Computed Radiography ImageCIOD
PatientMModule - Patient
Clinical Trial SubjectUModule - Patient
General StudyMModule - Study
(0008,0020) Study Date2Date
(0008,0030) Study Time2Time
(0008,0050) Accession Number2Short String
(0008,0051) Issuer of Accession Number Sequence3Sequence
(0008,0090) Referring Physician's Name2Person Name
(0008,0096) Referring Physician Identification Sequence3Sequence
(0008,009C) Consulting Physician's Name3Person Name
(0008,009D) Consulting Physician Identification Sequence3Sequence
(0008,1030) Study Description3Long String
(0008,1032) Procedure Code Sequence3Sequence
(0008,1048) Physician(s) of Record3Person Name
(0008,1049) Physician(s) of Record Identification Sequence3Sequence
(0008,1060) Name of Physician(s) Reading Study3Person Name
(0008,1062) Physician(s) Reading Study Identification Sequence3Sequence
(0008,1110) Referenced Study Sequence3Sequence
(0020,000D) Study Instance UID1Unique Identifier
(0020,0010) Study ID2Short String
(0032,1033) Requesting Service3Long String
(0032,1034) Requesting Service Code Sequence3Sequence
(0040,1012) Reason For Performed Procedure Code Sequence3Sequence
Patient StudyUModule - Study
Clinical Trial StudyUModule - Study
General SeriesMModule - Series
CR SeriesMModule - Series
Clinical Trial SeriesUModule - Series
General EquipmentMModule - Equipment
General AcquisitionMModule - Acquisition
General ImageMModule - Image
General ReferenceUModule - Image
Image PixelMModule - Image
Contrast/BolusCModule - Image
Display ShutterUModule - Image
DeviceUModule - Image
SpecimenUModule - Image
CR ImageMModule - Image
Overlay PlaneUModule - Image
Modality LUTUModule - Image
VOI LUTUModule - Image
SOP CommonMModule - Image
Common Instance ReferenceUModule - Image
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
Multi-frame Grayscale Word Secondary Capture ImageCIOD
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
Video Microscopic ImageCIOD
Video Photographic ImageCIOD
VL Whole Slide Microscopy ImageCIOD
Real-Time Video Endoscopic ImageCIOD
Real-Time Video Photographic ImageCIOD
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
General ECGCIOD
Ambulatory ECGCIOD
Hemodynamic WaveformCIOD
Basic Cardiac Electrophysiology WaveformCIOD
Arterial Pulse WaveformCIOD
Respiratory WaveformCIOD
General Audio WaveformCIOD
Real-Time Audio WaveformCIOD
Routine Scalp ElectroencephalogramCIOD
ElectromyogramCIOD
ElectrooculogramCIOD
Sleep ElectroencephalogramCIOD
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
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

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.

Physician(s) of Record Attribute

Tag(0008,1048)
TypeOptional (3)
KeywordPhysiciansOfRecord
Value Multiplicity1-n
Value RepresentationPerson Name (PN)

Names of the physician(s) who are responsible for overall Patient care at time of Study (see Section C.7.3.1 for Performing Physician).

Section C.7.3.1

C.7.3.1 General Series Module

Table C.7-5a specifies the Attributes of the General Series Module, which identify and describe general information about the Series within a Study.

Table C.7-5a. General Series Module Attributes

Attribute Name

Tag

Type

Attribute Description

Modality

(0008,0060)

1

Type of device, process or method that originally acquired or produced the data used to create the Instances in this Series.

See Section C.7.3.1.1.1 for Defined Terms.

Series Instance UID

(0020,000E)

1

Unique identifier of the Series.

Series Number

(0020,0011)

2

A number that identifies this Series.

Laterality

(0020,0060)

2C

Laterality of (paired) body part examined. Required if the body part examined is a paired structure and Image Laterality (0020,0062) or Frame Laterality (0020,9072) or Measurement Laterality (0024,0113) are not present.

Enumerated Values:

R

right

L

left

Note

  1. Some IODs support Image Laterality (0020,0062) at the Image level or Frame Laterality (0020,9072) at the Frame level in the Frame Anatomy Functional Group Macro or Measurement Laterality (0024,0113) at the Measurement level, which can provide a more comprehensive mechanism for specifying the laterality of the body part(s) being examined.

  2. There is no value for both left and right, for which Image Laterality (0020,0062) at the Image level or Frame Laterality (0020,9072) may be used instead.

  3. There is no value for median, for which Primary Anatomic Structure Modifier Sequence (0008,2230) or Anatomic Region Modifier Sequence (0008,2220) may be used instead.

Series Date

(0008,0021)

3

Date the Series started.

Series Time

(0008,0031)

3

Time the Series started.

Performing Physician's Name

(0008,1050)

3

Name of the physician(s) administering the Series.

Performing Physician Identification Sequence

(0008,1052)

3

Identification of the physician(s) administering the Series.

One or more Items are permitted in this Sequence. If more than one Item, the number and order shall correspond to the value of Performing Physician's Name (0008,1050), if present.

>Include Table 10-1 “Person Identification Macro Attributes”

Protocol Name

(0018,1030)

3

User-defined description of the conditions under which the Series was performed.

Note

This Attribute conveys Series-specific protocol identification and may or may not be identical to the protocol described in the Performed Protocol Code Sequence (0040,0260) in the Performed Protocol Code Sequence (0040,0260) in Table 10-16 “Performed Procedure Step Summary Macro Attributes”.

Series Description

(0008,103E)

3

Description of the Series.

Series Description Code Sequence

(0008,103F)

3

A coded description of the Series.

Only a single Item is permitted in this Sequence.

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

No Baseline CID is defined.

Operators' Name

(0008,1070)

3

Name(s) of the operator(s) supporting the Series.

Operator Identification Sequence

(0008,1072)

3

Identification of the operator(s) supporting the Series.

One or more Items are permitted in this Sequence. If more than one Item, the number and order shall correspond to the value of Operators' Name (0008,1070), if present.

>Include Table 10-1 “Person Identification Macro Attributes”

Referenced Performed Procedure Step Sequence

(0008,1111)

3

Uniquely identifies the Performed Procedure Step SOP Instance to which the Series is related.

Only a single Item is permitted in this Sequence.

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

Related Series Sequence

(0008,1250)

3

Identification of Series significantly related to this Series.

One or more Items are permitted in this Sequence.

Note

  1. For example, for a combined CT and PET acquisition, the CT images and PET images would be in separate Series that could cross-reference each other with multiple purpose of reference codes meaning same anatomy, simultaneously acquired and same indication.

  2. The related Series may have different Frames of Reference and hence require some sort of registration before spatial coordinates can be directly compared.

  3. This Attribute is not intended for conveying localizer reference information, for which Referenced Image Sequence (0008,1140) should be used.

>Study Instance UID

(0020,000D)

1

Instance UID of Study to which the related Series belongs.

>Series Instance UID

(0020,000E)

1

Instance UID of Related Series.

>Purpose of Reference Code Sequence

(0040,A170)

2

Describes the purpose for which the reference is made.

Zero or more Items shall be included in this Sequence.

When absent, implies that the reason for the reference is unknown.

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

DCID 7210 “Related Series Purpose of Reference”.

Body Part Examined

(0018,0015)

3

Text description of the part of the body examined. See Annex L “Correspondence of Anatomic Region Codes and Body Part Examined Defined Terms” in PS3.16 for Defined Terms

Note

Some IODs support the Anatomic Region Sequence (0008,2218), which can provide a more comprehensive mechanism for specifying the body part being examined.

Patient Position

(0018,5100)

2C

Patient position descriptor relative to the equipment. Required for images where Patient Orientation Code Sequence (0054,0410) is not present and whose SOP Class is one of the following: CT ("1.2.840.10008.5.1.4.1.1.2") or MR ("1.2.840.10008.5.1.4.1.1.4") or Enhanced CT ("1.2.840.10008.5.1.4.1.1.2.1") or Enhanced MR Image ("1.2.840.10008.5.1.4.1.1.4.1") or Enhanced Color MR Image ("1.2.840.10008.5.1.4.1.1.4.3") or MR Spectroscopy ("1.2.840.10008.5.1.4.1.1.4.2") Storage SOP Classes.

May be present for other SOP Classes if Patient Orientation Code Sequence (0054,0410) is not present.

See Section C.7.3.1.1.2 for Defined Terms and further explanation.

Smallest Pixel Value in Series

(0028,0108)

3

The minimum value of all images in this Series.

Largest Pixel Value in Series

(0028,0109)

3

The maximum value of all images in this Series.

Request Attributes Sequence

(0040,0275)

3

Sequence that contains Attributes from the Imaging Service Request.

One or more Items are permitted in this Sequence.

>Include Table 10-9 “Request Attributes Macro Attributes”

No Baseline CID is defined.

Include Table 10-16 “Performed Procedure Step Summary Macro Attributes”

No Baseline CID is defined.

Anatomical Orientation Type

(0010,2210)

1C

The anatomical orientation type used in Instances generated by this equipment.

Enumerated Values:

BIPED

QUADRUPED

Required if the Patient is a non-human organism and the anatomical Frame of Reference is not bipedal. May be present otherwise. See Section C.7.6.1.1.1 and Section C.7.6.2.1.1.

Note

If this Attribute is not present, the default human standard anatomical position is used to define the patient orientation of projection images and the Patient-Based Coordinate System of cross-sectional images.

Treatment Session UID

(300A,0700)

3

A unique identifier of the RT Treatment Session to which Instances in this Series belong.


Note

  1. If any Performed Procedure Step SOP Class is supported as an SCU by a Storage SCU, the SCU is strongly encouraged to support the Attribute Referenced Performed Procedure Step Sequence (0008,1111). This Attribute references the Performed Procedure Step SOP Instance, and extraction of this Attribute from a Composite Instance may allow retrieval of the Performed Procedure Step SOP Instance.

  2. If the Storage SCU does not conform to any Performed Procedure Step SOP Class, it is still advisable to include the Attributes Performed Procedure Step Start Date (0040,0244), Performed Procedure Step Start Time (0040,0245) and Performed Procedure Step Description (0040,0254) into the Composite Instances.

C.7.3.1.1 General Series Module Attribute Descriptions
C.7.3.1.1.1 Modality

Defined Terms:

ANN

Annotation

AR

Autorefraction

ASMT

Content Assessment Results

AU

Audio

BDUS

Bone Densitometry (ultrasound)

BI

Biomagnetic imaging

BMD

Bone Densitometry (X-Ray)

CFM

Confocal Microscopy

CR

Computed Radiography

CT

Computed Tomography

CTPROTOCOL

CT Protocol (Performed)

DMS

Dermoscopy

DG

Diaphanography

DOC

Document

DX

Digital Radiography

ECG

Electrocardiography

EEG

Electroencephalography

EMG

Electromyography

EOG

Electrooculography

EPS

Cardiac Electrophysiology

ES

Endoscopy

FID

Fiducials

GM

General Microscopy

HC

Hard Copy

HD

Hemodynamic Waveform

IO

Intra-Oral Radiography

IOL

Intraocular Lens Data

IVOCT

Intravascular Optical Coherence Tomography

IVUS

Intravascular Ultrasound

KER

Keratometry

KO

Key Object Selection

LEN

Lensometry

LS

Laser surface scan

MG

Mammography

MR

Magnetic Resonance

M3D

Model for 3D Manufacturing

NM

Nuclear Medicine

OAM

Ophthalmic Axial Measurements

OCT

Optical Coherence Tomography (non-Ophthalmic)

OP

Ophthalmic Photography

OPM

Ophthalmic Mapping

OPT

Ophthalmic Tomography

OPTBSV

Ophthalmic Tomography B-scan Volume Analysis

OPTENF

Ophthalmic Tomography En Face

OPV

Ophthalmic Visual Field

OSS

Optical Surface Scan

OT

Other

PA

Photoacoustic

PLAN

Plan

Note

The term "PLAN" denotes Series describing planned activities. It is not be confused with radiotherapy treatment plans.

POS

Position Sensor

PR

Presentation State

PT

Positron emission tomography (PET)

PX

Panoramic X-Ray

REG

Registration

RESP

Respiratory Waveform

RF

Radio Fluoroscopy

RG

Radiographic imaging (conventional film/screen)

RTDOSE

Radiotherapy Dose

RTIMAGE

Radiotherapy Image

RTINTENT

Radiotherapy Intent

RTPLAN

Radiotherapy Plan

RTRAD

RT Radiation

RTRECORD

RT Treatment Record

RTSEGANN

Radiotherapy Segment Annotation

RTSTRUCT

Radiotherapy Structure Set

RWV

Real World Value Map

SEG

Segmentation

SM

Slide Microscopy

SMR

Stereometric Relationship

SR

SR Document

SRF

Subjective Refraction

STAIN

Automated Slide Stainer

TEXTUREMAP

Texture Map

TG

Thermography

US

Ultrasound

VA

Visual Acuity

XA

X-Ray Angiography

XAPROTOCOL

XA Protocol (Performed)

XC

External-camera Photography

Retired Defined Terms:

AS

Angioscopy

CD

Color flow Doppler

CF

Cinefluorography

CP

Culposcopy

CS

Cystoscopy

DD

Duplex Doppler

DF

Digital fluoroscopy

DM

Digital microscopy

DS

Digital Subtraction Angiography

EC

Echocardiography

FA

Fluorescein angiography

FS

Fundoscopy

LP

Laparoscopy

MA

Magnetic resonance angiography

MS

Magnetic resonance spectroscopy

OPR

Ophthalmic Refraction

ST

Single-photon emission computed tomography (SPECT)

VF

Videofluorography

Note

  1. The XA modality incorporates the retired modality DS.

  2. The RF modality incorporates the retired modalities CF, DF, VF.

  3. The modality listed in the Modality Data Element (0008,0060) may not match the name of the IOD in which it appears. For example, a SOP Instance from XA IOD may list the RF modality when an RF implementation produces an XA object.

  4. The MR modality incorporates the retired modalities MA and MS.

  5. The US modality incorporates the retired modalities EC, CD, and DD.

  6. The NM modality incorporates the retired modality ST.

C.7.3.1.1.2 Patient Position

Patient Position (0018,5100) specifies the position of the patient relative to the imaging equipment space. This Attribute is intended for annotation purposes only. It does not provide an exact mathematical relationship of the patient to the imaging equipment.

When multiple subjects are present in the same image, and arranged with different positions, then the Patient Position (0018,5100) in the General Series Module is nominal, does not apply to each subject, but does define the relationship of the nominal Patient-Based Coordinate System to the machine.

Note

In conjunction with the Patient Position (0018,5100) in each Item of the Group of Patients Identification Sequence (0010,0027), Patient Position (0018,5100) in the General Series Module may be helpful to compute patient-relative spatial information for each subject from the Attributes of the Image Plane Module.

When facing the front of the imaging equipment, Head First is defined as the patient's head being positioned toward the front of the imaging equipment (i.e., head entering the front of the equipment). Feet First is defined as the patient's feet being positioned toward the front of the imaging equipment (i.e., feet entering the front of the equipment). Left First is defined as the patient's left side being positioned towards the front of the imaging equipment (i.e., patient's left side entering the front of the equipment). Right First is defined as the patient's right being positioned towards the front of the imaging equipment (i.e., patient's right side entering the front of the equipment). Prone is defined as the patient's face being positioned in a downward (gravity) direction. Supine is defined as the patient's face being in an upward direction. Decubitus Right is defined as the patient's right side being in a downward direction. Decubitus Left is defined as the patient's left side being in a downward direction.

Defined Terms:

HFP

Head First-Prone

HFS

Head First-Supine

HFDR

Head First-Decubitus Right

HFDL

Head First-Decubitus Left

FFDR

Feet First-Decubitus Right

FFDL

Feet First-Decubitus Left

FFP

Feet First-Prone

FFS

Feet First-Supine

LFP

Left First-Prone

LFS

Left First-Supine

RFP

Right First-Prone

RFS

Right First-Supine

AFDR

Anterior First-Decubitus Right

AFDL

Anterior First-Decubitus Left

PFDR

Posterior First-Decubitus Right

PFDL

Posterior First-Decubitus Left

Note

  1. For quadrupeds, separate concepts for ventral and dorsal are not introduced, rather it is expected that anterior and posterior will be considered synonymous as they are when applied to the trunk.

  2. There are no decubitus variants of left or right first, since for imaging equipment that is aligned horizontally with respect to gravity the patient cannot be both decubitus and have the left or right side towards the front of the imaging equipment.

  3. There are no prone or supine variants of anterior or posterior first, since for imaging equipment that is aligned horizontally with respect to gravity the patient cannot be prone or supine and have the anterior or posterior side towards the front of the imaging equipment.

The Figure C.7.3.1.1.2-1 illustrates some of these Defined Terms for imaging equipment with a table, such as in X-Ray Angiography. The orientation of the patient related to gravity is always recumbent.

Figure C.7.3.1.1.2-1. Representation of the Eight Different Patient Positions on the X-Ray Table


Figure C.7.3.1.1.2-2. Example of Right First-Prone (RFP) Patient Position Relative to the Gantry and Table for a Small Animal