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
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
PatientMModule - Patient
Clinical Trial SubjectUModule - Patient
General StudyMModule - Study
Patient StudyUModule - Study
Clinical Trial StudyUModule - Study
SR Document SeriesMModule - Series
Clinical Trial SeriesUModule - Series
General EquipmentMModule - Equipment
Enhanced General EquipmentMModule - Equipment
SR Document GeneralMModule - SR Document
SR Document ContentMModule - SR Document
(0008,1199) Referenced SOP Sequence1Sequence
(0040,A032) Observation DateTime1CDate Time
(0040,A040) Value Type1Code String
(0040,A043) Concept Name Code Sequence1CSequence
(0040,A050) Continuity Of Content1Code String
(0040,A120) DateTime1CDate Time
(0040,A121) Date1CDate
(0040,A122) Time1CTime
(0040,A123) Person Name1CPerson Name
(0040,A124) UID1CUnique Identifier
(0040,A130) Temporal Range Type1Code String
(0040,A132) Referenced Sample Positions1CUnsigned Long
(0040,A138) Referenced Time Offsets1CDecimal String
(0040,A13A) Referenced DateTime1CDate Time
(0040,A160) Text Value1CUnlimited Text
(0040,A168) Concept Code Sequence1Sequence
(0040,A171) Observation UID3Unique Identifier
(0040,A300) Measured Value Sequence2Sequence
(0040,A301) Numeric Value Qualifier Code Sequence1CSequence
(0040,A504) Content Template Sequence1CSequence
(0040,A730) Content Sequence1CSequence
(0008,1199) Referenced SOP Sequence1Sequence
(0040,A010) Relationship Type1Code String
(0040,A040) Value Type1Code String
(0040,A043) Concept Name Code Sequence1CSequence
(0040,A050) Continuity Of Content1Code String
(0040,A120) DateTime1CDate Time
(0040,A121) Date1CDate
(0040,A122) Time1CTime
(0040,A123) Person Name1CPerson Name
(0040,A124) UID1CUnique Identifier
(0040,A130) Temporal Range Type1Code String
(0040,A132) Referenced Sample Positions1CUnsigned Long
(0040,A138) Referenced Time Offsets1CDecimal String
(0040,A13A) Referenced DateTime1CDate Time
(0040,A160) Text Value1CUnlimited Text
(0040,A168) Concept Code Sequence1Sequence
(0040,A300) Measured Value Sequence2Sequence
(0040,A301) Numeric Value Qualifier Code Sequence1CSequence
(0040,A504) Content Template Sequence1CSequence
(0040,A801) Tabulated Values Sequence1Sequence
(0040,DB73) Referenced Content Item Identifier1CUnsigned Long
(0048,0301) Pixel Origin Interpretation1CCode String
(0070,0022) Graphic Data1Single
(0070,0023) Graphic Type1Code String
(0070,031A) Fiducial UID3Unique Identifier
(3006,0024) Referenced Frame of Reference UID1Unique Identifier
(0040,A801) Tabulated Values Sequence1Sequence
(0048,0301) Pixel Origin Interpretation1CCode String
(0070,0022) Graphic Data1Single
(0070,0023) Graphic Type1Code String
(0070,031A) Fiducial UID3Unique Identifier
(3006,0024) Referenced Frame of Reference UID1Unique Identifier
SOP CommonMModule - SR Document
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.

Referenced Content Item Identifier Attribute

Tag(0040,DB73)
TypeConditionally Required (1C)
KeywordReferencedContentItemIdentifier
Value Multiplicity1-n
Value RepresentationUnsigned Long (UL)

An ordered set of one or more integers that uniquely identifies the Target Content Item of the relationship.

The root Content Item is referenced by a single value of 1.

Each subsequent integer represents an ordinal position of a Content Item in the Content Sequence (0040,A730) in which it belongs. The Referenced Content Item Identifier is the set of these ordinal positions along the by-value relationship path. The number of values in this Multi-Value Attribute is exactly the number of relationships traversed in the Content Tree plus one.

Note

  1. See Section C.17.3.2.5.

  2. Content Items are ordered in a Content Sequence starting from 1 as defined in VR of SQ (see PS3.5).

Required if the Target Content Item is denoted by-reference, i.e., the Document Relationship Macro and Document Content Macro are not included.

Section C.17.3.2.5

C.17.3.2.5 Referenced Content Item Identifier

Content Items are identified by their position in the Content Item tree. They have an implicit order as defined by the order of the Sequence Items. When a Content Item is the target of a by-reference relationship, its position is specified in the Referenced Content Item Identifier (0040,DB73) in a Content Sequence Item subsidiary to the source Content Item.

Note

Figure C.17.3-3 illustrates an Content Tree and identifiers associated with each Content Item:

Figure C.17.3-3. Use of Position as SR Content Item Identifier (Informative)


Document Relationship Macro

C.17.3.4 Document Relationship Macro

Table C.17-6. Document Relationship Macro Attributes

Attribute Name

Tag

Type

Attribute Description

Observation DateTime

(0040,A032)

1C

The date and time on which this Content Item was completed. For the purpose of recording measurements or logging events, completion time is defined as the ending time of data acquisition of the measurement, or the ending time of occurrence of the event.

Required if the date and time are different from Content Date (0008,0023) and Content Time (0008,0033) or Observation DateTime (0040,A032) defined in higher Items. May be present otherwise.

Note

When Content Items are copied into successor reports, Content Date (0008,0023) and Content Time (0008,0033) of the new report are likely to be different than the date and time of the original observation. Therefore this Attribute may need to be included in any copied Content Items to satisfy the condition.

Observation UID

(0040,A171)

3

Unique identifier for the observation Content Item (and its subsidiary Content Items, if any). The UID represents the semantic content of the observation; an encoding of the same observation with the same context into another representation (e.g., a CDA Entry) may use the same UID.

Content Sequence

(0040,A730)

1C

A potentially recursively nested Sequence of Items that conveys content that is the Target of Relationships with the enclosing Source Content Item.

One or more Items shall be included in this Sequence.

Required if the enclosing Content Item has relationships.

Note

  1. If this Attribute is not present then the enclosing Item is a leaf.

  2. The order of Items within this Sequence is semantically significant for presentation.

See Section C.17.3.2.4 for further explanation.

>Relationship Type

(0040,A010)

1

The type of relationship between the (enclosing) Source Content Item and the Target Content Item.

IODs specify additional constraints on Relationships (including lists of Enumerated Values).

Enumerated Values:

CONTAINS

HAS PROPERTIES

HAS OBS CONTEXT

HAS ACQ CONTEXT

INFERRED FROM

SELECTED FROM

HAS CONCEPT MOD

See Section C.17.3.2.4 for further explanation.

>Include Table C.17-6 “Document Relationship Macro Attributes” if the Target Content Item is included by-value in the Source Content Item. The Macro shall not be present if the relationship is by-reference.

>Include Table C.17-5 “Document Content Macro Attributes” if the Target Content Item is included by-value in the Source Content Item. The Macro shall not be present if the relationship is by-reference.

>Referenced Content Item Identifier

(0040,DB73)

1C

An ordered set of one or more integers that uniquely identifies the Target Content Item of the relationship.

The root Content Item is referenced by a single value of 1.

Each subsequent integer represents an ordinal position of a Content Item in the Content Sequence (0040,A730) in which it belongs. The Referenced Content Item Identifier is the set of these ordinal positions along the by-value relationship path. The number of values in this Multi-Value Attribute is exactly the number of relationships traversed in the Content Tree plus one.

Note

  1. See Section C.17.3.2.5.

  2. Content Items are ordered in a Content Sequence starting from 1 as defined in VR of SQ (see PS3.5).

Required if the Target Content Item is denoted by-reference, i.e., the Document Relationship Macro and Document Content Macro are not included.


Document Content Macro

C.17.3.3 Document Content Macro

Table C.17-5. Document Content Macro Attributes

Attribute Name

Tag

Type

Attribute Description

Value Type

(0040,A040)

1

The type of the value encoded in this Content Item.

Enumerated Values:

TEXT

NUM

CODE

DATE

TIME

DATETIME

UIDREF

PNAME

COMPOSITE

IMAGE

WAVEFORM

SCOORD

SCOORD3D

TCOORD

CONTAINER

TABLE

See Section C.17.3.2.1 for further explanation.

Concept Name Code Sequence

(0040,A043)

1C

Code describing the concept represented by this Content Item. Also conveys the value of Document Title and section headings in documents.

Only a single Item shall be included in this Sequence.

Required if Value Type (0040,A040) is TEXT, NUM, CODE, DATETIME, DATE, TIME, UIDREF, TABLE or PNAME.

Required if Value Type (0040,A040) is CONTAINER and a heading is present, or this is the Root Content Item.

Note

That is, containers without headings do not require Concept Name Code Sequence

Required if Value Type (0040,A040) is COMPOSITE, IMAGE, WAVEFORM, SCOORD, SCOORD3D or TCOORD, and the Purpose of Reference is conveyed in the Concept Name.

Note

Though many Templates in PS3.16 do not require that the Purpose of Reference be conveyed in the Concept Name, a generic Concept Name, such as (260753009, SCT, "Source"), may be used, since anonymous (unnamed) Content Items may be undesirable for some implementations (e.g., for which the name of a name-value pair is required). UMLS (C0449416) maps (260753009, SCT, "Source") to (C25683, NCIt, "Source"). NCIt defines it as "Where something is available or from where it originates".

See Section C.17.3.2.2 for further explanation.

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

No Baseline CID is defined.

Text Value

(0040,A160)

1C

This is the value of the Content Item.

Required if Value Type (0040,A040) is TEXT.

Text data that is unformatted and whose manner of display is implementation dependent.

The text value may contain spaces, as well as multiple lines separated by CR LF, but otherwise no format control characters (such as horizontal or vertical tab and form feed) shall be present, even if permitted by the Value Representation of UT.

The text shall be interpreted as specified by Specific Character Set (0008,0005) if present in the SOP Common Module.

Note

The text may contain single or multi-byte characters and use code extension techniques as described in PS3.5 if permitted by the values of Specific Character Set (0008,0005).

DateTime

(0040,A120)

1C

This is the value of the Content Item.

Required if Value Type (0040,A040) is DATETIME.

Date

(0040,A121)

1C

This is the value of the Content Item.

Required if Value Type (0040,A040) is DATE.

Time

(0040,A122)

1C

This is the value of the Content Item.

Required if Value Type (0040,A040) is TIME.

Person Name

(0040,A123)

1C

This is the value of the Content Item.

Required if Value Type (0040,A040) is PNAME.

UID

(0040,A124)

1C

This is the value of the Content Item.

Required if Value Type (0040,A040) is UIDREF.

Include Table C.18.1-1 “Numeric Measurement Macro Attributes” if and only if Value Type (0040,A040) is NUM.

Include Table C.18.2-1 “Code Macro Attributes” if and only if Value Type (0040,A040) is CODE.

Include Table C.18.3-1 “Composite Object Reference Macro Attributes” if and only if Value Type (0040,A040) is COMPOSITE.

Include Table C.18.4-1 “Image Reference Macro Attributes” if and only if Value Type (0040,A040) is IMAGE.

Include Table C.18.5-1 “Waveform Reference Macro Attributes” if and only if Value Type (0040,A040) is WAVEFORM.

Include Table C.18.6-1 “Spatial Coordinates Macro Attributes” if and only if Value Type (0040,A040) is SCOORD.

Include Table C.18.9-1 “3D Spatial Coordinates Macro Attributes” if and only if Value Type (0040,A040) is SCOORD3D.

Include Table C.18.7-1 “Temporal Coordinates Macro Attributes” if and only if Value Type (0040,A040) is TCOORD.

Include Table C.18.8-1 “Container Macro Attributes” if and only if Value Type (0040,A040) is CONTAINER.

Include Table C.18.10-1 “Table Content Item Macro Attributes” if and only if Value Type (0040,A040) is TABLE.