570

C.8.5.5.1.5. Pixel Component Mask 572

C.8.5.5.1.6. Pixel Component Physical Units 573

C.8.5.5.1.7. Pixel Component Data Type 573

C.8.5.5.1.8. Number of Table Break Points 573

C.8.5.5.1.9. Table of X Break Points and Table of Y Break Points 573

C.8.5.5.1.10. TM-line Position X0, Y0, X1 and Y1 574

C.8.5.5.1.11. Number of Table Entries 574

C.8.5.5.1.12. Table of Pixel Values 574

C.8.5.5.1.13. Table of Parameter Values 574

C.8.5.5.1.14. Region Location Min X0, Min Y0, Max X1 and Max Y1 574

C.8.5.5.1.15. Physical Units X Direction and Physical Units Y Direction 574

C.8.5.5.1.16. Reference Pixel X0 and Reference Pixel Y0 575

C.8.5.5.1.16.1. 2D - Tissue or Color Flow 575

C.8.5.5.1.16.2. Spectral - CW or PW Doppler or Doppler Trace 576

C.8.5.5.1.16.3. M-Mode - Tissue or Color Flow 577

C.8.5.5.1.16.4. Waveform - ECG, Phonocardiogram and Pulse Traces 578

C.8.5.5.1.16.5. Waveform - Doppler Mode, Mean and Max Trace 578

C.8.5.5.1.16.6. Graphics Spatial Formats 578

C.8.5.5.1.16.7. Treatment of Sweeping Regions 578

C.8.5.5.1.17. Physical Delta X and Physical Delta Y 579

C.8.5.5.1.18. Pixel Value Mapping Code Sequence 580

C.8.5.6. US Image Module 580

C.8.5.6.1. US Image Attribute Descriptions 585

C.8.5.6.1.1. Image Type 585


C.8.5.6.1.3. Pixel Representation 586


C.8.5.6.1.5. (Retired) 586

C.8.5.6.1.6. (Retired) 586

C.8.5.6.1.7. (Retired) 586

C.8.5.6.1.8. Mechanical Index, Bone Thermal Index, Cranial Thermal Index, Soft Tissue Thermal Index 586

C.8.5.6.1.9. Image Transformation Matrix and Image Translation Vector 586

C.8.5.6.1.10. Ultrasound Color Data Present 587

C.8.5.6.1.11. Overlay Subtype 587



C.8.5.6.1.14. Bits Stored 588

C.8.5.6.1.15. High Bit 588


C.8.5.6.1.19. View Code Sequence 588

C.8.5.6.1.20. (Retired) 589

C.8.5.6.1.21. IVUS Acquisition 589

C.8.5.6.1.22. IVUS Pullback Rate 589

C.8.5.6.1.23. IVUS Gated Rate 589

C.8.5.6.1.24. IVUS Pullback Start Frame Number 589

C.8.5.6.1.25. IVUS Pullback Stop Frame Number 589

C.8.5.6.1.26. Lesion Number 590

C.8.6. Secondary Capture Modules 590

C.8.6.1. SC Equipment Module 590

C.8.6.2. SC Image Module 591

C.8.6.3. SC Multi-frame Image Module 592

C.8.6.3.1. Scanned Film, Optical Density and P-Values 595

C.8.6.4. SC Multi-frame Vector Module 595

C.8.7. X-Ray Modules 596

C.8.7.1. X-Ray Image Module 596

C.8.7.1.1. X-Ray Image Attribute Descriptions 598

C.8.7.1.1.1. Image Type 598

C.8.7.1.1.2. Pixel Intensity Relationship 599

C.8.7.1.1.3. Acquisition Device Processing Description 599

C.8.7.1.1.4. Scan Options 599



C.8.7.1.1.7. Bits Stored 599

C.8.7.1.1.8. High Bit 599

C.8.7.1.1.9. Synchronization of Frame and Waveform Times 599

C.8.7.1.1.12. Frame Dimension Pointer 600

C.8.7.1.1.13. Referenced Image Sequence 600

C.8.7.2. X-Ray Acquisition Module 600

C.8.7.2.1. X-Ray Acquisition Attribute Descriptions 602

C.8.7.2.1.1. Exposure Time 602

C.8.7.2.1.2. Field of View 602

C.8.7.3. X-Ray Collimator 602

C.8.7.3.1. X-Ray Collimator Attribute Descriptions 604

C.8.7.3.1.1. Collimator Vertical and Horizontal Edges 604

C.8.7.4. X-Ray Table Module 604

C.8.7.4.1. X-Ray Table Attribute Descriptions 605

C.8.7.4.1.1. Table Motion Increments 605

C.8.7.4.1.2. Table Longitudinal Increment 605

C.8.7.4.1.3. Table Lateral Increment 605

C.8.7.4.1.4. Table Motion With Patient in Relation to Imaging Chain 606

C.8.7.5. XA Positioner Module 606

C.8.7.5.1. XA Positioner Attribute Descriptions 608

C.8.7.5.1.1. Positioner Motion 608

C.8.7.5.1.2. Positioner Primary and Secondary Angles 608

C.8.7.5.1.3. Positioner Angle Increments 609

C.8.7.5.1.4. Detector Primary and Secondary Angles 609

C.8.7.6. XRF Positioner Module 610

C.8.7.7. X-Ray Tomography Acquisition Module 610

C.8.7.8. X-Ray Acquisition Dose Module 611

C.8.7.9. X-Ray Generation Module 614

C.8.7.10. X-Ray Filtration Module 616

C.8.7.11. X-Ray Grid Module 617

C.8.8. Radiotherapy Modules 618

C.8.8.1. RT Series Module 618

C.8.8.1.1. Modality 619

C.8.8.2. RT Image Module 619

C.8.8.2.1. Multi-frame Image Data 629

C.8.8.2.2. X-Ray Image Receptor Angle 629

C.8.8.2.3. Image Plane Pixel Spacing and RT Image SID 629

C.8.8.2.4. Exposure Sequence 629

C.8.8.2.5. Single Frame and Multi-frame Images 629

C.8.8.2.6. Image Pixel Module Attributes 630




C.8.8.2.6.4. Bits Stored 630

C.8.8.2.6.5. High Bit 630


C.8.8.2.7. RT Image Plane, Position and Orientation 630

C.8.8.3. RT Dose Module 630

C.8.8.3.1. Normalization Point 635

C.8.8.3.2. Grid Frame Offset Vector 635

C.8.8.3.3. Dose Units 636

C.8.8.3.4. Image Pixel Module Attributes 636




C.8.8.3.4.4. Bits Stored 637

C.8.8.3.4.5. High Bit 637


C.8.8.3.5. Referenced Spatial Registration Sequence 637

C.8.8.4. RT DVH Module 637

C.8.8.4.1. Referenced Structure Set Sequence 639

C.8.8.4.2. DVH ROI Contribution Type 639

C.8.8.4.3. DVH Volume Units 639

C.8.8.5. Structure Set Module 639

C.8.8.5.1. Frames of Reference 641

C.8.8.5.2. Frame of Reference Relationship Sequence and Transformation Matrix 641

C.8.8.5.3. ROI Derivation Sequence 641

C.8.8.5.4. SOP Class UID in RT Referenced Study Sequence 641

C.8.8.6. ROI Contour Module 642

C.8.8.6.1. Contour Geometric Type 643

C.8.8.6.2. Contour Slab Thickness 643

C.8.8.6.3. Representing Inner and Outer Contours on an Image 644

C.8.8.7. RT Dose ROI Module 644

C.8.8.7.1. Contour Geometric Type of Referenced ROI 644

C.8.8.7.2. Referenced ROI Number 645

C.8.8.7.3. Dose Value 645

C.8.8.8. RT ROI Observations Module 645

C.8.8.8.1. RT ROI Interpreted Type 648

C.8.8.8.2. Additional RT ROI Identification Code Sequence 648

C.8.8.9. RT General Plan Module 648

C.8.8.9.1. Referenced Structure Set Sequence 650

C.8.8.10. RT Prescription Module 650

C.8.8.10.1. Target Underdose Volume Fraction 651

C.8.8.11. RT Tolerance Tables Module 651

C.8.8.12. RT Patient Setup Module 653

C.8.8.12.1. RT Patient Setup Module Attributes 656

C.8.8.12.1.1. Referenced Setup Image Sequence 656

C.8.8.12.1.2. Patient Position 656

C.8.8.13. RT Fraction Scheme Module 657

C.8.8.13.1. Beam Dose Verification Parameters 661

C.8.8.13.1.1. Referenced Control Point 661

C.8.8.13.1.2. Distance Parameters 661

C.8.8.14. RT Beams Module 661

C.8.8.14.1. Meterset Calculations 677

C.8.8.14.2. Planned Verification Image Sequence 677

C.8.8.14.3. X-Ray Image Receptor Angle 677

C.8.8.14.4. Multiple Aperture Blocks 677

C.8.8.14.5. Control Point Sequence 677

C.8.8.14.6. Absolute and Relative Machine Coordinates 678

C.8.8.14.7. Cumulative Dose Reference Coefficient 678

C.8.8.14.8. Machine Rotations 678

C.8.8.14.9. Compensator Thickness Data and Source to Compensator Distance 679

C.8.8.14.10. Compensator Transmission and Thickness Data Direction 679

C.8.8.14.11. Block and Compensator Precedence for Dosimetric Calculations 679

C.8.8.14.12. Table Top Pitch and Table Top Roll 679

C.8.8.14.13. Angular Values in RT Beams Module 680

C.8.8.14.14. Effective Wedge Angle 680

C.8.8.15. RT Brachy Application Setups Module 681

C.8.8.15.1. Permanent Implants 688

C.8.8.15.2. Referenced ROI Number 688

C.8.8.15.3. Channel Length 688

C.8.8.15.4. Oscillating Source Movement 688

C.8.8.15.5. Channel Shields 689

C.8.8.15.6. Time Calculations 689

C.8.8.15.7. Brachy Control Point Sequence 689

C.8.8.15.8. Source Transit Time 690

C.8.8.15.9. Control Point Relative Position 690

C.8.8.15.10. Control Point 3D Position 690

C.8.8.15.11. Cumulative Dose Reference Coefficient 690

C.8.8.15.12. Nominal Thickness and Nominal Transmission 691

C.8.8.15.13. Reference Point for Calibration of Beta Emitting Isotopes 691

C.8.8.15.14. Orientation of Brachy Sources 691

C.8.8.15.15. Source Model ID 691

C.8.8.16. Approval Module 691

C.8.8.17. RT General Treatment Record Module 692

C.8.8.18. RT Treatment Machine Record Module 692

C.8.8.19. Measured Dose Reference Record Module 693

C.8.8.20. Calculated Dose Reference Record Module 694

C.8.8.21. RT Beams Session Record Module 694

C.8.8.21.1. Control Point Machine Delivery Parameters 706

C.8.8.21.2. Specified and Delivered Meterset Values 706

C.8.8.21.2.1. Beam Level 706

C.8.8.21.2.2. Control Point Level 707

C.8.8.22. RT Brachy Session Record Module 709

C.8.8.22.1. PDR (Pulsed Dose Rate) Treatment 718

C.8.8.22.2. Specified Channel Total Time 719

C.8.8.23. RT Treatment Summary Record Module 720

C.8.8.23.1. Current Treatment Status 721

C.8.8.24. RT Ion Tolerance Tables Module 722

C.8.8.25. RT Ion Beams Module 723

C.8.8.25.1. Beam Identifying Information 739

C.8.8.25.2. Treatment Machine Name 739

C.8.8.25.3. Leaf Position Boundaries 739

C.8.8.25.4. Virtual Source-Axis Distances and the Use of Trays in Ion Therapy 740

C.8.8.25.5. Range Shifter and Lateral Spreading Device Settings 741

C.8.8.25.6. Coordinate Systems 741

C.8.8.25.6.1. Fixed Beam Line 741

C.8.8.25.6.2. Table Top Pitch and Table Top Roll 742

C.8.8.25.6.3. Seated Treatments 743

C.8.8.25.6.4. Ocular Treatments 743

C.8.8.25.6.4.1. Gantry Beam Line 743

C.8.8.25.6.4.2. Fixed Beam Line 745

C.8.8.25.6.5. Gantry Pitch Angle 745

C.8.8.25.7. Ion Control Point Sequence 746

C.8.8.26. RT Ion Beams Session Record Module 747

C.8.8.26.1. Specified and Delivered Meterset Values 761

C.8.8.27. Beam Limiting Device Position Macro 761

C.8.8.28. Patient Support Identification Macro 762

C.8.8.29. RT Beams Delivery Instruction Module 763

C.8.8.29.1. Current Fraction Number 766

C.8.8.29.2. Adjusted Table Positions and Angles 767

C.8.8.29.3. Meterset Exposure 767

C.8.8.29.4. Double Exposure Field Delta 767

C.8.8.29.5. Beam Order Index 767

C.8.8.29.6. Autosequence Flag 767

C.8.9. PET Information Module Definitions 767

C.8.9.1. PET Series Module 767

C.8.9.1.1. PET Series Attribute Descriptions 772

C.8.9.1.1.1. Specialization of Image Plane Module and Image Pixel Module Attributes 772

C.8.9.1.1.2. Series Date, Series Time 773

C.8.9.1.1.3. Units 773

C.8.9.1.1.4. Series Type 774

C.8.9.1.1.5. Decay Correction 775

C.8.9.1.1.6. Acquisition Start Condition 775

C.8.9.1.1.7. Gantry/Detector Tilt 775

C.8.9.1.1.8. Axial Mash 775

C.8.9.1.1.9. Transverse Mash 775

C.8.9.1.1.10. Energy Window Range Sequence 775

C.8.9.1.1.11. Temporal Relationships of Images in PET Series 775

C.8.9.2. PET Isotope Module 777

C.8.9.3. PET Multi-gated Acquisition Module 779

C.8.9.4. PET Image Module 780

C.8.9.4.1. PET Image Module Attribute Descriptions 783

C.8.9.4.1.1. Image Type 783


C.8.9.4.1.3. Frame Time 783

C.8.9.4.1.4. Acquisition Date, Acquisition Time 783

C.8.9.4.1.5. Frame Reference Time 783

C.8.9.4.1.6. Actual Frame Duration 784

C.8.9.4.1.7. Secondary Counts Accumulated 784

C.8.9.4.1.8. Dose Calibration Factor 784

C.8.9.4.1.9. Image Index 784

C.8.9.5. PET Curve Module 785

C.8.10. Hardcopy Modules 785

C.8.11. DX Modules 786

C.8.11.1. DX Series Module 786

C.8.11.1.1. DX Series Attribute Descriptions 787

C.8.11.1.1.1. Presentation Intent Type 787

C.8.11.2. DX Anatomy Imaged Module 788

C.8.11.2.1. DX Anatomy Imaged Attribute Descriptions 789

C.8.11.3. DX Image Module 789

C.8.11.3.1. DX Image Attribute Descriptions 793

C.8.11.3.1.1. Image Type 793

C.8.11.3.1.2. Pixel Intensity Relationship and Grayscale Transformations 794

C.8.11.3.1.3. Acquisition Device Processing Description 794


C.8.11.3.1.5. VOI Attributes 794

C.8.11.4. DX Detector Module 795

C.8.11.4.1. DX Detector Attribute Descriptions 800

C.8.11.4.1.1. Physical, Active, Field of View, Exposed and Displayed Areas 800

C.8.11.5. DX Positioning Module 803

C.8.11.5.1. DX Positioning Attribute Descriptions 807

C.8.11.5.1.1. View Code Sequence 807

C.8.11.5.1.2. Patient Orientation Code Sequence 807

C.8.11.6. Mammography Series Module 807

C.8.11.7. Mammography Image Module 808

C.8.11.7.1. Mammography Image Attribute Descriptions 812

C.8.11.7.1.1. Mammography X-Ray Beam and X-Ray Beam Vector Definition 812

C.8.11.7.1.2. Detector Primary and Secondary Angles 812

C.8.11.7.1.3. Partial View Code Sequence 813

C.8.11.7.1.4. Image Type 816

C.8.11.8. Intra-Oral Series Module 819

C.8.11.9. Intra-Oral Image Module 819

C.8.11.9.1. Intra-Oral Image Attribute Descriptions 820

C.8.11.9.1.1. Primary Anatomic Structure Sequence 820

C.8.11.10. Enhanced Mammography Series Module 820

C.8.12. VL Modules and Functional Group Macros 821

C.8.12.1. VL Image Module 821

C.8.12.1.1. VL Image Module Attribute Descriptions 824


C.8.12.1.1.2. Bits Allocated, Bits Stored, and High Bit 824




C.8.12.1.1.6. Image Type 825

C.8.12.1.1.7. Referenced Image Sequence 825

C.8.12.2. Slide Coordinates Module 825

C.8.12.2.1. Slide Coordinates Attribute Descriptions 826

C.8.12.2.1.1. Image Center Point Coordinates Sequence 826

C.8.12.3. VL Whole Slide Microscopy Series Module 828

C.8.12.4. VL Whole Slide Microscopy Image Module 828

C.8.12.4.1. VL Whole Slide Microscopy Image Attribute Descriptions 832

C.8.12.4.1.1. Image Type 832

C.8.12.4.1.2. Imaged Volume Width, Height, Depth 833

C.8.12.4.1.3. Total Pixel Matrix Columns, Rows 833

C.8.12.4.1.4. Total Pixel Matrix Origin Sequence and Image Orientation (slide) 833

C.8.12.4.1.5. Photometric Interpretation and Samples Per Pixel 833

C.8.12.5. Optical Path Module 834

C.8.12.5.1. Optical Path Attribute Descriptions 836

C.8.12.5.1.1. Optical Path Sequence and Optical Path Identifier 836

C.8.12.5.1.2. Illumination Type Code Sequence 837

C.8.12.5.1.3. Light Path and Image Path Filter Type Stack Code Sequences 837

C.8.12.5.1.4. ICC Profile 837

C.8.12.6. Whole Slide Microscopy Functional Group Macros 837

C.8.12.6.1. Plane Position (Slide) Macro 837

C.8.12.6.2. Optical Path Identification Macro 838

C.8.12.6.3. Specimen Reference Macro 838

C.8.12.7. Multi-Resolution Navigation Module 839

C.8.12.8. Slide Label Module 839

C.8.13. Enhanced MR Image 840

C.8.13.1. Enhanced MR Image Module 840

C.8.13.1.1. Enhanced MR Image Module Attribute Description 842

C.8.13.1.1.1. Image Type and Frame Type 842

C.8.13.1.1.1.1. Pixel Data Characteristics 842

C.8.13.1.1.1.2. Patient Examination Characteristics 842

C.8.13.1.1.1.3. Image Flavor 843

C.8.13.1.1.1.4. Derived Pixel Contrast 844

C.8.13.1.1.2. Photometric Interpretation, Pixel Representation, Samples Per Pixel, Planar Configuration, Bits Allocated and Bits Stored 845

C.8.13.1.1.3. Pixel Presentation 845

C.8.13.1.1.3.1. Supplemental Palette Color LUTs 845

C.8.13.1.1.4. Volumetric Properties 845

C.8.13.1.1.5. Volume Based Calculation Technique 845

C.8.13.2. MR Image and Spectroscopy Instance Macro 845

C.8.13.2.1. MR Image and Spectroscopy Instance Macro Attribute Description 849

C.8.13.2.1.1. Content Qualification 849

C.8.13.2.1.2. Evidence Sequence Attributes 849

C.8.13.3. MR Image Description Macro 849

C.8.13.3.1. MR Image Description Attribute Description 850

C.8.13.3.1.1. Complex Image Component 850

C.8.13.3.1.2. Acquisition Contrast 850

C.8.13.4. MR Pulse Sequence Module 851

C.8.13.5. Enhanced MR Image Functional Group Macros 855

C.8.13.5.1. MR Image Frame Type Macro 855

C.8.13.5.2. MR Timing and Related Parameters Macro 855

C.8.13.5.2.1. RF Echo Train Length and Gradient Echo Train Length Attributes Usage 857

C.8.13.5.3. MR FOV/Geometry Macro 858

C.8.13.5.4. MR Echo Macro 859

C.8.13.5.5. MR Modifier Macro 859

C.8.13.5.6. MR Imaging Modifier Macro 863

C.8.13.5.7. MR Receive Coil Macro 865

C.8.13.5.8. MR Transmit Coil Macro 866

C.8.13.5.9. MR Diffusion Macro 866

C.8.13.5.10. MR Averages Macro 868

C.8.13.5.11. MR Spatial Saturation Macro 868

C.8.13.5.12. MR Metabolite Map Macro 869

C.8.13.5.13. MR Velocity Encoding Macro 869

C.8.13.5.13.1. Velocity Encoding Direction 870

C.8.13.5.14. MR Arterial Spin Labeling Macro 870

C.8.13.5.14.1. ASL Context 872

C.8.13.5.14.2. ASL Crusher Flag 872

C.8.13.5.14.3. Relationship of ASL Timing Attributes 872

C.8.13.6. MR Series Module 873

C.8.14. MR Spectroscopy Modules 873

C.8.14.1. MR Spectroscopy Module 874

C.8.14.1.1. MR Spectroscopy Attribute Multiplicity Ordering 878

C.8.14.1.2. MR Spectroscopy Zero Fill Explanation 879

C.8.14.1.3. MR Spectroscopy Water Reference Data Clarification 881

C.8.14.1.4. Water Reference Acquisition 882

C.8.14.2. MR Spectroscopy Pulse Sequence Module 882

C.8.14.3. MR Spectroscopy Functional Group Macros 885

C.8.14.3.1. MR Spectroscopy Frame Type Macro 885

C.8.14.3.2. MR Spectroscopy FOV/Geometry Macro 886

C.8.14.4. MR Spectroscopy Data Module 887

C.8.14.4.1. Spectroscopy Data 887

C.8.14.5. MR Spectroscopy Description Macro 889

C.8.14.5.1. MR Spectroscopy Description Attribute Description 889




C.8.14.5.1.1.3. Image Flavor 890


C.8.14.5.1.2. Volumetric Properties 890

C.8.14.5.1.3. Volume Based Calculation Technique Attribute 890

C.8.14.5.1.4. Complex Image Component 891

C.8.14.5.1.5. Acquisition Contrast 891

C.8.15. Enhanced CT Image 892

C.8.15.1. CT Series Module 892

C.8.15.2. Enhanced CT Image Module 892

C.8.15.2.1. CT Image Description Attribute Description 896




C.8.15.2.1.1.3. Image Flavor 897


C.8.15.3. Enhanced CT Image Functional Group Macros 897

C.8.15.3.1. CT Image Frame Type Macro 897

C.8.15.3.2. CT Acquisition Type Macro 898

C.8.15.3.2.1. Acquisition Type 899

C.8.15.3.3. CT Acquisition Details Macro 899

C.8.15.3.4. CT Table Dynamics Macro 901

C.8.15.3.4.1

dicom.nema.orgdicom.nema.org/medical/dicom/2015a/output/docx/... · Web viewMulti-frame Grayscale...

Documents

Transcript of dicom.nema.orgdicom.nema.org/medical/dicom/2015a/output/docx/... · Web viewMulti-frame Grayscale...