DICOM PS3.3 2019e - Information Object Definitions

A Composite Information Object Definitions (Normative) (Current)
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# A Composite Information Object Definitions (Normative)

## A.1 Elements of An Information Object Definition

Each Composite Information Object Definition is composed of the following Sections

1. IOD Description

2. IOD Entity-Relationship Model

3. IOD Module Table

4. Optionally, a Functional Group Macros Table used by the Multi-frame Functional Groups Module

Section A.1.1, Section A.1.2 and Section A.1.3 define the requirements of a) through d) above.

### A.1.1 IOD Description

This Section provides a brief description of the IOD. Specifically, this description includes:

- The Real-World Object that is represented by the IOD

- Information as to the scope of the represented object if appropriate

### A.1.2 IOD Entity-Relationship Model

This Section of an IOD provides the Entity-Relationship (E-R) Model that depicts the relationships of the components or Information Entities (IE) of the specified IOD. It forms an IOD specific information model. This E-R model provides the complete context of how the Composite Instance information shall be interpreted when a Composite Instance is exchanged between two DICOM Application Entities; in particular, an IOD will specify a single IE at the level below the Series IE.

Even though Composite Instances are encoded as discrete individual components, each Composite Instance IOD E-R Model requires that all Composite Instances that are part of a specific Study shall share the same context. That is, all Composite Instances within a specific Patient Study share the same Patient and Study information; all Composite Instances within the same Series share the same Series information; etc.

Figure A.1-1 is the DICOM Composite Instance IOD Information Model. It applies to all Patient-related Composite Instance IODs defined in Annex A. However, a subset of this model may be specified by each individual Composite Instance IOD to accurately define the context for specific Composite Instance exchange.

The sub-sections of this Section describe the Information Entities (IE) that comprise the Composite Instance IODs defined in this Annex.

Figure A.1-1. DICOM Composite Instance IOD Information Model

#### A.1.2.1 Patient IE

The Patient IE defines the characteristics of a Patient who is the subject of one or more medical Studies.

### Note

A Patient may be a human or an animal.

The Patient IE is modality independent.

#### A.1.2.2 Study IE

The Study IE defines the characteristics of a medical Study performed on a Patient. A Study is a collection of one or more Series of medical images, presentation states, and/or SR documents that are logically related for the purpose of diagnosing a Patient. Each Study is associated with exactly one Patient.

A Study may include Composite Instances that are created by a single modality, multiple modalities or by multiple devices of the same modality.

The Study IE is modality independent.

#### A.1.2.3 Series IE

The Series IE defines the Attributes that are used to group Composite Instances into distinct logical sets. Each Series is associated with exactly one Study.

The following criteria group Composite Instances into a specific Series:

1. All Composite Instances within a Series must be of the same modality

2. Each Series may be associated with exactly one Frame of Reference IE, and if so associated all Composite Instances within the Series shall be spatially or temporally related to each other

3. All Composite Instances within the Series shall be created by the same equipment; therefore, each Series is associated with exactly one Equipment IE

4. All Composite Instances within a Series shall have the same Series information

Presentation States shall be grouped into Series without Images (i.e., in a different Series from the Series containing the Images to which they refer).

### Note

The Series containing Grayscale, Color and Pseudo-Color Softcopy Presentation States and the Series containing the Images to which they refer are both contained within the same Study, except for Blended Presentation States, which may refer to images from different Studies.

Waveforms shall be grouped into Series without Images. A Frame of Reference IE may apply to both Waveform Series and Image Series.

SR Documents shall be grouped into Series without Images. The Frame of Reference IE may apply to SR Document Series, for SR Documents that contain 3D spatial coordinates relative to one or more spatial Frames of Reference, or temporal coordinates that require a temporal Frame of Reference.

#### A.1.2.4 Equipment IE

The Equipment IE describes the particular device that produced the Series of Composite Instances. A device may produce one or more Series within a Study. The Equipment IE does not describe the data acquisition or image creation Attributes used to generate the Composite Instances within a Series. These Attributes are described in the Composite Instance specific IEs (e.g., the Image IE).

#### A.1.2.5 Frame of Reference IE

The Frame of Reference IE identifies the coordinate system that conveys spatial and/or temporal information of Composite Instances in a Series.

When present, a Frame of Reference IE may be related to one or more Series. In this case, it provides the ability to spatially or temporally relate multiple Series to each other. In such cases, the Series may share the UID of the Frame of Reference, or alternatively, a Registration SOP Instance may specify the spatial relationship explicitly, as a spatial transformation. A Frame of Reference IE may also spatially register a Frame of Reference to an atlas.

#### A.1.2.6 Image IE

The Image IE defines the Attributes that describe the pixel data of an image. The pixel data may be generated as a direct result of Patient scanning (termed an Original Image) or the pixel data may be derived from the pixel data of one or more other images (termed a Derived Image). An image is defined by its image plane, pixel data characteristics, gray scale and/or color mapping characteristics and modality specific characteristics (acquisition parameters and image creation information).

An image is related to a single Series within a single Study.

The pixel data within an Image IE may be represented as a single frame of pixels or as multiple frames of pixel data. The frames of a Multi-frame image (a cine run or the slices of a volume) are sequentially ordered and share a number of common properties. A few Attributes may vary between frames (e.g., Time, Angular Displacement, Slice Increment). All common Image IE Attributes refer to the first frame of a multiple frame image.

Overlay, Modality and Value of Interest Lookup Table and Real World Value Mapping data may be included within an Image IE only if this information is directly associated with the image.

##### A.1.2.6.1 Overlay Data

Overlay data represents graphics or text in a bit-map format, and is used to indicate such items as region of interest, reference marks and annotations.

##### A.1.2.6.2 Modality LUT Data

Modality LUT data describes the transformation of manufacturer dependent pixel values into pixel values that are manufacturer independent (e.g., Hounsfield units for CT, Optical Density for film digitizers, etc.). The transformation may be linear, described by Rescale Slope and Rescale Intercept, or non-linear, described by a Lookup Table (LUT).

##### A.1.2.6.3 Value of Interest LUT Data

The Value of Interest (VOI) LUT data describes the transformation of the modality pixel values into pixel values that are meaningful for print, display, etc. This transformation is applied after any Modality LUT. The transformation may be linear, described by Window Center and Window Width, or non-linear, described by a Lookup Table. A non-linear interpretation of Window Center and Window Width may be defined by VOI LUT Function.

##### A.1.2.6.4 Real World Value Mapping Data

The Real World Value Mapping data describes the transformation of the image pixel values into real world values in defined units. There may be multiple transformations, each scoped by a range of input pixel values. Each transformation may be linear, described by Slope and Intercept, or non-linear, described by a Lookup Table.

#### A.1.2.7 Overlay IE

Retired. See PS3.3-2016a.

### Note

Overlays were previously modeled as independent Information Entities; in the current model they are considered Attributes within the Image IE or Presentation State IE. See A.1.2.6.1.

#### A.1.2.8 Curve IE

Retired. See PS3.3-2004.

#### A.1.2.9 Modality LUT IE

Retired. See PS3.3-2016a.

### Note

Modality LUTs were previously modeled as independent Information Entities; in the current model they are considered Attributes within the Image IE or Presentation State IE. See A.1.2.6.2.

#### A.1.2.10 VOI LUT IE

Retired. See PS3.3-2016a.

### Note

VOI LUTs were previously modeled as independent Information Entities; in the current model they are considered Attributes within the Image IE or Presentation State IE. See A.1.2.6.3.

#### A.1.2.11 Presentation State IE

The Presentation State IE defines how a referenced image (or images) will be presented (e.g., displayed) in a device independent grayscale space (i.e., in P-Values) or color space (i.e., in PCS-values), and what graphical annotations and spatial and grayscale contrast transformations will be applied to the referenced image pixel data.

Overlay, Modality LUT, and VOI LUT data (see A.1.2.6.1, A.1.2.6.2, and A.1.2.6.3) may be included within a Presentation State IE if this information is to be applied to the referenced image(s).

#### A.1.2.12 Waveform IE

The Waveform IE represents a multi-channel time-based digitized waveform. The waveform consists of measurements of some physical qualities (e.g., electrical voltage, pressure, gas concentration, or sound), sampled at constant time intervals. The measured qualities may originate, for example, in any of the following sources:

1. the anatomy of the Patient,

2. therapeutic equipment (e.g., a cardiac pacing signal or a radio frequency ablation signal),

3. equipment for diagnostic synchronization (e.g., a clock or timing signal used between distinct devices),

4. the physician's voice (e.g., a dictated report).

The sample data within a Waveform IE may represent one or more acquired channels. Several signal channels acquired at the same sampling rate can be multiplexed (by interleaving samples) in a single multiplex group. (see also Annex C “Waveforms (Informative)” in PS3.17.)

#### A.1.2.13 SR Document IE

The SR Document IE defines the Attributes that describe the content of an SR Document. These include semantic context as well as Attributes related to document completion, verification and other characteristics. An SR Document SOP Instance is related to a single Series within a single Study.

#### A.1.2.14 Spectroscopy IE

The Spectroscopy IE defines the Attributes that describe the data of a spectroscopy acquisition created by a magnetic resonance spectroscopy device.

#### A.1.2.15 Raw Data IE

The Raw Data IE defines the Attributes that describe a collection of data that may be used for further processing to produce image data or other data.

### Note

For example, raw data may be used with CT and MR systems to reconstruct sets of images or for MR to reconstruct spectroscopic data. The format of the raw data is vendor specific.

#### A.1.2.16 Encapsulated Document IE

The Encapsulated Document IE defines the Attributes that describe the content of a non-DICOM formatted document that is encapsulated in a DICOM Attribute. These include Attributes related to document origin, title, and other characteristics. An Encapsulated Document SOP Instance is related to a single Series within a single Study.

#### A.1.2.17 Real World Value Mapping IE

The Real World Value Mapping IE defines the Attributes that describe the mapping of stored pixel data to Real World values (see A.1.2.6.4).

#### A.1.2.18 Surface IE

The Surface IE defines the Attributes that describe a surface in a spatial coordinate system. A surface is defined by its shape and can be further defined by normals on that shape. The surface may be reconstructed from either spatial scans (e.g., laser scanners) or based on images. A surface is described by its finite volume and manifold property, gray scale and color mapping characteristics, presentation type, opacity, and modality specific characteristics.

A surface is related to a single Series.

#### A.1.2.19 Measurements IE

The Measurements IE defines the Attributes that describe the measurements taken by medical instruments.

#### A.1.2.20 Tractography Results IE

The Tractography Results IE defines the Attributes that describe the results of a tractography application.

### Note

The term tractogram is not used because it does not include all types of tractography results.

#### A.1.2.21 Plan IE

The Plan IE defines the parameters and instructions to deliver treatment, particularly Radiotherapy, to the Patient. The entity includes the set of machine and positioning parameters to be applied during treatment delivery and instructions guiding the treatment workflow.

#### A.1.2.22 Content Assessment Result IE

The Content Assessment Result IE contains the results of an assessment of the content of a SOP instance.

An assessment is part of a process within a clinical workflow, conducted by users or devices, which have the role of assessing the validity and suitability of the content in question, based on subjective or objective criteria. The specific nature of such a process is outside of the scope of this Standard.

#### A.1.2.23 Spatial Fiducials IE

The Spatial Fiducials IE identifies one or more geometric locations or shapes within a Frame of Reference or image pixel/voxel space that may be correlated with similar locations or shapes within different frames of reference or image pixel/voxel spaces.

#### A.1.2.24 Dose IE

The Dose IE describes dose distributions calculated by radiotherapy treatment planning systems. These distributions may be represented as 2D or 3D grids, as isodose curves, or as named or unnamed dose points scattered throughout a volume.

#### A.1.2.25 Structure Set IE

The Structure Set IE describes Regions of Interest (ROI) within a referenced 2D (image) or 3D (volumetric) space. These ROIs may be represented as geometric contours.

#### A.1.2.26 Treatment Record IE

The Treatment Record IE describes treatments, particularly radiotherapy, for a Patient.

#### A.1.2.27 Stereometric Relationship IE

The Stereometric Relationship IE defines how referenced images are related as stereometric pairs.

#### A.1.2.28 Procedure Protocol IE

The Procedure Protocol IE defines the Attributes that describe a Protocol. This IE may encode a Defined Procedure Protocol or a Performed Procedure Protocol.

### A.1.3 IOD Module Table and Functional Group Macro Table

This Section of each IOD defines in a tabular form the Modules comprising the IOD. The following information must be specified for each Module in the table:

- The name of the Module or Functional Group

- A reference to the Section in Annex C that defines the Module or Functional Group

- The usage of the Module or Functional Group; whether it is:

  - Mandatory (see Section A.1.3.1), abbreviated M

  - Conditional (see Section A.1.3.2), abbreviated C

  - User Option (see Section A.1.3.3), abbreviated U

The Modules referenced are defined in Annex C.

#### A.1.3.1 Mandatory Modules

For each IOD, Mandatory Modules shall be supported per the definitions, semantics and requirements defined in Annex C.

#### A.1.3.2 Conditional Modules

Conditional Modules are Mandatory Modules if specific conditions are met. If the specified conditions are not met, this Module shall not be supported; that is, no information defined in that Module shall be present.

#### A.1.3.3 User Option Modules

User Option Modules may or may not be supported. If an optional Module is supported, the Attribute Types specified in the Modules in Annex C shall be supported.

### A.1.4 Overview of the Composite IOD Module Content

The Tables in this Section provide an overview of the Modules used throughout the Composite IODs. This table is for informative purposes only. It is based on the IOD definitions found in the remaining Sections of Annex A that are normative.

Table A.1-1a. Composite Information Object Modules Overview - Images

IODs Modules | CR | CT | Enh CT | MR | Enh MR | Enh MR Col | NM | US | US MF | Enh US Vol | SC | SC MF SB | SC MF GB | SC MF GW | SC MF TC | PT | Enh PT
--- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | ---
Patient | M | M | M | M | M | M | M | M | M | M | M | M | M | M | M | M | M
Clinical Trial Subject | U | U | U | U | U | U | U | U | U | U | U | U | U | U | U | U | U
General Study | M | M | M | M | M | M | M | M | M | M | M | M | M | M | M | M | M
Patient Study | U | U | U | U | U | U | U | U | U | U | U | U | U | U | U | U | U
Clinical Trial Study | U | U | U | U | U | U | U | U | U | U | U | U | U | U | U | U | U
General Series | M | M | M | M | M | M | M | M | M | M | M | M | M | M | M | M | M
Clinical Trial Series | U | U | U | U | U | U | U | U | U | U | U | U | U | U | U | U | U
CR Series | M |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
NM/PET Patient Orientation |  |  |  |  |  |  | M |  |  |  |  |  |  |  |  | M |
PET Series |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | M |
PET Isotope |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | M |
PET Multi-gated Acquisition |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | C |
Enhanced PET Series |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | M
Enhanced US Series |  |  |  |  |  |  |  |  |  | M |  |  |  |  |  |  |
Frame of Reference |  | M | M | M | M | M | U | U | U | M |  |  | C | C | C | M | M
Ultrasound Frame of Reference |  |  |  |  |  |  |  |  |  | M |  |  |  |  |  |  |
Synchronization |  |  | C |  | C | C | C | U | U | M |  |  | U | U | U | C | C
Cardiac Synchronization |  |  | C |  | C | C |  |  |  | C |  |  |  |  |  |  | C
Respiratory Synchronization |  |  | C |  | C | C |  |  |  | C |  |  |  |  |  |  | C
Bulk Motion Synchronization |  |  |  |  | C | C |  |  |  |  |  |  |  |  |  |  |
General Equipment | M | M | M | M | M | M | M | M | M | M | U | U | U | U | U | M | M
Enhanced General Equipment |  |  | M |  | M | M |  |  |  | M |  |  |  |  |  |  | M
SC Equipment |  |  |  |  |  |  |  |  |  |  | M | M | M | M | M |  |
General Image | M | M |  | M |  |  | M | M* | M | M | M | M | M | M | M | M |
Image Plane |  | M |  | M |  |  |  |  |  |  |  |  |  |  |  | M |
Image Pixel | M | M | M | M | M | M | M | M* | M | M | M | M | M | M | M | M | M
NM Image Pixel |  |  |  |  |  |  | M |  |  |  |  |  |  |  |  |  |
Palette Color Lookup Table |  |  |  |  |  |  |  | C | C |  |  |  |  |  |  |  |
Supplemental Palette Color Lookup Table |  |  | C |  | C |  |  |  |  |  |  |  |  |  |  |  |
Enhanced Palette Color Lookup Table |  |  |  |  |  |  |  |  |  | U |  |  |  |  |  |  |
Contrast/Bolus | C | C |  | C |  |  |  | C* | C |  |  |  |  |  |  |  |
Enhanced Contrast/Bolus |  |  | C |  | C | C |  |  |  | C |  |  |  |  |  |  |
Cine |  |  |  |  |  |  |  |  | M |  |  | C | C | C | C |  |
Multi-frame |  |  |  |  |  |  | M |  | M |  |  | M | M | M | M |  |
NM Multi-frame |  |  |  |  |  |  | M |  |  |  |  |  |  |  |  |  |
Frame Pointers |  |  |  |  |  |  |  |  | U |  |  | U | U | U | U |  |
Multi-frame Functional Groups |  |  | M |  | M | M |  |  |  | M |  |  | U | U | U |  | M
Multi-frame Dimension |  |  | M |  | M | M |  |  |  | M |  |  | U | U | U |  | M
Excluded Intervals |  |  |  |  |  |  |  |  |  | U |  |  |  |  |  |  |
Display Shutter | U |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Device | U | U | U | U | U | U | U | U | U | U | U | U | U | U | U | U |
Intervention |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | U
Specimen | U | U | U | U | U | C | U | U | U | U | U | U | U | U | U | U | U
CR Image | M |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
CT Image |  | M |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Enhanced CT Image |  |  | M |  |  |  |  |  |  |  |  |  |  |  |  |  |
MR Image |  |  |  | M |  |  |  |  |  |  |  |  |  |  |  |  |
Enhanced MR Image |  |  |  |  | M | M |  |  |  |  |  |  |  |  |  |  |
MR Pulse Sequence |  |  |  |  | C | C |  |  |  |  |  |  |  |  |  |  |
NM Image |  |  |  |  |  |  | M |  |  |  |  |  |  |  |  |  |
NM Isotope |  |  |  |  |  |  | M |  |  |  |  |  |  |  |  |  |
NM Detector |  |  |  |  |  |  | M |  |  |  |  |  |  |  |  |  |
NM TOMO Acquisition |  |  |  |  |  |  | C |  |  |  |  |  |  |  |  |  |
NM Multi-Gated Acquisition |  |  |  |  |  |  | C |  |  |  |  |  |  |  |  |  |
NM Phase |  |  |  |  |  |  | C |  |  |  |  |  |  |  |  |  |
NM Reconstruction |  |  |  |  |  |  | C |  |  |  |  |  |  |  |  |  |
US Region Calibration |  |  |  |  |  |  |  | U* | U |  |  |  |  |  |  |  |
US Image |  |  |  |  |  |  |  | M* | M |  |  |  |  |  |  |  |
Enhanced US Image |  |  |  |  |  |  |  |  |  | M |  |  |  |  |  |  |
IVUS Image |  |  |  |  |  |  |  |  |  | C |  |  |  |  |  |  |
SC Image |  |  |  |  |  |  |  |  |  |  | M | U | U | U | U |  |
SC Multi-frame Image |  |  |  |  |  |  |  |  |  |  |  | M | M | M | M |  |
SC Multi-frame Vector |  |  |  |  |  |  |  |  |  |  |  | C | C | C | C |  |
PET Image |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | M |
Enhanced PET Isotope |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | M
Enhanced PET Acquisition |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | M
Enhanced PET Image |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | M
Overlay Plane | U | U |  | U |  |  | U | U* |  |  | U |  |  |  |  | U |
Multi-frame Overlay |  |  |  |  |  |  | U |  |  |  |  |  |  |  |  |  |
Modality LUT | U |  |  |  |  |  |  |  |  |  | U |  |  |  |  |  |
VOI LUT | U | U |  | U |  |  | U | U* | U |  | U |  | C | C |  | U |
Common Instance Reference | U | U | U | U | U | U | U | U | U | U | U | U | U | U | U | U | U
Acquisition Context |  |  | M |  | M | M | U |  |  | M |  |  |  |  |  | U | M
ICC Profile |  |  | U |  | U | M | U | U | U | U | U |  |  |  | U |  |
SOP Common | M | M | M | M | M | M | M | M* | M* | M | M | M | M | M | M | M | M
Frame Extraction |  |  | C |  | C | C | C |  | C | C |  | C | C | C | C |  | C

* The notation next to M and U indicates a special condition for these Modules. Refer to the corresponding Information Object Definitions in this Annex for details.

### Note

1. The original US Image IOD and US multi-frame IOD, and the associated US and US multi-frame Storage SOP Class UID have been retired. New US and US multi-frame Image IODs are defined, as shown in Table A.1-1a, which includes the Palette Color Lookup Table Module.

2. The original NM Image IOD and the associated NM Storage SOP Class UID have been retired. A completely new NM Image IOD is defined, as shown in Table A.1-1a.

Table A.1-1b. Composite Information Object Modules Overview - More Images

IODs Modules | XA | Enh XA | RF | Enh RF | 3D XA | 3D CF | Br Tomo | Br Proj | RT IM | DX | MG | IO | Par Map
--- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | ---
Patient | M | M | M | M | M | M | M | M | M | M | M | M | M
Clinical Trial Subject | U | U | U | U | U | U | U | U | U | U | U | U | U
General Study | M | M | M | M | M | M | M | M | M | M | M | M | M
Patient Study | U | U | U | U | U | U | U | U | U | U | U | U | U
Clinical Trial Study | U | U | U | U | U | U | U | U | U | U | U | U | U
General Series | M | M | M | M | M | M | M | M |  | M | M | M | M
Clinical Trial Series | U | U | U | U | U | U | U | U | U | U | U | U | U
Enhanced Series |  |  |  |  | M | M |  |  |  |  |  |  |
RT Series |  |  |  |  |  |  |  |  | M |  |  |  |
DX Series |  |  |  |  |  |  |  | M |  | M | M | M |
Mammo Series |  |  |  |  |  |  |  |  |  |  | M |  |
Enhanced Mammo Series |  |  |  |  |  |  | M | M |  |  |  |  |
Intra-Oral Series |  |  |  |  |  |  |  |  |  |  |  | M |
XA/XRF Series |  | M |  | M |  |  |  |  |  |  |  |  |
Parametric Map Series |  |  |  |  |  |  |  |  |  |  |  |  | M
Frame of Reference |  | C |  | U | M | M | M | M | U | U | C | U | M
Synchronization | U | C | U | C | U |  | C | C |  |  |  |  | U
Cardiac Synchronization |  | C |  | C | C |  |  |  |  |  |  |  |
Respiratory Synchronization |  | C |  | C | C |  |  |  |  |  |  |  |
General Equipment | M | M | M | M | M | M | M | M | M | M | M | M | M
Enhanced General Equipment |  | M |  | M | M | M | M | M |  |  |  |  | M
General Image | M |  | M |  |  |  |  |  | M | M | M | M | M
Image Pixel | M | M | M | M | M | M | M | M | M | M | M | M | C
Floating Point Image Pixel |  |  |  |  |  |  |  |  |  |  |  |  | C
Double Floating Point Image Pixel |  |  |  |  |  |  |  |  |  |  |  |  | C
Palette Color Lookup Table |  |  |  |  |  |  |  |  |  |  |  |  | C
Contrast/Bolus | C |  | C |  |  |  |  |  | C | U | U | U |
Enhanced Contrast/Bolus |  | C |  | C | C | C | C | C |  |  |  |  |
Cine | C |  | C |  |  |  |  |  | C |  |  |  |
Multi-frame | C |  | C |  |  |  |  |  | C |  |  |  |
Frame Pointers | U |  | U |  |  |  |  |  |  |  |  |  |
Multi-frame Functional Groups |  | M |  | M | M | M | M | M |  |  |  |  | M
Multi-frame Dimension |  | U |  | U | U | U | U | U |  |  |  |  | M
Mask | C | U | C | U |  |  |  |  |  |  |  |  |
Display Shutter | U |  | U |  |  |  |  |  |  | U | U | U |
Device | U | U | U | U | U | U | U | U | U | U | U | U | U
Intervention | U | U | U | U | U | U | U | U |  | U | U | U |
Specimen | U | U | U | U | U | U | U | U |  | U | U | U | U
Patient Orientation |  |  |  |  | U | U |  | M |  |  |  |  |
Image - Equipment Coordinate Relationship |  |  |  |  | U | U | U |  |  |  |  |  |
Cardiac Synchronization |  |  |  |  |  |  |  |  |  |  |  |  | U
Respiratory Synchronization |  |  |  |  |  |  |  |  |  |  |  |  | U
Bulk Motion Synchronization |  |  |  |  |  |  |  |  |  |  |  |  | U
X-Ray Image | M |  | M |  |  |  |  |  |  |  |  |  |
Enhanced XA/XRF Image |  | M |  | M |  |  |  |  |  |  |  |  |
X-Ray Acquisition | M |  | M |  |  |  |  |  |  |  |  |  |
XA/XRF Acquisition |  | C |  | C |  |  |  |  |  |  |  |  |
X-Ray Collimator | U |  | U |  |  |  |  |  |  | U | U | U |
X-Ray Table | C |  | U |  |  |  |  |  |  |  |  |  |
XRF Positioner |  |  | U |  |  |  |  |  |  |  |  |  |
X-Ray Tomography Acquisition |  |  | C | U |  |  |  |  |  | U | U | U |
X-Ray Acquisition Dose |  |  |  |  |  |  |  |  |  | U | U | U |
X-Ray Generation |  |  |  |  |  |  |  |  |  | U | U | U |
X-Ray Filtration |  | U |  | U |  |  |  |  |  | U | U | U |
X-Ray Grid |  | U |  | U |  |  |  |  |  | U | U | U |
XA Positioner | M |  |  |  |  |  |  |  |  |  |  |  |
X-Ray Image Intensifier |  | C |  | C |  |  |  |  |  |  |  |  |
X-Ray Detector |  | C |  | C |  |  |  |  |  |  |  |  |
XA/XRF Multi-frame Presentation |  | U |  | U |  |  |  |  |  |  |  |  |
X-Ray 3D Image |  |  |  |  | M | M | M |  |  |  |  |  |
X-Ray 3D Angiographic Image Contributing Sources |  |  |  |  | U |  |  |  |  |  |  |  |
X-Ray 3D Craniofacial Image Contributing Sources |  |  |  |  |  | U |  |  |  |  |  |  |
Breast Tomosynthesis Contributing Sources |  |  |  |  |  |  | U |  |  |  |  |  |
X-Ray 3D Angiographic Acquisition |  |  |  |  | U |  |  |  |  |  |  |  |
X-Ray 3D Craniofacial Acquisition |  |  |  |  |  | U |  |  |  |  |  |  |
Breast Tomosynthesis Acquisition |  |  |  |  |  |  | U |  |  |  |  |  |
X-Ray 3D Reconstruction |  |  |  |  | U | U | U |  |  |  |  |  |
Enhanced Mammography Image |  |  |  |  |  |  |  | M |  |  |  |  |
Breast View |  |  |  |  |  |  | M | M |  |  |  |  |
DX Anatomy Imaged |  |  |  |  |  |  |  |  |  | M | M | M |
DX Image |  |  |  |  |  |  |  |  |  | M | M | M |
DX Detector | U |  | U |  |  |  |  |  |  | M | M | M |
DX Positioning |  |  |  |  |  |  |  |  |  | U | U | U |
Mammo Image |  |  |  |  |  |  |  |  |  |  | M |  |
Intra-Oral Image |  |  |  |  |  |  |  |  |  |  |  | M |
RT Image |  |  |  |  |  |  |  |  | M |  |  |  |
Parametric Map Image |  |  |  |  |  |  |  |  |  |  |  |  | M
Approval |  |  |  |  |  |  |  |  | U |  |  |  |
Overlay Plane | U |  | U |  |  |  |  |  |  | C | C | C |
Multi-frame Overlay | C |  | C |  |  |  |  |  |  |  |  |  |
Modality LUT | C* |  | C* |  |  |  |  |  | U |  |  |  |
VOI LUT | U |  | U |  |  |  |  |  | U | C | C | C |
Image Histogram |  |  |  |  |  |  |  |  |  | U | U | U |
Common Instance Reference | U | U | U | U | U | U | U | U | U | U | U | U | C
Acquisition Context |  | M |  | M | M | M | M | M |  | M | M | M | M
SOP Common | M | M | M | M | M | M | M | M | M | M | M | M | M
Frame Extraction | C | C | C | C | C | C | C | C | C |  |  |  | C

Table A.1-1c. Composite Information Object Modules Overview - More Images

IODs Modules | VL EN | VL MC | VL SL | VL WS | VL PH | Vid VL EN | Vid VL MC | Vid VL PH | IVOCT | Seg
--- | --- | --- | --- | --- | --- | --- | --- | --- | --- | ---
Patient | M | M | M | M | M | M | M | M | M | M
Clinical Trial Subject | U | U | U | U | U | U | U | U | U | U
General Study | M | M | M | M | M | M | M | M | M | M
Patient Study | U | U | U | U | U | U | U | U | U | U
Clinical Trial Study | U | U | U | U | U | U | U | U | U | U
General Series | M | M | M | M | M | M | M | M | M | M
Clinical Trial Series | U | U | U | U | U | U | U | U | U | U
Segmentation Series |  |  |  |  |  |  |  |  |  | M
Whole Slide Microscopy Series |  |  |  | M |  |  |  |  |  |
Intravascular OCT Series |  |  |  |  |  |  |  |  | M |
Frame of Reference |  |  | M | M |  |  |  |  | M | C
Synchronization |  |  |  |  |  |  |  |  | M |
Cardiac Synchronization |  |  |  |  |  |  |  |  | C |
General Equipment | M | M | M | M | M | M | M | M | M | M
Enhanced General Equipment |  |  |  | M |  |  |  |  | M | M
General Image | M | M | M | M | M | M | M | M |  | M
Image Pixel | M | M | M | M | M | M | M | M | M | M
Supplemental Palette Color Lookup Table |  |  |  |  |  |  |  |  | C |
Enhanced Contrast/Bolus |  |  |  |  |  |  |  |  | M |
Cine |  |  |  |  |  | M | M | M |  |
Multi-frame |  |  |  |  |  | M | M | M |  |
Multi-frame Functional Groups |  |  |  | M |  |  |  |  | M | M
Multi-frame Dimension |  |  |  | M |  |  |  |  | M | M
Device | U | U | U |  | U | U | U | U | U |
Specimen | U | C | M | M | C | C | C | C |  | U
VL Image | M | M | M |  | M | M | M | M |  |
Slide Coordinates |  |  | M |  |  |  |  |  |  |
Whole Slide Microscopy Image |  |  |  | M |  |  |  |  |  |
Optical Path |  | U | U | M |  |  |  |  |  |
Multi-Resolution Navigation |  |  |  | C |  |  |  |  |  |
Slide Label |  |  |  | C |  |  |  |  |  |
Intravascular OCT Image |  |  |  |  |  |  |  |  | M |
Intravascular OCT Acquisition Parameters |  |  |  |  |  |  |  |  | M |
Intravascular OCT Processing Parameters |  |  |  |  |  |  |  |  | C |
Intravascular Image Acquisition Parameters |  |  |  |  |  |  |  |  | M |
Segmentation Image |  |  |  |  |  |  |  |  |  | M
Overlay Plane | U | U | U |  | U |  |  |  |  |
Common Instance Reference | U | U | U | M | U | U | U | U | M | C
Acquisition Context | M | M | M | M | M | M | M | M | M |
ICC Profile | U | U | U | U | U | U | U | U |  |
SOP Common | M | M | M | M | M | M | M | M | M | M
Frame Extraction |  |  |  | C |  | C | C | C | C | C

Table A.1-1d. Composite Information Object Modules Overview - More Images

IODs Modules | Oph 8 Bit | Oph 16 Bit | WF Oph St | WF Oph 3DC | OPT | OCT ENF | OCT BSV | OPM | CM
--- | --- | --- | --- | --- | --- | --- | --- | --- | ---
Patient | M | M | M | M | M | M | M | M | M
Clinical Trial Subject | U | U | U | U | U | U | U | U | U
General Study | M | M | M | M | M | M | M | M | M
Patient Study | U | U | U | U | U | U | U | U | U
Clinical Trial Study | U | U | U | U | U | U | U | U | U
General Series | M | M | M | M | M | M | M | M | M
Clinical Trial Series | U | U | U | U | U | U | U | U | U
Ophthalmic Tomography Series |  |  |  |  | M |  |  |  |
Ophthalmic Tomography En Face Series |  |  |  |  |  | M |  |  |
Ophthalmic Tomography B-scan Volume Analysis Series |  |  |  |  |  |  | M |  |
Ophthalmic Thickness Map Series |  |  |  |  |  |  |  | M |
Corneal Topography Map Series |  |  |  |  |  |  |  |  | M
Frame of Reference |  |  | M | M | C | M | M |  | M
Synchronization | M | M | M | M | C |  |  |  |
Cardiac Synchronization |  |  |  |  | C |  |  |  |
General Equipment | M | M | M | M | M | M | M | M | M
Enhanced General Equipment |  |  | M | M | M | M | M | M | M
General Image | M | M | M | M |  | M |  | M | M
Image Pixel | M | M | M | M | M | M | M | M | M
Palette Color Lookup Table |  |  |  |  |  | C |  |  | M
Supplemental Palette Color Lookup Table |  |  |  |  |  |  |  | C |
Enhanced Contrast/Bolus | C | C | C | C | C |  |  |  |
Cine | C | C | C | C |  |  |  |  |
Multi-frame | M | M | M | M |  |  |  |  |
Multi-frame Functional Groups |  |  |  |  | M |  | M |  |
Multi-frame Dimension |  |  |  |  | M |  | M |  |
Bitmap Display Shutter |  |  |  |  |  |  |  | C |
Device | U | U |  |  |  |  |  |  |
Ophthalmic Photography Image | M | M | M | M |  |  |  |  |
Wide Field Ophthalmic Photography Stereographic Projection |  |  | M |  |  |  |  |  |
Wide Field Ophthalmic Photography 3D Coordinates |  |  |  | M |  |  |  |  |
Wide Field Ophthalmic Photography Quality Rating |  |  | C | C |  |  |  |  |
Ocular Region Imaged | M | M | M | M | M | M |  |  |
Ophthalmic Photography Acquisition Parameters | M | M | M | M |  |  |  | M | M
Ophthalmic Photographic Parameters | M | M | M | M |  |  |  |  |
Ophthalmic Tomography Image |  |  |  |  | M |  |  |  |
Ophthalmic Tomography Parameters |  |  |  |  | M |  |  |  |
Ophthalmic Tomography Acquisition Parameters |  |  |  |  | M |  |  |  |
Ophthalmic Thickness Map |  |  |  |  |  |  |  | M |
Ophthalmic Thickness Map Quality Rating |  |  |  |  |  |  |  | C |
Corneal Topography Map Image |  |  |  |  |  |  |  |  | M
Corneal Topography Map Analysis |  |  |  |  |  |  |  |  | M
Ophthalmic Optical Coherence Tomography En Face Image |  |  |  |  |  | M |  |  |
Ophthalmic Optical Coherence Tomography B-scan Volume Analysis Image |  |  |  |  |  |  | M |  |
Ophthalmic Optical Coherence Tomography En Face Image Quality Rating |  |  |  |  |  | C |  |  |
Common Instance Reference | U | U | U | U | U | U | U | U |
Acquisition Context | U | U | U | U | M |  |  | M | M
ICC Profile | U | U | C | C |  | U |  |  | U
SOP Common | M | M | M | M | M | M | M | M | M
Frame Extraction | C | C | C | C | C |  | C |  |

Table A.1-2. Composite Information Object Modules Overview - Non-Images

IODs Modules | MR Spectroscopy | Raw Data | Surface Scan Point Cloud | Surface Scan Mesh | Content Assessment Result
--- | --- | --- | --- | --- | ---
Patient | M | M | M | M | M
Clinical Trial Subject | U | U | U | U | U
General Study | M | M | M | M | M
Patient Study | U | U | U | U | U
Clinical Trial Study | U | U | U | U | U
General Series | M | M | M | M | M
Clinical Trial Series | U | U | U | U | U
Optical Surface Scanner Series |  |  | M | M |
Frame of Reference | M | U |  |  |
Sync. | C | C |  |  |
Cardiac Sync. | C |  |  |  |
Respiratory Sync. | C |  |  |  |
Bulk Motion Sync. | C |  |  |  |
General Equip. | M | M | M | M | M
Enhanced General Equip. | M |  | M | M | M
Multi-frame Functional Groups | M |  |  |  |
Multi-frame Dim. | M |  |  |  |
Specimen | U | U | U | U |
Raw Data |  | M |  |  |
MR Spect. | M |  |  |  |
MR Spect. Pulse Sequence | C |  |  |  |
MR Spect. Data | M |  |  |  |
Point Cloud |  |  | M |  |
Surface Mesh |  |  |  | M |
UV Mapping |  |  | U | U |
Scan Procedure |  |  | M | M |
Content Assessment Results |  |  |  |  | M
Acquisition Context | M | M |  |  |
Common Instance Reference |  |  |  |  | M
SOP Common | M | M | M | M | M
Frame Extraction | C |  |  |  |

Table A.1-3. Composite Information Object Modules Overview - More Non-Images

IODs Modules | Ln Mx | Aut Ref Mx | Ker Mx | Sub Ref Mx | Vis Acy Mx | Op Ax Mx | IO Ln Cl | OPV | Reg | Def Reg | Fid | RWV | Str Rl | HP | Sfc Seg | Col Pal | Bs St Dsp | Trc Res
--- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | ---
Patient | M | M | M | M | M | M | M | M | M | M | M | M | M |  | M |  | M | M
Clinical Trial Subject | U | U | U | U | U | U | U | U | U | U | U | U | U |  | U |  | U | U
General Study | M | M | M | M | M | M | M | M | M | M | M | M | M |  | M |  | M | M
Patient Study | U | U | U | U | U | U | U | U | U | U | U | U | U |  | U |  | U | U
Clinical Trial Study | U | U | U | U | U | U | U | U | U | U | U | U | U |  | U |  | U | U
General Series | M | M | M | M | M | M | M | M | M | M | M |  | M |  | M |  | M | M
Clinical Trial Series | U | U | U | U | U | U | U | U |  |  | U |  | U |  | U |  | U | U
Presentation Series |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | M |
Spatial Registration Series |  |  |  |  |  |  |  |  | M | M |  |  |  |  |  |  |  |
Spatial Fiducials Series |  |  |  |  |  |  |  |  |  |  | M |  |  |  |  |  |  |
Real World Value Mapping Series |  |  |  |  |  |  |  |  |  |  |  | M |  |  |  |  |  |
Stereometric Series |  |  |  |  |  |  |  |  |  |  |  |  | M |  |  |  |  |
Segmentation Series |  |  |  |  |  |  |  |  |  |  |  |  |  |  | M |  |  |
Lensometry Msrmnts. Series | M |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Autorefraction Msrmnts. Series |  | M |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Keratometry Msrmnts. Series |  |  | M |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Subjective Refraction Msrmnts. Series |  |  |  | M |  |  |  |  |  |  |  |  |  |  |  |  |  |
Visual Acuity Msrmnts. Series |  |  |  |  | M |  |  |  |  |  |  |  |  |  |  |  |  |
Ophthalmic Axial Msrmnts. Series |  |  |  |  |  | M |  |  |  |  |  |  |  |  |  |  |  |
Intraocular Lens Calculations Series |  |  |  |  |  |  | M |  |  |  |  |  |  |  |  |  |  |
Visual Field Static Perimetry Msrmnts. Series |  |  |  |  |  |  |  | M |  |  |  |  |  |  |  |  |  |
Tractography Results Series |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | M
Frame of Reference |  |  |  |  |  |  |  |  | M | M |  |  |  |  | M |  |  | M
General Equipment | M | M | M | M | M | M | M | M | M | M | M | M | M |  | M |  | M | M
Enhanced General Equipment | M | M | M | M | M | M | M | M |  | M |  |  |  |  | M |  | M | M
Specimen |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | U
Palette Color LUT |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | M |  |
Stereometric Relationship |  |  |  |  |  |  |  |  |  |  |  |  | M |  |  |  |  |
ICC Profile |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | M |  |
Spatial Registration |  |  |  |  |  |  |  |  | M |  |  |  |  |  |  |  |  |
Deformable Spatial Registration |  |  |  |  |  |  |  |  |  | M |  |  |  |  |  |  |  |
Spatial Fiducials |  |  |  |  |  |  |  |  |  |  | M |  |  |  |  |  |  |
Real World Value Mapping |  |  |  |  |  |  |  |  |  |  |  | M |  |  |  |  |  |
Surface Segmentation |  |  |  |  |  |  |  |  |  |  |  |  |  |  | M |  |  |
Surface Mesh |  |  |  |  |  |  |  |  |  |  |  |  |  |  | M |  |  |
Color Palette Definition |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | M |  |
Structured Display |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | M |
Structured Display Image Box |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | M |
Structured Display Annotation |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | U |
General Ophthalmic Refractive Msrmnts. | M | M | M | M | M | M | M |  |  |  |  |  |  |  |  |  |  |
Lensometry Msrmnts. | M |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Autorefraction Msrmnts. |  | M |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Keratometry Msrmnts. |  |  | M |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Subjective Refraction Msrmnts. |  |  |  | M |  |  |  |  |  |  |  |  |  |  |  |  |  |
Visual Acuity Msrmnts. |  |  |  |  | M |  |  |  |  |  |  |  |  |  |  |  |  |
Ophthalmic Axial Msrmnts. |  |  |  |  |  | M |  |  |  |  |  |  |  |  |  |  |  |
Intraocular Lens Calculations |  |  |  |  |  |  | M |  |  |  |  |  |  |  |  |  |  |
Visual Field Static Perimetry Test Parameters |  |  |  |  |  |  |  | M |  |  |  |  |  |  |  |  |  |
Visual Field Static Perimetry Test Reliability |  |  |  |  |  |  |  | M |  |  |  |  |  |  |  |  |  |
Visual Field Static Perimetry Test Msrmnts. |  |  |  |  |  |  |  | M |  |  |  |  |  |  |  |  |  |
Visual Field Static Perimetry Test Results |  |  |  |  |  |  |  | M |  |  |  |  |  |  |  |  |  |
Ophthalmic Patient Clinical Information and Test Lens Parameters |  |  |  |  |  |  |  | U |  |  |  |  |  |  |  |  |  |
Common Instance Reference |  |  |  |  |  |  |  |  | M | M | M | M | M |  | C |  | M | M
Hanging Protocol Definition |  |  |  |  |  |  |  |  |  |  |  |  |  | M |  |  |  |
Hanging Protocol Environment |  |  |  |  |  |  |  |  |  |  |  |  |  | M |  |  |  |
Hanging Protocol Display |  |  |  |  |  |  |  |  |  |  |  |  |  | M |  |  |  |
Tractography Results |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | M
SOP Common | M | M | M | M | M | M | M | M | M | M | M | M | M | M | M | M | M | M

Table A.1-4. Composite Information Object Modules Overview - Radiotherapy

IODs Modules | RT Dose | RT Struc Set | RT Plan | RT Beam Rec | RT Brachy Rec | RT Sum | RT Ion Plan | RT Ion Beams Treat Rec | RT Beams Delivery Inst | RT Brachy App Setup Delivery Inst
--- | --- | --- | --- | --- | --- | --- | --- | --- | --- | ---
Patient | M | M | M | M | M | M | M | M | M | M
Clinical Trial Subject | U | U | U | U | U | U | U | U | U | U
General Study | M | M | M | M | M | M | M | M | M | M
Patient Study | U | U | U | U | U | U | U | U | U | U
Clinical Trial Study | U | U | U | U | U | U | U | U | U | U
General Series |  |  |  |  |  |  |  |  | M | M
Clinical Trial Series | U | U | U | U | U | U | U | U | U | U
RT Series | M | M | M | M | M | M | M | M |  |
Frame of Reference | M |  | U |  |  |  | M |  |  |
General Equipment | M | M | M | M | M | M | M | M | M | M
Enhanced General Equipment |  |  |  |  |  |  |  |  |  | M
General Image | C |  |  |  |  |  |  |  |  |
Image Plane | C |  |  |  |  |  |  |  |  |
Image Pixel | C |  |  |  |  |  |  |  |  |
Multi-frame | C |  |  |  |  |  |  |  |  |
RT Dose | M |  |  |  |  |  |  |  |  |
RT DVH | U |  |  |  |  |  |  |  |  |
Structure Set | C | M |  |  |  |  |  |  |  |
ROI Contour | C | M |  |  |  |  |  |  |  |
RT Dose ROI | C |  |  |  |  |  |  |  |  |
RT ROI Observations |  | M |  |  |  |  |  |  |  |
RT General Treatment Record |  |  |  | M | M | M |  | M |  |
RT Treatment Machine Record |  |  |  | M | M |  |  | M |  |
Measured Dose Reference Record |  |  |  | U | U |  |  | U |  |
Calculated Dose Reference Record |  |  |  | U | U |  |  | U |  |
RT Beams Session Record |  |  |  | M |  |  |  |  |  |
RT Ion Beams Session Record |  |  |  |  |  |  |  | M |  |
RT Brachy Session Record |  |  |  |  | M |  |  |  |  |
RT Treatment Summary Record |  |  |  | U | U | M |  | U |  |
RT General Plan |  |  | M |  |  |  | M |  |  |
RT Prescription |  |  | U |  |  |  | U |  |  |
RT Tolerance Tables |  |  | U |  |  |  |  |  |  |
RT Ion Tolerance Tables |  |  |  |  |  |  | U |  |  |
RT Patient Setup |  |  | U | U | U |  | U | U |  |
RT Fraction Scheme |  |  | U |  |  |  | U |  |  |
RT Beams |  |  | C |  |  |  |  |  |  |
RT Ion Beams |  |  |  |  |  |  | M |  |  |
RT Brachy Application Setups |  |  | C |  |  |  |  |  |  |
RT Beams Delivery Instruction |  |  |  |  |  |  |  |  | M |
RT Brachy Application Setup Delivery Instruction |  |  |  |  |  |  |  |  |  | M
Approval |  | U | U |  |  |  | U |  |  |
Overlay Plane | U |  |  |  |  |  |  |  |  |
Multi-frame Overlay | U |  |  |  |  |  |  |  |  |
Modality LUT | U |  |  |  |  |  |  |  |  |
Common Instance Reference | U | U | U | U | U | U | U | U | C | M
SOP Common | M | M | M | M | M | M | M | M | M | M
Frame Extraction | C |  |  |  |  |  |  |  |  |

Table A.1-4b. Composite Information Object Modules Overview - Second Generation Radiotherapy

IODs Modules | RT Physician Intent | RT Segment Annotation | RT Radiation Set | C-Arm Photon-Electron Radiation
--- | --- | --- | --- | ---
Patient | M | M | M | M
Clinical Trial Subject | U | U | U | U
General Study | M | M | M | M
Patient Study | U | U | U | U
Clinical Trial Study | U | U | U | U
General Series |  |  | M | M
Clinical Trial Series | U | U | U | U
Enhanced RT Series | M | M | M | M
General Equipment | M | M | M | M
Enhanced General Equipment | M | M | M | M
Frame of Reference |  |  |  | M
Radiotherapy Common Instance | M | M | M | M
RT Physician Intent | M |  |  |
RT Prescription | U |  |  |
RT Treatment Phase Intent | C |  |  |
RT Segment Annotation |  | M |  |
RT Radiation Set |  |  | M |
RT Dose Contribution |  |  | C |
RT Delivery Device Common |  |  |  | M
RT Radiation Common |  |  |  | M
C-Arm Photon-Electron Delivery Device |  |  |  | M
C-Arm Photon-Electron Beam |  |  |  | M
Segment Reference |  | M |  |
General Reference | M | M |  |
Common Instance Reference | M | M | M | M
SOP Common | M | M | M | M

Table A.1-5. Composite Information Object Modules Overview - Implants

IODs Modules | Generic Implant Template | Implant Assembly Template | Implant Template Group
--- | --- | --- | ---
Generic Implant Template Description | M |  |
Generic Implant Template 2D Drawings | C |  |
Generic Implant Template 3D Models | C |  |
Generic Implant Template Mating Features | U |  |
Generic Implant Template Planning Landmarks | U |  |
Implant Assembly Template |  | M |
Implant Template Group |  |  | M
SOP Common | M | M | M
Surface Mesh | U |  |

Table A.1-6. Composite Information Object Modules Overview - Presentation States

IODs Modules | Gray Pres State | Col Pres State | Pseudo Col Pres State | Blend Pres State | XA RF Pres State | Planar MPR Vol Pres State | Vol Rend Vol Pres State | Adv Blend Pres State
--- | --- | --- | --- | --- | --- | --- | --- | ---
Patient | M | M | M | M | M | M | M | M
Clinical Trial Subject | U | U | U | U | U | U | U | U
General Study | M | M | M | M | M | M | M | M
Patient Study | U | U | U | U | U | U | U | U
Clinical Trial Study | U | U | U | U | U | U | U | U
General Series | M | M | M | M | M | M | M | M
Clinical Trial Series | U | U | U | U | U | U | U | U
Presn. Series | M | M | M | M | M | M | M | M
Frame of Reference |  |  |  |  |  | M | M | M
General Equip. | M | M | M | M | M | M | M | M
Enhanced General Equip. |  |  |  |  | M | M | M | M
Mask | C |  | C |  |  |  |  |
Display Shutter | C | C | C |  |  |  |  |
Bitmap Display Shutter | C | C | C |  | C |  |  |
Palette Color LUT |  |  | M | M |  |  |  |
Overlay Plane | C | C | C |  | C |  |  |
Disp. Area | M | M | M | M | M |  |  | U
Overlay Actvn. | C | C | C |  | C |  |  |
Graphic Annot. | C | C | C | C | C | U | U | U
Spatial Trans. | C | C | C | C | C |  |  | C
Graphic Layer | C | C | C | C | C | C | C | C
Graphic Group | U | U | U | U |  | U | U | U
Modality LUT | C |  | C |  |  |  |  |
Softcopy VOI LUT | C |  | C |  | C |  |  |
Softcopy Presn. LUT | M |  |  |  | M |  |  |
Presn. State Ident. | M | M | M | M | M |  |  | M
Presn. State Reln. | M | M | M |  | M |  |  |
Presn. State Shutter | M | M | M |  | M |  |  |
Presn. State Mask | M |  | M |  |  |  |  |
Presn. State Blending |  |  |  | M |  |  |  |
Adv. Presn. State Blending |  |  |  |  |  |  |  | M
Adv. Presn. State Display |  |  |  |  |  |  |  | M
XA/XRF Presn. State Mask |  |  |  |  | C |  |  |
XA/XRF Presn. State Shutter |  |  |  |  | C |  |  |
XA/XRF Presn. State Presn. |  |  |  |  | C |  |  |
Volumetric Presentation State Identification |  |  |  |  |  | M | M |
Volumetric Presentation State Relationship |  |  |  |  |  | M | M |
Volume Cropping |  |  |  |  |  | C | C |
Presentation View Description |  |  |  |  |  | M | M |
Multi-Planar Reconstruction Geometry |  |  |  |  |  | M |  |
Volume Render Geometry |  |  |  |  |  |  | M |
Render Shading |  |  |  |  |  |  | U |
MPR Volumetric Presentation State Display |  |  |  |  |  | M |  |
Render Display |  |  |  |  |  |  | M |
Volumetric Graphic Annotation |  |  |  |  |  | U | U |
Presentation Animation |  |  |  |  |  | U | U |
ICC Profile |  | M | M | M |  |  |  | M
Common Instance Reference |  |  |  |  |  | M | M | M
SOP Common | M | M | M | M | M | M | M | M

Table A.1-7. Composite Information Object Modules Overview - Structured Reports

IODs Modules | Basic Text SR | Enhd SR | Comp SR | Comp 3D SR | Extns SR | Key Obj Sel | Mam CAD | Ch CAD | Col CAD | Impl Plan SR | Prc Log
--- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | ---
Patient | M | M | M | M | M | M | M | M | M | M | M
Clinical Trial Subject | U | U | U | U | U | U | U | U | U | U | U
General Study | M | M | M | M | M | M | M | M | M | M | M
Patient Study | U | U | U | U | U | U | U | U | U | U | U
Clinical Trial Study | U | U | U | U | U | U | U | U | U | U | U
Clinical Trial Series | U | U | U | U | U | U | U | U | U | U | U
SR Document Series | M | M | M | M | M |  | M | M | M | M | M
Key Object Document Series |  |  |  |  |  | M |  |  |  |  |
Sync. |  | U | U | U | U |  |  | U |  |  | M
General Equip. | M | M | M | M | M | M | M | M | M | M | M
Enhanced General Equip. |  |  |  |  | M |  |  |  | M | M |
SR Document General | M | M | M | M | M |  | M | M | M | M | M
SR Document Content | M | M | M | M | M | M | M | M | M | M | M
Key Object Document |  |  |  |  |  | M |  |  |  |  |
Timezone |  |  |  |  |  |  |  |  |  |  |
SOP Common | M | M | M | M | M | M | M | M | M | M | M

Table A.1-7b. Composite Information Object Modules Overview - More Structured Reports

IODs Modules | RD SR | R-RD SR | Pat RDSR | Sp Rx Rp | Mac Grd Rp | Acq Ctx SR | Simp Card Echo SR | Plan IA Admin SR | Perf IA Admin SR
--- | --- | --- | --- | --- | --- | --- | --- | --- | ---
Patient | M | M | M | M | M | M | M | M | M
Clinical Trial Subject | U | U | U | U | U | U | U | U | U
General Study | M | M | M | M | M | M | M | M | M
Patient Study | U | U | U | U | U | U | U | U | U
Clinical Trial Study | U | U | U | U | U | U | U | U | U
Clinical Trial Series | U | U | U | U | U | U | U | U | U
SR Document Series | M | M | M | M | M | M | M | M | M
Key Object Document Series |  |  |  |  |  |  |  |  |
Sync. | C | C | C |  |  | C | C |  | M
General Equip. | M | M | M | M | M | M | M | M | M
Enhanced General Equip. | M | M | M | M | M | M | M | M | M
SR Document General | M | M | M | M | M | M | M | M | M
SR Document Content | M | M | M | M | M | M | M | M | M
Key Object Document |  |  |  |  |  |  |  |  |
Timezone |  |  |  |  |  |  | M |  |
SOP Common | M | M | M | M | M | M | M | M | M

Table A.1-8. Composite Information Object Modules Overview - Waveforms

IODs Modules | Basic Voice Audio | 12 Lead ECG | General ECG WF | Ambul ECG WF | Hemo WF | Basic Cardiac EP WF | Arterial Pulse WF | Resp WF | General Audio WF
--- | --- | --- | --- | --- | --- | --- | --- | --- | ---
Patient | M | M | M | M | M | M | M | M | M
Clinical Trial Subject | U | U | U | U | U | U | U | U | U
General Study | M | M | M | M | M | M | M | M | M
Patient Study | U | U | U | U | U | U | U | U | U
Clinical Trial Study | U | U | U | U | U | U | U | U | U
General Series | M | M | M | M | M | M | U | U | U
Clinical Trial Series | U | U | U | U | U | U | U | U | U
Synchronization | U | U | U | U | C | C | M | M | M
General Equipment | M | M | M | M | M | M | M | M | M
Enhanced General Equipment |  |  |  |  |  |  | M | M | M
Waveform Identification | M | M | M | M | M | M | M | M | M
Waveform | M | M | M | M | M | M | M | M | M
Waveform Annotation | U | C | C | C | C | C | C | C | C
Acquisition Context | M | M | M | U | M | M | M | M | M
SOP Common | M | M | M | M | M | M | M | M | M

Table A.1-9. Composite Information Object Modules Overview - Protocols

IODs Modules | CT Performed Procedure Protocol | CT Defined Procedure Protocol | Protocol Approval
--- | --- | --- | ---
Patient | M |  |
Clinical Trial Subject | U |  |
General Study | M |  |
Patient Study | U |  |
Clinical Trial Study | U |  |
General Series | M |  |
Clinical Trial Series | U |  |
Enhanced Series | M |  |
CT Protocol Series | M |  |
Frame of Reference | M |  |
General Equipment | M | M | M
Enhanced General Equipment | M | M | M
Protocol Context | M | M |
Patient Protocol Context | U |  |
Clinical Trial Context |  | U |
Patient Specification |  | U |
Equipment Specification |  | M |
Instructions | U | U |
Patient Positioning | U | U |
Defined CT Acquisition |  | U |
Performed CT Acquisition | U |  |
Defined CT Reconstruction |  | U |
Performed CT Reconstruction | U |  |
Defined Storage |  | U |
Performed Storage | U |  |
Protocol Approval |  |  | M
SOP Common | M | M | M

Table A.1-10. Composite Information Object Modules Overview - Encapsulated Documents

IODs Modules | Enc PDF | Enc CDA | Enc STL
--- | --- | --- | ---
Patient | M | M | M
Clinical Trial Subject | U | U | U
General Study | M | M | M
Patient Study | U | U | U
Clinical Trial Study | U | U | U
Clinical Trial Series | U | U | U
Encapsulated Document Series | M | M | M
Frame of Reference |  |  | M
General Equipment | M | M | M
Enhanced General Equipment |  |  | M
SC Equipment | M | M |
Common Instance Reference |  |  | C
Encapsulated Document | M | M | M
Manufacturing 3D Model |  |  | M
SOP Common | M | M |

Table A.1-11. Real-Time Object Modules Overview - Images

IODs Modules | RTV EN | RTV PH
--- | --- | ---
Patient | M | M
Clinical Trial Subject | U | U
General Study | M | M
Patient Study | U | U
Clinical Trial Study | U | U
General Series | M | M
Clinical Trial Series | U | U
General Equipment | M | M
Enhanced General Equipment | M | M
Frame of Reference | C | C
Synchronization | M | M
General Image | M | M
General Reference | U | U
Real-Time Bulk Data Flow | M | M
Acquisition Context | M | M
Device | U | U
Specimen | C | C
VL Image | M | M
ICC Profile | M | U
SOP Common | M | M
Common Instance Reference | M | M
Real-Time Acquisition | M | M
Current Frame Functional Groups | M | M

Table A.1-12. Real-Time Object Modules Overview - Waveforms

IODs Modules | RTV Basic Voice Audio
--- | ---
Patient | M
Clinical Trial Subject | U
General Study | M
Patient Study | U
Clinical Trial Study | U
General Series | M
Clinical Trial Series | U
General Equipment | M
Enhanced General Equipment | M
Synchronization | M
Waveform Identification | M
Real-Time Bulk Data Flow | M
Acquisition Context | M
SOP Common | M
Current Frame Functional Groups | M

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DICOM PS3.3 2019e - Information Object Definitions