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
PatientMModule - Patient
Clinical Trial SubjectUModule - Patient
General StudyMModule - Study
Patient StudyUModule - Study
Clinical Trial StudyUModule - Study
RT SeriesMModule - Series
Clinical Trial SeriesUModule - Series
General EquipmentMModule - Equipment
RT General Treatment RecordMModule - Treatment Record
RT Patient SetupUModule - Treatment Record
RT Treatment Machine RecordMModule - Treatment Record
Measured Dose Reference RecordUModule - Treatment Record
Calculated Dose Reference RecordUModule - Treatment Record
RT Brachy Session RecordMModule - Treatment Record
(3008,0100) Recorded Source Sequence1Sequence
(3008,0110) Treatment Session Application Setup Sequence1Sequence
(3008,0022) Current Fraction Number2Integer String
(3008,002A) Treatment Termination Status1Code String
(3008,002C) Treatment Verification Status2Code String
(3008,0080) Referenced Measured Dose Reference Sequence3Sequence
(3008,0090) Referenced Calculated Dose Reference Sequence3Sequence
(3008,0076) Calculated Dose Reference Dose Value1Decimal String
(3008,0092) Referenced Calculated Dose Reference Number1CInteger String
(300C,0051) Referenced Dose Reference Number1Integer String
(3008,0116) Application Setup Check3Code String
(3008,0120) Recorded Brachy Accessory Device Sequence3Sequence
(3008,0130) Recorded Channel Sequence1Sequence
(300A,00CE) Treatment Delivery Type2Code String
(300A,0232) Application Setup Type1Code String
(300A,0236) Application Setup Name3Long String
(300A,0238) Application Setup Manufacturer3Long String
(300A,0240) Template Number3Integer String
(300A,0242) Template Type3Short String
(300A,0244) Template Name3Long String
(300A,0250) Total Reference Air Kerma1Decimal String
(300A,0715) RT Treatment Termination Reason Code Sequence3Sequence
(300A,0716) Machine-Specific Treatment Termination Code Sequence3Sequence
(300A,0730) Treatment Termination Description3Short Text
(300C,000C) Referenced Brachy Application Setup Number3Integer String
(300C,0040) Referenced Verification Image Sequence3Sequence
(300A,0078) Number of Fractions Planned2Integer String
(300A,0200) Brachy Treatment Technique1Code String
(300A,0202) Brachy Treatment Type1Code String
(300C,0022) Referenced Fraction Group Number3Integer String
RT Treatment Summary RecordUModule - Treatment Record
General ReferenceUModule - Treatment Record
SOP CommonMModule - Treatment Record
Common Instance ReferenceUModule - Treatment Record
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.

Referenced Dose Reference Number Attribute

Tag(300C,0051)
TypeRequired (1)
KeywordReferencedDoseReferenceNumber
Value Multiplicity1
Value RepresentationInteger String (IS)

Uniquely identifies Dose Reference specified by Dose Reference Number (300A,0012) in Dose Reference Sequence (300A,0010) in RT Prescription Module of referenced RT Plan. Required if Referenced Calculated Dose Reference Number (3008,0092) is not present. It shall not be present otherwise.

RT Prescription Module

C.8.8.10 RT Prescription Module

Table C.8-46. RT Prescription Module Attributes

Attribute Name

Tag

Type

Attribute Description

Prescription Description

(300A,000E)

3

User-defined description of treatment prescription.

Dose Reference Sequence

(300A,0010)

3

Sequence of Dose References.

One or more Items are permitted in this Sequence.

>Dose Reference Number

(300A,0012)

1

Identification number of the Dose Reference. The value of Dose Reference Number (300A,0012) shall be unique within the RT Plan in which it is created.

>Dose Reference UID

(300A,0013)

3

A unique identifier for a Dose Reference that can be used to link the same entity across multiple RT Plan objects.

>Dose Reference Structure Type

(300A,0014)

1

Structure type of Dose Reference.

Defined Terms:

POINT

dose reference point specified as ROI

VOLUME

dose reference volume specified as ROI

COORDINATES

point specified by Dose Reference Point Coordinates (300A,0018)

SITE

dose reference clinical site

>Dose Value Purpose

(300A,061D)

3

Purpose(s) for which dose values in this Sequence Item are provided.

Defined Terms:

TRACKING

The dose values are used for tracking.

QA

The dose values are used for quality assurance.

See Section C.8.8.10.1 and Section C.8.8.14.7.

>Dose Value Interpretation

(300A,068B)

3

Interpretation of the dose values.

Enumerated Values:

NOMINAL

ACTUAL

See Section C.8.8.10.1 and Section C.8.8.14.7.

>Dose Reference Description

(300A,0016)

3

User-defined description of Dose Reference.

>Referenced ROI Number

(3006,0084)

1C

Uniquely identifies ROI representing the dose reference specified by ROI Number (3006,0022) in Structure Set ROI Sequence (3006,0020) in Structure Set Module within RT Structure Set in Referenced Structure Set Sequence (300C,0060) in RT General Plan Module. Required if Dose Reference Structure Type (300A,0014) is POINT or VOLUME.

>Dose Reference Point Coordinates

(300A,0018)

1C

Coordinates (x,y,z) of Reference Point in the Patient-Based Coordinate System described in Section C.7.6.2.1.1 (mm). Required if Dose Reference Structure Type (300A,0014) is COORDINATES.

>Nominal Prior Dose

(300A,001A)

3

Dose (in Gy) from prior treatment to this Dose Reference (e.g., from a previous course of treatment).

>Dose Reference Type

(300A,0020)

1

Type of Dose Reference.

Defined Terms:

TARGET

treatment target (corresponding to GTV, PTV, or CTV in [ICRU Report 50])

ORGAN_AT_RISK

Organ at Risk (as defined in [ICRU Report 50])

>Constraint Weight

(300A,0021)

3

Relative importance of satisfying constraint, where high values represent more important constraints.

>Delivery Warning Dose

(300A,0022)

3

The dose (in Gy) that when reached or exceeded should cause some action to be taken.

>Delivery Maximum Dose

(300A,0023)

3

The maximum dose (in Gy) that can be delivered to the dose reference.

>Target Minimum Dose

(300A,0025)

3

Minimum permitted dose (in Gy) to Dose Reference if Dose Reference Type (300A,0020) is TARGET.

>Target Prescription Dose

(300A,0026)

3

Prescribed dose (in Gy) to Dose Reference if Dose Reference Type (300A,0020) is TARGET.

>Target Maximum Dose

(300A,0027)

3

Maximum permitted dose (in Gy) to Dose Reference if Dose Reference Type (300A,0020) is TARGET.

>Target Underdose Volume Fraction

(300A,0028)

3

Maximum permitted fraction (in percent) of Target to receive less than the Target Prescription Dose if Dose Reference Type (300A,0020) is TARGET and Dose Reference Structure Type (300A,0014) is VOLUME. See Section C.8.8.10.1.

>Organ at Risk Full-volume Dose

(300A,002A)

3

Maximum dose (in Gy) to entire Dose Reference if Dose Reference Type (300A,0020) is ORGAN_AT_RISK and Dose Reference Structure Type (300A,0014) is VOLUME.

>Organ at Risk Limit Dose

(300A,002B)

3

Maximum permitted dose (in Gy) to any part of Dose Reference if Dose Reference Type (300A,0020) is ORGAN_AT_RISK and Dose Reference Structure Type (300A,0014) is VOLUME.

>Organ at Risk Maximum Dose

(300A,002C)

3

Maximum dose (in Gy) to non-overdosed part of Dose Reference if Dose Reference Type (300A,0020) is ORGAN_AT_RISK and Dose Reference Structure Type (300A,0014) is VOLUME.

>Organ at Risk Overdose Volume Fraction

(300A,002D)

3

Maximum permitted fraction (in percent) of the Organ at Risk to receive more than the Organ at Risk Maximum Dose if Dose Reference Type (300A,0020) is ORGAN_AT_RISK and Dose Reference Structure Type (300A,0014) is VOLUME.


C.8.8.10.1 Target Underdose Volume Fraction

If the Target Underdose Volume Fraction (300A,0028) is not present, it shall be interpreted as zero.

C.8.8.10.1 Dose Value Purpose

The Dose Value Purpose (300A,061D) allows consuming systems to identify the dose contributions that are relevant to their use-case.

Other use cases may be defined using additional Defined Terms and shall be documented in the Conformance Statement of the application.

C.8.8.10.1 Dose Value Interpretation

The dose references listed in the Dose Reference Sequence (300A,0010) may receive dose contributions accumulated from different beams. Whereas the Beam Dose (300A,0084) that is used to determine the dose contribution of a beam to the Dose Reference may be calculated individually for each beam or on a fraction level carrying a nominal dose only, the accumulated dose values may also be interpreted as nominal or actual. For potential use cases, see Table C.8.8.10.3-1, for an example, and see Section C.8.8.14.7.

The Enumerated Value NOMINAL indicates that the dose value associated with the dose reference is a nominal value that was provided as an input for treatment planning. Such a value may be used to track delivered dose over a number of delivered RT Treatment Fractions in a Treatment Management System, or eventually to match against a prescribed dose value in a Hospital Information System for billing purposes.

The Enumerated Value ACTUAL indicates that the dose value associated with the dose reference was calculated during planning. Such a value may be used for quality assurance purposes where the plan parameters are used to re-calculate the dose and where a re-calculated value is expected to match the dose value provided by the Dose Reference.

Note

This differs from the usage of ACTUAL when recording measured values in treatment records.

Table C.8.8.10.3-1. Dose Value Interpretation Example Use Cases

Dose Reference Structure Type (300A,0014)

VOLUME/SITE

POINT/COORDINATE

Dose Value Interpretation (300A,068B)

NOMINAL

Tracking a nominal (e.g., prescribed) dose.

Tracking a nominal (e.g., prescribed) dose ("prescribed point dose").

ACTUAL

Tracking an actual (calculated) dose.

Comparison of calculated/measured dose values.