DICOM PS3.3 2019a - Information Object Definitions

C.30.4 Unified Procedure Step Relationship Module (Current)
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### C.30.4 Unified Procedure Step Relationship Module

Table C.30.4-1 specifies the Attributes that describe the relationship of a Unified Procedure Step (UPS).

Table C.30.4-1. Unified Procedure Step Relationship Module Attributes

Attribute Name | Tag | Attribute Description
--- | --- | ---
Patient's Name | (0010,0010) | Patient's full legal name.
Patient ID | (0010,0020) | Primary identifier for the patient. ### Note In the case of imaging a group of small animals simultaneously, the single value of this identifier corresponds to the identification of the entire group. See also Section C.7.1.4.1.1. See Section C.30.4.1
Include Table 10-18 “Issuer of Patient ID Macro Attributes” |
Type of Patient ID | (0010,0022) | The type of identifier in the Patient ID (0010,0020). Defined Terms: TEXT RFID BARCODE ### Note The identifier is coded as a string regardless of the type, not as a binary value. When this Attribute has a value of BARCODE, Patient ID (0010,0020) may or may not have the same value as Barcode Value (2200,0005) in the SOP Common Module, if present.
Other Patient IDs Sequence | (0010,1002) | Identification numbers or codes used to identify the patient, which may or may not be human readable, and may or may not have been obtained from an implanted or attached device such as an RFID or barcode. Zero or more Items shall be included in this Sequence.
>Patient ID | (0010,0020) | An identifier for the patient.
>Include Table 10-18 “Issuer of Patient ID Macro Attributes” |
>Type of Patient ID | (0010,0022) | The type of identifier in the Patient ID (0010,0020) in this Item. Defined Terms: TEXT RFID BARCODE ### Note The identifier is coded as a string regardless of the type, not as a binary value. When this Attribute has a value of BARCODE, Patient ID (0010,0020) may or may not have the same value as Barcode Value (2200,0005) in the SOP Common Module, if present.
Patient's Birth Date in Alternative Calendar | (0010,0033) | Date of birth of the named patient in the Alternative Calendar (0010,0035). ### Note No format is specified for alternative calendar dates so none should be assumed.
Patient's Death Date in Alternative Calendar | (0010,0034) | Date of death of the named patient in the Alternative Calendar (0010,0035). ### Note No format is specified for alternative calendar dates so none should be assumed.
Patient's Alternative Calendar | (0010,0035) | The Alternative Calendar used for Patient's Birth Date in Alternative Calendar (0010,0033) and Patient's Death Date in Alternative Calendar (0010,0034). See Section C.7.1.5 for Defined Terms. Required if either Patient's Birth Date in Alternative Calendar (0010,0033) or Patient's Alternative Death Date in Calendar (0010,0034) is present.
Patient's Birth Date | (0010,0030) | Date of birth of the named patient.
Patient's Sex | (0010,0040) | Sex of the named Patient. Enumerated Values: M male F female O other
Referenced Patient Photo Sequence | (0010,1100) | A photo to confirm the identity of a patient. Only a single Item is permitted in this Sequence. See C.2.2.1.1.
>Include Table 10-3b “Referenced Instances and Access Macro Attributes” |
Admission ID | (0038,0010) | Identification number of the Visit as assigned by the healthcare provider ### Note Visit and Admission are used interchangeably here. In the broader sense, an admission is a type of visit at an institution where there is an admission process for patients.
Issuer of Admission ID Sequence | (0038,0014) | Identifier of the Assigning Authority that issued the Admission ID. Only a single Item shall be included in this Sequence.
>Include Table 10-17 “HL7v2 Hierarchic Designator Macro Attributes” |
Admitting Diagnoses Description | (0008,1080) | Description of admitting diagnosis (diagnoses) for the patient.
Admitting Diagnoses Code Sequence | (0008,1084) | Coded admitting diagnosis (diagnoses) for the patient. One or more Items shall be included in this Sequence.
>Include Table 8.8-1 “Code Sequence Macro Attributes” | No Baseline CID is defined.
Reason for Visit | (0032,1066) | Reason(s) for this visit by the patient to the facility or provider.
Reason for Visit Code Sequence | (0032,1067) | Coded reason(s) for this visit by the patient to the facility or provider. ### Note If an HL7 message is available with a PV2 segment corresponding to this visit, potential codes may be found in Admit Reason PV2-3. One or more Items are permitted in this Sequence.
>Include Table 8.8-1 “Code Sequence Macro Attributes” | No Baseline CID is defined.
Referenced Request Sequence | (0040,A370) | Requested Procedures to which the Procedure Step contributes. Zero or more Items shall be included in the Sequence.
>Study Instance UID | (0020,000D) | Unique identifier for the Study.
>Accession Number | (0008,0050) | An identifier of the order for the Study.
>Issuer of Accession Number Sequence | (0008,0051) | Identifier of the Assigning Authority that issued the Accession Number. Only a single Item shall be included in this Sequence.
>>Include Table 10-17 “HL7v2 Hierarchic Designator Macro Attributes” |
>Requested Procedure Code Sequence | (0032,1064) | Procedure Type of the Requested Procedure. Zero or one Item shall be included in this Sequence.
>>Include Table 8.8-1 “Code Sequence Macro Attributes” | No Baseline CID is defined.
>Placer Order Number / Imaging Service Request | (0040,2016) | The order number assigned to the Service Request by the party placing the order.
>Order Placer Identifier Sequence | (0040,0026) | Identifier of the Assigning Authority that issued the Placer Order Number. Only a single Item shall be included in this Sequence.
>>Include Table 10-17 “HL7v2 Hierarchic Designator Macro Attributes” |
>Filler Order Number / Imaging Service Request | (0040,2017) | The order number assigned to the Service Request by the party filling the order.
>Order Filler Identifier Sequence | (0040,0027) | Identifier of the Assigning Authority that issued the Filler Order Number. Only a single Item shall be included in this Sequence.
>>Include Table 10-17 “HL7v2 Hierarchic Designator Macro Attributes” |
>Requested Procedure ID | (0040,1001) | Identifier of the related Requested Procedure.
>Requested Procedure Description | (0032,1060) | Institution-generated description or classification of the Requested Procedure.
>Reason for the Requested Procedure | (0040,1002) | Reason for requesting this procedure.
> Reason for Requested Procedure Code Sequence | (0040,100A) | Coded reason for requesting this procedure. Zero or more Items shall be included in the Sequence.
>>Include Table 8.8-1 “Code Sequence Macro Attributes” | No Baseline CID is defined.
>Requested Procedure Comments | (0040,1400) | User-defined comments on the Requested Procedure.
>Confidentiality Code | (0040,1008) | Confidentiality Constraints on the Requested Procedure by the party filling the order.
>Names of Intended Recipients of Results | (0040,1010) | Names of the physicians, who are intended recipients of results.
>Imaging Service Request Comments | (0040,2400) | User-defined comments on the Service Request.
>Requesting Physician | (0032,1032) | Physician who requested the Service Request.
>Requesting Service | (0032,1033) | Institutional department, unit or service where the request initiated.
>Requesting Service Code Sequence | (0032,1034) | Institutional department, unit or service where the request initiated. Equivalent to HL7 v2.x ORC-17. See Note 1. Only a single Item shall be included in this Sequence.
>Issue Date of Imaging Service Request | (0040,2004) | Date on which the Service Request was issued by the requester.
>Issue Time of Imaging Service Request | (0040,2005) | Time at which the Service Request was issued by the requester.
>Referring Physician's Name | (0008,0090) | The physician who referred the Patient to the physician or service issuing the Service Request. ### Note This is generally the recipient of any report generated by the Service Request.
Replaced Procedure Step Sequence | (0074,1224) | Canceled procedure step(s) that are replaced by this procedure step. Zero or more Items shall be included in the Sequence.
>Include Table 10-11 “SOP Instance Reference Macro Attributes” |

### Note

1. Both Requesting Service (0032,1033) and Requesting Service Code Sequence (0032,1034) are defined in this table; the latter is preferred, but the former may be copied from an HL7 message whether or not there is also the ability to map it to a coded form (e.g., with only ORC-17 component 1 valued).

#### C.30.4.1 Patient Identification

For workitems that have a patient as the subject or context, the Patient ID, Issuer of Patient ID, Patient's Name, Patient's Sex and Patient's Birth Date shall have appropriate values.

For workitems that have an identifiable subject that is not a patient, for example a phantom to be scanned or a display to be calibrated, the Patient ID shall be filled with an acceptable pseudo-patient value.

### Note

For an object with a hospital asset control number or a manufacturer's serial number, that number might be used as the Patient ID. The Issuer of Patient ID would identify the hospital asset control system or the device manufacturer. Alternatively, it is conceivable that a Patient ID could be generated by the ADT or the local John Doe procedure (to avoid conflicting with an ID assigned to a real patient).

The Patient Name might be set to CT^Phantom or ReadingRoom1Display.

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DICOM PS3.3 2019a - Information Object Definitions