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
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
PatientMModule - Patient
Clinical Trial SubjectUModule - Patient
General StudyMModule - Study
Patient StudyUModule - Study
Clinical Trial StudyUModule - Study
RT SeriesMModule - Series
Clinical Trial SeriesUModule - Series
Frame of ReferenceMModule - Frame of Reference
General EquipmentMModule - Equipment
RT General PlanMModule - Plan
RT PrescriptionUModule - Plan
RT Ion Tolerance TablesUModule - Plan
RT Patient SetupUModule - Plan
RT Fraction SchemeUModule - Plan
RT Ion BeamsCModule - Plan
ApprovalUModule - Plan
General ReferenceUModule - Plan
SOP CommonMModule - Plan
(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
(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
(0400,0510) Encrypted Content Transfer Syntax UID1Unique Identifier
(0400,0520) Encrypted Content1Other Byte String
(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 - Plan
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.

Encrypted Content Attribute

Tag(0400,0520)
TypeRequired (1)
KeywordEncryptedContent
Value Multiplicity1
Value RepresentationOther Byte String (OB)

Encrypted data. See Section C.12.1.1.4.2.

Section C.12.1.1.4.2

C.12.1.1.4.2 Encrypted Content

Encrypted Content (0400,0520) contains an Enveloped-data content type of the cryptographic message syntax defined in IETF STD 70 [RFC5652]. The encrypted content of the Enveloped-data content type is an instance of the Encrypted Attributes Data Set as shown in Table C.12-7 (i.e., it is a Sequence with a single Item), encoded with the Transfer Syntax specified by the Encrypted Content Transfer Syntax UID (0400,0510) Attribute. Figure C.12-2 shows an example of how the Encrypted Content is encoded. The exact use of this Data Set is defined in the Attribute Confidentiality Profiles in PS3.15.

Since the de-identified SOP Instance is a significantly altered version of the original Data Set, it is a new SOP Instance, with a SOP Instance UID that differs from the original Data Set.

Note

  1. Content encryption may require that the content (the DICOM Data Set) be padded to a multiple of some block size. This shall be performed according to the Content-encryption Process defined in IETF STD 70 [RFC5652].

  2. Any Standard or Private Transfer Syntax may be specified in Encrypted Content Transfer Syntax UID (0400,0510) unless encoding is performed in accordance with an Attribute Confidentiality Profile that specifies additional restrictions. In general, an application entity decoding the Encrypted Attributes Sequence may not assume any particular Transfer Syntax or set of Transfer Syntaxes to be used with Encrypted Content Transfer Syntax UID (0400,0510).

  3. For certain applications it might be necessary to "blacken" (remove) identifying information that is burned in to the image pixel data. The Encrypted Attributes Data Set does not specify a means of restoring the original image information without the complete image pixel data being encoded inside the Modified Attributes Sequence (0400,0550). If access to the original, unmodified pixel data is required and the image pixel data cannot be replicated inside the Modified Attributes Sequence (0400,0550) due to resource considerations, the SOP Instance UID may be used to locate the original SOP Instance from which the de-identified version was derived.

  4. There is no guarantee that the original SOP Instance can be reconstructed from the data in Encrypted Content. If access to the original data is required, the (de-encrypted) UIDs may be used to locate the original SOP Instance from which the de-identified version was derived.

Table C.12-7. Encrypted Attributes Data Set Attributes

Attribute Name

Tag

Type

Attribute Description

Modified Attributes Sequence

(0400,0550)

1

Sequence of Items containing all Attributes that were removed or replaced by "dummy values" in the top level Data Set during de-identification of the SOP Instance. Upon reversal of the de-identification process, the Attributes are copied back into the top level Data Set, replacing any dummy values that might have been created.

Only a single Item shall be included in this Sequence.

>Any Attribute from the top level Data Set that was modified or removed during the de-identification process.

3


Figure C.12-2. Example of Encoding of Encrypted Attributes Data Set (Informative)