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DICOM PS3.3 2020a - Information Object Definitions​ Page 1391​

Table C.12-8. Common Instance Reference Module Attributes​

Attribute Name​

Tag​

Type​

Attribute Description​

Referenced Series Sequence​

(0008,1115)​

1C​

Sequence of Items each of which includes the Attributes of​

 

 

 

one Series.​

 

 

 

One or more Items shall be included in this Sequence.​

 

 

 

Required if this Instance references Instances in this Study.​

>Series Instance UID​

(0020,000E)​

1​

Unique identifier of the Series containing the referenced​

 

 

 

Instances.​

>Referenced Instance​

(0008,114A)​

1​

SequenceofItemseachprovidingareferencetoanInstance​

Sequence​

 

 

that is part of the Series defined by Series Instance UID​

 

 

 

(0020,000E) in the enclosing Item.​

 

 

 

One or more Items shall be included in this Sequence.​

>>Include Table 10-11 “SOP Instance Reference Macro Attributes”​

 

Studies Containing Other​

(0008,1200)​

1C​

Sequence of Items each identifying a Study other than the​

Referenced Instances​

 

 

Study of which this Instance is a part, which Studies contain​

Sequence​

 

 

Instances that are referenced elsewhere in this Instance.​

 

 

 

One or more Items shall be included in this Sequence.​

 

 

 

Required if this Instance references Instances in other​

 

 

 

Studies.​

>Study Instance UID​

(0020,000D)​

1​

Unique identifier of the Study containing the referenced​

 

 

 

Instances.​

>Include Table 10-4 “Series and Instance Reference Macro Attributes”​

C.12.3 Frame Extraction Module​

Table C.12-9 defines the Attributes that describe the frames extracted if the SOP Instance was created in response to a Frame-Level​ retrieve request.​

Table C.12-9. Frame Extraction Module Attributes​

Attribute Name​

Tag​

Type​

Attribute Description​

Frame Extraction​

(0008,1164)​

1​

Sequence containing details of how this SOP Instance was extracted from​

Sequence​

 

 

a source multi-frame SOP Instance.​

 

 

 

IfthisinstancewascreatedfromaninstancethatcontainsaFrameExtraction​

 

 

 

Sequence,thenthisSequenceshallcontainalloftheItemsfromtheparent's​

 

 

 

Frame Extraction Sequence and a new Item that describes this extraction.​

 

 

 

One or more Items shall be included in this Sequence.​

>Multi-frameSourceSOP​

(0008,1167)​

1​

SOP Instance from which the frames of this instance are extracted.​

Instance UID​

 

 

 

>Simple Frame List​

(0008,1161)​

1C​

A list of Frames that were extracted in the form of a simple list.​

 

 

 

Required if object extraction is based on a Frame Level Retrieve using the​

 

 

 

Simple Frame List (0008,1161) Attribute.​

See PS3.4 "Instance and Frame Level Retrieve SOP Classes"​

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Attribute Name​

Tag​

Type​

Attribute Description​

>Calculated Frame List​

(0008,1162)​

1C​

A list of Frames that were extracted in the form of one or more triplets​

 

 

 

Required if object extraction is based on a Frame Level Retrieve using the​

 

 

 

Calculated Frame List (0008,1162) Attribute.​

 

 

 

See PS3.4 "Instance and Frame Level Retrieve SOP Classes"​

>Time Range​

(0008,1163)​

1C​

The start and end times of the frames that were extracted.​

 

 

 

Required if object extraction is based on a Frame Level Retrieve using Time​

 

 

 

Range (0008,1163).​

See PS3.4 "Instance and Frame Level Retrieve SOP Classes"​

C.12.4 General Reference Module​

Table C.12-10 specifies the Attributes that reference source and other related instances and describe the manner of derivation.​

Table C.12-10. General Reference Module Attributes​

Attribute Name​

Tag​

Type​

Attribute Description​

Referenced Image​

(0008,1140)​

3​

Other images significantly related to this image (e.g., post-localizer​

Sequence​

 

 

CT image or Mammographic biopsy or partial view images).​

 

 

 

One or more Items are permitted in this Sequence.​

>Include Table 10-3 “Image SOP Instance Reference Macro​

 

Attributes”​

 

 

 

>Purpose of Reference​

(0040,A170)​

3​

Describes the purpose for which the reference is made.​

Code Sequence​

 

 

Only a single Item is permitted in this Sequence.​

 

 

 

>>Include Table 8.8-1 “Code Sequence Macro Attributes”​

DCID 7201 “Referenced Image Purposes of Reference”.​

Referenced Instance​

(0008,114A)​

3​

Non-image composite SOP Instances that are significantly related​

Sequence​

 

 

to this Image, including waveforms that may or may not be​

 

 

 

temporally synchronized with this image.​

 

 

 

One or more Items are permitted in this Sequence.​

>IncludeTable10-11“SOPInstanceReferenceMacroAttributes”​

>Purpose of Reference​

(0040,A170)​

1​

Code describing the purpose of the reference to the Instance(s).​

Code Sequence​

 

 

Only a single Item shall be included in this Sequence.​

 

 

 

>>Include Table 8.8-1 “Code Sequence Macro Attributes”​

DCID 7004 “Waveform Purposes of Reference” for referenced​

 

 

 

waveforms.​

 

 

 

DCID 7022 “Radiotherapy Purposes of Reference” for referenced​

 

 

 

RT Instances.​

Derivation Description​

(0008,2111)​

3​

A text description of how this image was derived. See​

 

 

 

Section C.12.4.1.1 for further explanation.​

Derivation Code​

(0008,9215)​

3​

A coded description of how this image was derived. See​

Sequence​

 

 

Section C.12.4.1.1 for further explanation.​

 

 

 

One or more Items are permitted in this Sequence. More than one​

 

 

 

Item indicates that successive derivation steps have been applied.​

>Include Table 8.8-1 “Code Sequence Macro Attributes”​

DCID 7203 “Image Derivation”.​

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Attribute Name​

Tag​

Type​

Attribute Description​

 

Source Image Sequence​

(0008,2112)​

3​

ThesetofImageSOPClass/InstancepairsoftheImagesthatwere​

 

 

 

used to derive this Image.​

 

 

 

 

One or more Items are permitted in this Sequence.​

 

 

 

 

See Section C.12.4.1.2 for further explanation.​

 

>Include Table 10-3 “Image SOP Instance Reference Macro​

 

 

Attributes”​

 

 

 

 

>Purpose of Reference​

(0040,A170)​

3​

Describesthepurposeforwhichthereferenceismade,thatiswhat​

Code Sequence​

 

 

role the source image or frame(s) played in the derivation of this​

 

 

 

image.​

 

 

 

 

Only a single Item is permitted in this Sequence.​

 

>>Include Table 8.8-1 “Code Sequence Macro Attributes”​

DCID 7202 “Source Image Purposes of Reference”.​

 

>Spatial Locations​

(0028,135A)​

3​

The extent to which the spatial locations of all pixels are preserved​

Preserved​

 

 

duringtheprocessingofthesourceimagethatresultedinthecurrent​

 

 

 

image​

 

Enumerated Values:​

YES​

NO​

REORIENTED_ONLY​A projection radiograph that has been​ flipped, and/or rotated by a multiple of 90​ degrees​

Note​

1.​This applies not only to images with a known​ relationship to a 3D space, but also to projection​ images. For example, a projection radiograph such​ as a mammogram that is processed by a point image​ processingoperationsuchascontrastenhancement,​ orasmoothingoredgeenhancingconvolution,would​ have a value of YES for this Attribute. A projection​ radiograph that had been magnified or warped​ geometrically would have a value of NO for this​ Attribute. A projection radiograph that has been​ flipped, and/or rotated by a multiple of 90 degrees,​ such that transformation of pixel locations is possible​ by comparison of the values of Patient Orientation​ (0020,0020) would have a value of​ REORIENTED_ONLY. This Attribute is typically of​ importanceinrelatingimageswithPresentationIntent​ Type (0008,0068) values of FOR PROCESSING and​ FOR PRESENTATION.​

2.​When the value of this Attribute is NO, it is not​ possible to locate on the current image any pixel​ coordinates that are referenced relative to the source​ image, such as for example, might be required for​ rendering CAD findings derived from a referenced​ FOR PROCESSING image on the current FOR​ PRESENTATION image.​

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DICOM PS3.3 2020a - Information Object Definitions​

Attribute Name​

Tag​

Type​

Attribute Description​

>Patient Orientation​

(0020,0020)​

1C​

The Patient Orientation values of the source image.​

 

 

 

Required if the value of Spatial Locations Preserved (0028,135A)​

 

 

 

is REORIENTED_ONLY.​

Source Instance​

(0042,0013)​

3​

The set of non-image composite SOP instances that were used to​

Sequence​

 

 

derive this instance.​

 

 

 

One or more Items are permitted in this Sequence.​

 

 

 

See Section C.12.4.1.2 for further explanation.​

>IncludeTable10-11“SOPInstanceReferenceMacroAttributes”​

>Purpose of Reference​

(0040,A170)​

3​

Describesthepurposeforwhichthereferenceismade,thatiswhat​

Code Sequence​

 

 

role the source instance(s) played in the derivation of this instance.​

 

 

 

Only a single Item single Item is permitted in this Sequence.​

>>Include Table 8.8-1 “Code Sequence Macro Attributes”​

DCID 7013 “Non-Image Source Instance Purposes of Reference”.​

C.12.4.1 General Reference Module Attributes​

C.12.4.1.1 Derivation Description​

If an Image is identified to be a Derived Image (see Section C.7.6.1.1.2 “Image Type”), Derivation Description (0008,2111) and Deriv-​ ation Code Sequence (0008,9215) describe the way in which the image was derived. They may be used whether or not the Source​ Image Sequence (0008,2112) is provided. They may also be used in cases when the Derived Image pixel data is not significantly​ changed from one of the source images and the SOP Instance UID of the Derived Image is the same as the one used for the source​ image.​

Note​

1.​Examples of Derived Images that would normally be expected to affect professional interpretation and would thus have​ a new UID include:​

a.​images resulting from image processing of another image (e.g., unsharp masking),​

b.​a multiplanar reformatted CT image,​

c.​a DSA image derived by subtracting pixel values of one image from another.​

d.​animagethathasbeendecompressedafterhavingbeencompressedwithalossycompressionalgorithm.Toensure​ that the user has the necessary information about the lossy compression, the approximate compression ratio may​ be included in Derivation Description (0008,2111).​

An example of a Derived Image that would normally not be expected to affect professional interpretation and thus would​ not require a new UID is an image that has been padded with additional rows and columns for more display purposes.​

2.​An image may be lossy compressed, e.g., for long term archive purposes, and its SOP Instance UID changed. PS3.4​ provides a mechanism by which a query for the original image Instance may return a reference to the UID of the lossy​ compressed version of the image using the Alternate Representation Sequence (0008,3001). This allows an application​ processing a SOP Instance that references the original image UID, e.g., a Structured Report, to obtain a reference to​ an accessible version of the image even if the original SOP Instance is no longer available.​

C.12.4.1.2 Source Image Sequence​

If an Image is identified to be a Derived Image (see Section C.7.6.1.1.2 “Image Type”), Source Image Sequence (0008,2112) is an​ optional list of source images used to create the Derived image. Source Instance Sequence (0042,0013) is an optional list of non-​ imagesourceinstancesthatwereusedtocreatethisinstance.SourceImageSequence(0008,2112)and/orSourceInstanceSequence​ (0042,0013)maybeusedwhetherornotthereisadescriptionofthewaytheinstancewasderivedinDerivationDescription(0008,2111)​ or Derivation Code Sequence (0008,9215).​

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Images shall not be referenced by Source Instance Sequence (0042,0013).​

Note​

Multiple Items may be present within Source Image Sequence (0008,2112) and/or Source Instance Sequence (0042,0013),​ in which case either:​

a.​those instance were combined to make the derived instance (e.g., multiple source images to make an MPR or MIP), or​

b.​eachoftheItemsrepresentsastepinthesuccessivederivationofaninstance(e.g.,whenanimagehashadsuccessive​ lossy compression steps applied to it),​

c.​some combination of the above.​

The Purpose of Reference Code Sequence (0040,A170) and the Attributes within the referenced instances themselves may​ be used to determine the history of the derivation, which is not otherwise explicitly specified.​

C.12.5 Timezone Module​

TableC.12.5-1definestheAttributesthatarerequiredforproperfunctioningandidentificationofthetimezonewithinwhichanInstance​ was created.​

Table C.12.5-1. Timezone Module Attributes​

Attribute Name​

Tag​

Type​

Attribute Description​

Timezone Offset From UTC​

(0008,0201)​

1​

Contains the offset from UTC to the timezone for all DA and TM​

AttributespresentinthisSOPInstance,andforallDTAttributespresent​ inthisSOPInstancethatdonotcontainanexplicitlyencodedtimezone​ offset.​

See Section C.12.1.1.8​

C.13 Print Management Specific Modules​

The following Sections specify Modules used for Print Management.​

C.13.1 Basic Film Session Presentation Module​

Table C.13-1. Basic Film Session Presentation Module Attributes​

Attribute name​

Tag​

Attribute Description​

Number of Copies​

(2000,0010)​

Number of copies to be printed for each film of the film session.​

Print Priority​

(2000,0020)​

Specifies the priority of the print job.​

 

 

Enumerated Values:​

 

 

HIGH​

 

 

MED​

 

 

LOW​

Medium Type​

(2000,0030)​

Type of medium on which the print job will be printed.​

 

 

Defined Terms:​

PAPER​

CLEAR FILM​

BLUE FILM​

MAMMO CLEAR​

FILM​

MAMMO BLUE FILM​

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