DICOM Standard Browser

Computed Radiography ImageCIOD
CT ImageCIOD
MR ImageCIOD
Nuclear Medicine ImageCIOD
Ultrasound ImageCIOD
Ultrasound Multi-frame ImageCIOD
Secondary Capture ImageCIOD
Multi-frame Single Bit Secondary Capture ImageCIOD
Multi-frame Grayscale Byte Secondary Capture ImageCIOD
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Multi-frame True Color Secondary Capture ImageCIOD
X-Ray Angiographic ImageCIOD
X-Ray Radiofluoroscopic ImageCIOD
RT ImageCIOD
RT DoseCIOD
RT Structure SetCIOD
RT PlanCIOD
Positron Emission Tomography ImageCIOD
Digital X-Ray ImageCIOD
Digital Mammography X-Ray ImageCIOD
Digital Intra-Oral X-Ray ImageCIOD
RT Beams Treatment RecordCIOD
RT Brachy Treatment RecordCIOD
RT Treatment Summary RecordCIOD
VL Endoscopic ImageCIOD
VL Microscopic ImageCIOD
VL Slide-Coordinates Microscopic ImageCIOD
VL Photographic ImageCIOD
Video Endoscopic ImageCIOD
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Video Photographic ImageCIOD
VL Whole Slide Microscopy ImageCIOD
Real-Time Video Endoscopic ImageCIOD
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Dermoscopic Photography ImageCIOD
Grayscale Softcopy Presentation StateCIOD
Color Softcopy Presentation StateCIOD
Pseudo-Color Softcopy Presentation StateCIOD
Blending Softcopy Presentation StateCIOD
Basic Structured DisplayCIOD
XA/XRF Grayscale Softcopy Presentation StateCIOD
Advanced Blending Presentation StateCIOD
Variable Modality LUT Softcopy Presentation StateCIOD
Basic Voice Audio WaveformCIOD
12-Lead ECGCIOD
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Hemodynamic WaveformCIOD
Basic Cardiac Electrophysiology WaveformCIOD
Arterial Pulse WaveformCIOD
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General Audio WaveformCIOD
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Routine Scalp ElectroencephalogramCIOD
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ElectrooculogramCIOD
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Multi-channel Respiratory WaveformCIOD
Body Position WaveformCIOD
General 32-bit ECGCIOD
Basic Text SRCIOD
Enhanced SRCIOD
Comprehensive SRCIOD
Key Object Selection DocumentCIOD
Mammography CAD SRCIOD
Chest CAD SRCIOD
Procedure LogCIOD
X-Ray Radiation Dose SRCIOD
Spectacle Prescription ReportCIOD
Colon CAD SRCIOD
Macular Grid Thickness and Volume ReportCIOD
Implantation Plan SR DocumentCIOD
Comprehensive 3D SRCIOD
Radiopharmaceutical Radiation Dose SRCIOD
Extensible SRCIOD
Acquisition Context SRCIOD
Simplified Adult Echo SRCIOD
Patient Radiation Dose SRCIOD
Planned Imaging Agent Administration SRCIOD
Performed Imaging Agent Administration SRCIOD
Rendition Selection DocumentCIOD
Enhanced X-Ray Radiation Dose SRCIOD
Enhanced MR ImageCIOD
PatientMModule - Patient
Clinical Trial SubjectUModule - Patient
General StudyMModule - Study
Patient StudyUModule - Study
Clinical Trial StudyUModule - Study
General SeriesMModule - Series
Clinical Trial SeriesUModule - Series
MR SeriesMModule - Series
Frame of ReferenceMModule - Frame of Reference
SynchronizationCModule - Frame of Reference
General EquipmentMModule - Equipment
Enhanced General EquipmentMModule - Equipment
Image PixelMModule - Image
Enhanced Contrast/BolusCModule - Image
Multi-frame Functional GroupsMModule - Image
Multi-frame DimensionMModule - Image
Cardiac SynchronizationCModule - Image
Respiratory SynchronizationCModule - Image
Bulk Motion SynchronizationCModule - Image
Supplemental Palette Color Lookup TableCModule - Image
Acquisition ContextMModule - Image
DeviceUModule - Image
SpecimenUModule - Image
Enhanced MR ImageMModule - Image
MR Pulse SequenceCModule - Image
ICC ProfileUModule - Image
SOP CommonMModule - Image
(0008,0005) Specific Character Set1CCode String
(0008,0012) Instance Creation Date3Date
(0008,0013) Instance Creation Time3Time
(0008,0014) Instance Creator UID3Unique Identifier
(0008,0015) Instance Coercion DateTime3Date Time
(0008,0016) SOP Class UID1Unique Identifier
(0008,0018) SOP Instance UID1Unique Identifier
(0008,001A) Related General SOP Class UID3Unique Identifier
(0008,001B) Original Specialized SOP Class UID3Unique Identifier
(0008,001C) Synthetic Data3Code String
(0008,0053) Query/Retrieve View1CCode String
(0008,0110) Coding Scheme Identification Sequence3Sequence
(0008,0123) Context Group Identification Sequence3Sequence
(0008,0124) Mapping Resource Identification Sequence3Sequence
(0008,0201) Timezone Offset From UTC3Short String
(0008,0300) Private Data Element Characteristics Sequence3Sequence
(0018,9004) Content Qualification3Code String
(0018,990C) Referenced Defined Protocol Sequence1CSequence
(0018,990D) Referenced Performed Protocol Sequence1CSequence
(0018,A001) Contributing Equipment Sequence3Sequence
(0020,0013) Instance Number3Integer String
(0020,9172) Conversion Source Attributes Sequence1CSequence
(0028,0303) Longitudinal Temporal Information Modified3Code String
(0040,A390) HL7 Structured Document Reference Sequence1CSequence
(0008,1150) Referenced SOP Class UID1Unique Identifier
(0008,1155) Referenced SOP Instance UID1Unique Identifier
(0040,E001) HL7 Instance Identifier1Short Text
(0040,E010) Retrieve URI3URL
(0100,0410) SOP Instance Status3Code String
(0100,0420) SOP Authorization DateTime3Date Time
(0100,0424) SOP Authorization Comment3Long Text
(0100,0426) Authorization Equipment Certification Number3Long String
(0400,0500) Encrypted Attributes Sequence1CSequence
(0400,0561) Original Attributes Sequence3Sequence
(0400,0600) Instance Origin Status3Code String
(2200,0005) Barcode Value3Long Text
(4FFE,0001) MAC Parameters Sequence3Sequence
(FFFA,FFFA) Digital Signatures Sequence3Sequence
Common Instance ReferenceUModule - Image
Frame ExtractionCModule - Image
MR SpectroscopyCIOD
Enhanced MR Color ImageCIOD
Raw DataCIOD
Enhanced CT ImageCIOD
Spatial RegistrationCIOD
Deformable Spatial RegistrationCIOD
Spatial FiducialsCIOD
Ophthalmic Photography 8 Bit ImageCIOD
Ophthalmic Photography 16 Bit ImageCIOD
Stereometric RelationshipCIOD
Hanging ProtocolCIOD
Encapsulated PDFCIOD
Encapsulated CDACIOD
Real World Value MappingCIOD
Enhanced XA ImageCIOD
Enhanced XRF ImageCIOD
RT Ion PlanCIOD
RT Ion Beams Treatment RecordCIOD
SegmentationCIOD
Ophthalmic Tomography ImageCIOD
X-Ray 3D Angiographic ImageCIOD
X-Ray 3D Craniofacial ImageCIOD
Breast Tomosynthesis ImageCIOD
Enhanced PET ImageCIOD
Surface SegmentationCIOD
Color PaletteCIOD
Enhanced US VolumeCIOD
Lensometry MeasurementsCIOD
Autorefraction MeasurementsCIOD
Keratometry MeasurementsCIOD
Subjective Refraction MeasurementsCIOD
Visual Acuity MeasurementsCIOD
Ophthalmic Axial MeasurementsCIOD
Intraocular Lens CalculationsCIOD
Generic Implant TemplateCIOD
Implant Assembly TemplateCIOD
Implant Template GroupCIOD
RT Beams Delivery InstructionCIOD
Ophthalmic Visual Field Static Perimetry MeasurementsCIOD
Intravascular Optical Coherence Tomography ImageCIOD
Ophthalmic Thickness MapCIOD
Surface Scan MeshCIOD
Surface Scan Point CloudCIOD
Legacy Converted Enhanced CT ImageCIOD
Legacy Converted Enhanced MR ImageCIOD
Legacy Converted Enhanced PET ImageCIOD
Corneal Topography MapCIOD
Breast Projection X-Ray ImageCIOD
Parametric MapCIOD
Wide Field Ophthalmic Photography Stereographic Projection ImageCIOD
Wide Field Ophthalmic Photography 3D Coordinates ImageCIOD
Tractography ResultsCIOD
RT Brachy Application Setup Delivery InstructionCIOD
Planar MPR Volumetric Presentation StateCIOD
Volume Rendering Volumetric Presentation StateCIOD
Content Assessment ResultsCIOD
CT Performed Procedure ProtocolCIOD
CT Defined Procedure ProtocolCIOD
Protocol ApprovalCIOD
XA Performed Procedure ProtocolCIOD
XA Defined Procedure ProtocolCIOD
Ophthalmic Optical Coherence Tomography En Face ImageCIOD
Ophthalmic Optical Coherence Tomography B-scan Volume AnalysisCIOD
Encapsulated STLCIOD
Encapsulated OBJCIOD
Encapsulated MTLCIOD
RT Physician IntentCIOD
RT Segment AnnotationCIOD
RT Radiation SetCIOD
C-Arm Photon-Electron RadiationCIOD
Tomotherapeutic RadiationCIOD
Robotic-Arm RadiationCIOD
RT Radiation Record SetCIOD
RT Radiation Salvage RecordCIOD
C-Arm Photon-Electron Radiation RecordCIOD
Tomotherapeutic Radiation RecordCIOD
Robotic-Arm Radiation RecordCIOD
RT Radiation Set Delivery InstructionCIOD
RT Treatment PreparationCIOD
Enhanced RT ImageCIOD
Enhanced Continuous RT ImageCIOD
RT Patient Position Acquisition InstructionCIOD
Microscopy Bulk Simple AnnotationsCIOD
InventoryCIOD
Photoacoustic ImageCIOD
Confocal Microscopy ImageCIOD
Confocal Microscopy Tiled Pyramidal ImageCIOD
Basic DirectoryCIOD
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Built with by Innolitics, a team of medical imaging software developers.

Data synced with official DICOM standard on 18 April 2024. The DICOM Standard is under continuous maintenance, and the current official version is available at http://www.dicomstandard.org/current/. DICOM Parts 3, 4, and 6, © NEMA. Please note that the most recent PDF version of the standard is the official reference, and should checked when making technical decisions.

HL7 Structured Document Reference Sequence Attribute

Tag(0040,A390)
TypeConditionally Required (1C)
KeywordHL7StructuredDocumentReferenceSequence
Value Multiplicity1
Value RepresentationSequence (SQ)

Sequence of Items defining mapping between HL7 Instance Identifiers of unencapsulated HL7 Structured Documents referenced from the current SOP Instance as if they were DICOM Composite SOP Instances defined by SOP Class and Instance UID pairs. May also define a means of accessing the Documents.

One or more Items shall be included in this Sequence.

See Section C.12.1.1.6.

Required if unencapsulated HL7 Structured Documents are referenced within the Instance. Every such document so referenced is required to have a corresponding Item in this Sequence.

Section C.12.1.1.6

C.12.1.1.6 HL7 Structured Document Reference Sequence

The HL7 Structured Document Reference Sequence (0040,A390) identifies instances of Structured Documents defined under an HL7 standard. The HL7 standards that define such documents include the Clinical Document Architecture (CDA) and Structured Product Labeling (SPL) standards.

References to unencapsulated HL7 Structured Documents from within DICOM SOP Instances shall be encoded with a SOP Class UID and SOP Instance UID pair. The Abstract Syntax of an HL7 Structured Document is defined by its Hierarchical Message Description; the Object Identifier of the Hierarchical Message Description shall be used as the SOP Class UID for the Structured Document reference.

Note

  1. The Hierarchical Message Description Object Identifiers are specified in the HL7 OID Registry ( http://hl7.org/oid). The HL7 OIDs for these types of documents are: CDA Release 1 2.16.840.1.113883.1.7.1 CDA Release 2 2.16.840.1.113883.1.7.2 SPL Release 1 2.16.840.1.113883.1.7.3

  2. The Hierarchical Message Description Object Identifiers do not imply a network or media storage service, as do SOP Class UIDs. However, they do identify the Abstract Syntax, similar to SOP Class UIDs.

The HL7 Structured Document instances are natively identified by an Attribute using the Instance Identifier (II) Data Type, as defined in HL7 v3 Data Types - Abstract Specification. A UID as defined by the DICOM UI Value Representation is a valid identifier under the II Data Type; however, an II value is not always encodable as a UID. Therefore a UID shall be constructed for use within the DICOM Data Set that can be mapped to the native instance identifier encoded as an HL7 II Data Type. This mapping is performed through the combination of the local Referenced SOP Instance UID (0008,1155) and the HL7 Instance Identifier (0040,E001) Attributes in the HL7 Structured Document Reference Sequence (0040,A390).

Note

  1. An HL7 II is not encodable as a UID if it exceeds 64 characters, or if it includes an extension. See HL7 v3 DT R1.

  2. Even though an II may contain just a UID, applications should take care to use the II specified in HL7 Instance Identifier (0040,E001) to access the Structured Document. If the instance identifier used natively within the referenced document is encodable using the UI VR, i.e., it is an ISO 8824 OID up to 64 characters without an extension, it is recommended to be used as the Referenced SOP Instance UID within the current Instance.

  3. The Referenced SOP Instance UID used to reference a particular HL7 Structured Document is not necessarily the same in all DICOM Instances. For example, two SR Documents may internally use different SOP Instance UIDs to reference the same HL7 Structured Document, but they will each contain a mapping to the same HL7 Instance Identifier as the external identifier.

  4. The HL7 Instance Identifier is encoded in Attribute HL7 Instance Identifier (0040,E001) as a serialization of the UID and Extension (if any) separated by a caret character. This is the same format adopted in the IHE Cross-Enterprise Document Sharing (XDS) profile [IHE RAD TF-1].

  5. See Figure C.12-3.

    Figure C.12-3. HL7 Structured Document References