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PS3.3​

DICOM PS3.3 2020a - Information Object Definitions​

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PS3.3: DICOM PS3.3 2020a - Information Object Definitions​

Copyright © 2020 NEMA​

A DICOM® publication​

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DICOM PS3.3 2020a - Information Object Definitions​ Page 3​

Table of Contents​

Notice and Disclaimer ...........................................................................................................................................

79​

Foreword ............................................................................................................................................................

81​

1. Scope and Field of Application .............................................................................................................................

83​

2. Normative References .......................................................................................................................................

85​

3. Definitions .......................................................................................................................................................

91​

4. Symbols and Abbreviations .................................................................................................................................

99​

5. Conventions ...................................................................................................................................................

103​

5.1. Entity-Relationship Model ...........................................................................................................................

103​

5.1.1. Entity ...............................................................................................................................................

103​

5.1.2. Relationship ......................................................................................................................................

103​

5.2. Sequences ..............................................................................................................................................

104​

5.3. Triplet Encoding of Structured Data (Retired) ..................................................................................................

104​

5.4. Attribute Macros .......................................................................................................................................

104​

5.5. Types and Conditions in Normalized IODs .....................................................................................................

105​

5.6. Invocation of Context Groups ......................................................................................................................

105​

6. DICOM Information Model .................................................................................................................................

107​

6.1. Information Object Definition .......................................................................................................................

107​

6.1.1. Composite IOD ..................................................................................................................................

107​

6.1.2. Normalized IOD .................................................................................................................................

107​

6.2. Attributes ................................................................................................................................................

108​

6.3. On-line Communication and Media Storage Services .......................................................................................

108​

6.3.1. DIMSE-C Services ..............................................................................................................................

108​

6.3.2. DIMSE-N Services ..............................................................................................................................

108​

6.4. DIMSE Service Group ................................................................................................................................

108​

6.5. Service-Object Pair Class (SOP Class) .........................................................................................................

108​

6.5.1. Normalized and Composite SOP Classes ................................................................................................

108​

6.6. Association Negotiation ..............................................................................................................................

109​

6.7. Service Class Specification .........................................................................................................................

109​

7. DICOM Model of the Real World .........................................................................................................................

111​

7.1. DICOM Information Model ..........................................................................................................................

114​

7.2. Organization of Annexes A, B and C .............................................................................................................

114​

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

114​

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

115​

7.3.1.1. Patient .......................................................................................................................................

115​

7.3.1.2. Service Episode and Visit ..............................................................................................................

115​

7.3.1.3. Imaging Service Request ...............................................................................................................

115​

7.3.1.4. Procedure Type ...........................................................................................................................

115​

7.3.1.5. Requested Procedure ...................................................................................................................

116​

7.3.1.6. Scheduled Procedure Step ............................................................................................................

116​

7.3.1.7. Procedure Plan ...........................................................................................................................

116​

7.3.1.8. Protocol .....................................................................................................................................

116​

7.3.1.8.1. Defined Procedure Protocol .....................................................................................................

117​

7.3.1.8.2. Performed Procedure Protocol .................................................................................................

117​

7.3.1.9. Modality Performed Procedure Step ................................................................................................

117​

7.3.1.10. General Purpose Scheduled Procedure Step (Retired) .......................................................................

118​

7.3.1.11. General Purpose Performed Procedure Step (Retired) .......................................................................

118​

7.3.1.12. Workitem (Retired) .....................................................................................................................

118​

7.3.1.13. Clinical Document ......................................................................................................................

118​

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

119​

7.5. Organizing Large Sets of Information ............................................................................................................

119​

7.5.1. Concatenation ...................................................................................................................................

120​

7.5.2. Dimension Organization .......................................................................................................................

120​

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

120​

7.6.1. Clinical Trial and Research Information Entities ........................................................................................

121​

7.6.1.1. Clinical Trial Sponsor ....................................................................................................................

121​

7.6.1.2. Clinical Trial Protocol ....................................................................................................................

121​

7.6.1.3. Clinical Trial Subject .....................................................................................................................

121​

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DICOM PS3.3 2020a - Information Object Definitions​

 

7.6.1.4. Clinical Trial Site ..........................................................................................................................

 

121​

7.6.1.5. Clinical Trial Time Point .................................................................................................................

122​

7.6.1.6. Clinical Trial Coordinating Center ....................................................................................................

122​

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

122​

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

122​

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

122​

7.9.1. Specimen .........................................................................................................................................

 

123​

7.9.2. Container ..........................................................................................................................................

 

123​

7.9.3. Container Component .........................................................................................................................

 

123​

7.9.4. Preparation Step ................................................................................................................................

 

123​

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

124​

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

124​

7.11.1. Unified Procedure Step ......................................................................................................................

 

124​

7.11.2. Worklist ..........................................................................................................................................

 

125​

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

125​

7.13. DICOM Model of the Real World for Non-Patient-Related Information ................................................................

126​

7.13.1. Hanging Protocol Information Entity ......................................................................................................

126​

7.13.2. Color Palette Information Entity ...........................................................................................................

127​

7.13.3. Implant Related Information Entities .....................................................................................................

127​

7.13.3.1. Implant Template Information Entity ...............................................................................................

127​

7.13.3.2. Implant Assembly Template Information Entity .................................................................................

127​

7.13.3.3. Implant Template Group Information Entity ......................................................................................

128​

7.13.4. Extension of The DICOM Model of The Real World For Protocol Storage .....................................................

128​

7.13.5. Approval Information Entity .................................................................................................................

128​

7.14. Extension of The DICOM Model of The Real-world for Radiotherapy Second Generation Information Objects ............

128​

7.14.1. RT Course ......................................................................................................................................

 

130​

7.14.2. RT Physician Intent ...........................................................................................................................

 

130​

7.14.3. Conceptual Volume ...........................................................................................................................

 

130​

7.14.4. RT Segment Annotation .....................................................................................................................

 

130​

7.14.5. RT Radiation Set ..............................................................................................................................

 

130​

7.14.6. RT Radiation ...................................................................................................................................

 

130​

7.14.7. RT Radiation Record .........................................................................................................................

 

131​

7.14.8. RT Treatment Phase .........................................................................................................................

 

131​

7.14.9. RT Fractionation, RT Fractionation Scheme ...........................................................................................

131​

7.14.10. RT Treatment Session, RT Treatment Fraction .....................................................................................

131​

7.14.11. Dosimetric Objective ........................................................................................................................

 

132​

8. Encoding of Coded Entry Data ...........................................................................................................................

 

133​

8.1. Code Value .............................................................................................................................................

 

133​

8.2. Coding Scheme Designator and Coding Scheme Version .................................................................................

134​

8.3. Code Meaning .........................................................................................................................................

 

134​

8.4. Mapping Resource ....................................................................................................................................

 

134​

8.5. Context Group Version ...............................................................................................................................

 

135​

8.6. Context Identifier and Context UID ...............................................................................................................

135​

8.7. Context Group Extensions ..........................................................................................................................

 

135​

8.8. Standard Attribute Sets for Code Sequence Attributes ......................................................................................

135​

8.9. Equivalent Code Sequence .........................................................................................................................

 

138​

8.10. Coded Entry Data Examples ......................................................................................................................

 

138​

8.11. Retired Codes and Expected Behavior ........................................................................................................

139​

9. Template Identification Macro (Retired) ................................................................................................................

141​

10. Miscellaneous Macros ....................................................................................................................................

 

143​

10.1. Person Identification Macro .......................................................................................................................

 

143​

10.2. Content Item Macro .................................................................................................................................

 

144​

10.2.1. Content Item With Modifiers Macro .......................................................................................................

146​

10.3. Image SOP Instance Reference Macro ........................................................................................................

147​

10.4. Series and Instance Reference Macro .........................................................................................................

150​

10.5. General Anatomy Macros .........................................................................................................................

 

151​

10.6. Request Attributes Macro ..........................................................................................................................

 

153​

10.6.1. SOP Class UID in Referenced Study Sequence ......................................................................................

155​

10.7. Basic Pixel Spacing Calibration Macro .........................................................................................................

155​

10.7.1. Basic Pixel Spacing Calibration Macro Attribute Descriptions .....................................................................

155​

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10.7.1.1. Pixel Spacing ............................................................................................................................

155​

10.7.1.2. Pixel Spacing Calibration Type ......................................................................................................

156​

10.7.1.3. Pixel Spacing Value Order and Valid Values ....................................................................................

156​

10.8. SOP Instance Reference Macro .................................................................................................................

157​

10.9. Content Identification Macro ......................................................................................................................

157​

10.9.1. Enhanced Content Identification Macro .................................................................................................

158​

10.9.1.1. Enhanced Content Identification Macro Attribute Descriptions .............................................................

159​

10.9.1.1.1. User Content Label and Content Description .............................................................................

159​

10.9.2. Extended Content Identification Macro ..................................................................................................

159​

10.9.2.1. Extended Content Identification Macro Attribute Descriptions ..............................................................

159​

10.9.2.1.1. User Content Long Label and Content Description ......................................................................

159​

10.10. General Contributing Sources Macro .........................................................................................................

159​

10.11. Contributing Image Sources Macro ...........................................................................................................

162​

10.12. Patient Orientation Macro ........................................................................................................................

162​

10.12.1. Relation With Other Positioning Attributes ............................................................................................

163​

10.13. Performed Procedure Step Summary Macro ...............................................................................................

163​

10.14. HL7v2 Hierarchic Designator Macro ..........................................................................................................

164​

10.15. Issuer of Patient ID Macro .......................................................................................................................

164​

10.16. Algorithm Identification Macro ..................................................................................................................

166​

10.17. Selector Attribute Macro ..........................................................................................................................

166​

10.17.1. Selector Attribute Macro Attribute Descriptions ......................................................................................

168​

10.17.1.1. Referencing Nested Elements .....................................................................................................

168​

10.17.1.2. Private Attribute References .......................................................................................................

169​

10.18. Externally-Sourced Data Set Identification Macro .........................................................................................

169​

10.19. Exposure Index Macro ............................................................................................................................

169​

10.20. Mandatory View and Slice Progression Direction Macro ................................................................................

169​

10.20.1. Mandatory View and Slice Progression Direction Macro Attributes ............................................................

170​

10.20.1.1. Slice Progression Direction .........................................................................................................

170​

10.21. Optional View and Slice Progression Direction Macro ...................................................................................

171​

10.22. Numeric Value Macro .............................................................................................................................

171​

10.23. RT Equipment Correlation Macro ..............................................................................................................

172​

10.24. Device Motion Control Macro ...................................................................................................................

172​

10.24.1. Device Motion Control Macro Attributes ...............................................................................................

172​

10.24.1.1. Device Motion Execution Mode ...................................................................................................

172​

10.24.1.2. Device Motion Observation Mode ................................................................................................

173​

10.25. Attribute Value Constraint Macro ..............................................................................................................

173​

10.25.1. Constraint Type ..............................................................................................................................

175​

10.25.1.1. Multi-valued Attribute Constraints .................................................................................................

176​

10.25.2. Constraint Violation Significance ........................................................................................................

176​

10.26. Attribute Value Macro .............................................................................................................................

176​

10.27. Reference Location Macro .......................................................................................................................

179​

10.27.1. Offset Distance and Direction ............................................................................................................

180​

10.28. Protocol Element Identification Macro ........................................................................................................

180​

10.29. UDI Macro ...........................................................................................................................................

181​

10.29.1. Unique Device Identifier ...................................................................................................................

181​

10.30. Assertion Macro ....................................................................................................................................

182​

10.31. Entity Labeling Macro .............................................................................................................................

183​

10.31.1. Entity Labeling Macro Attribute Descriptions .........................................................................................

183​

10.31.1.1. Entity Label .............................................................................................................................

183​

10.31.1.2. Entity Name and Entity Description ..............................................................................................

183​

10.32. Entity Long Labeling Macro .....................................................................................................................

183​

10.32.2. Entity Long Labeling Macro Attribute Descriptions ..................................................................................

184​

10.32.2.1. Entity Long Label ......................................................................................................................

184​

10.33. Conceptual Volume Macro ......................................................................................................................

184​

10.33.1. Conceptual Volume Macro Attribute Descriptions ...................................................................................

186​

10.33.1.1. Equivalent Conceptual Volumes ..................................................................................................

186​

10.33.1.2. Derivation Conceptual Volume Sequence ......................................................................................

186​

10.34. Conceptual Volume Segmentation Reference and Combination Macro .............................................................

186​

10.34.1. Conceptual Volume Segmentation Reference and Combination Macro Attribute Description ...........................

189​

10.34.1.1. Conceptual Volume Combination Expression .................................................................................

189​

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