ps3.3-2011翻訳 医療におけるデジタル画像と通信(dicom)

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  • PS 3.3-2011

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    PS 3.3-2011

    PS3.3-2011

    DICOM

    3

    A BC.1 C.8

    Digital Imaging and Communications in Medicine (DICOM)

    Part 3: Information Object Definitions

    Text, Annex A, Annex B, Annex C.1 C.8

    Published by

    National Electrical Manufacturers Association

    1300 N. 17th Street

    Rosslyn, Virginia 22209 USA

    Copyright 2011 by the National Electrical Manufacturers Association. All rights including translation

    into other languages, reserved under the Universal Copyright Convention, the Berne Convention for

    the Protection of Literacy and Artistic Works, and the International and Pan American Copyright

    Conventions.

    .

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    Disclaimer

    DICOM is the worldwide Standard for medical imaging and related information. It is published and

    copyright by the National Electrical Manufacturers Association (NEMA). The normative DICOM

    Standard is published in English, and is available free on the official website at

    http://dicom.nema.org/standard.html.

    This document is a translation prepared by the Japan Medical Imaging and Radiological Systems

    Industries Association (JIRA) under agreement with NEMA, with the intention to help Japanese

    readers understand the DICOM Standard more readily.

    This translation represents a best effort; however, differences in meaning may exist between this

    translation and the normative DICOM Standard. Further, the DICOM Standard is under continuous

    maintenance and extension, so readers should expect that there are changes that are not reflected in

    this translation.

    In the event of any difference between this translation and the DICOM Standard published in English

    by NEMA, the English version is normative and takes precedence.

    Implementations shall claim conformance to the normative DICOM Standard. Users are advised to

    obtain the most current documents of the DICOM Standard directly from the official website.

    DICOMDICOMNEMA

    DICOM

    http://dicom.nema.org/standard.html

    DICOMNEMA

    JIRA

    DICOM

    DICOM

    NEMA DICOM

    DICOM DICOM

    http://dicom.nema.org/standard.htmlhttp://dicom.nema.org/standard.html

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    DICOM Committee NEMA A B C

    C.1 C.8

    PS 3.3-2011

    Digital Imaging and Communications in Medicine (DICOM)

    Part 3: Information Object Definitions

    File name: 11_03pu.pdf

    P03-2011__A_B_C.1-C.8 20150625.docx

    2015/06/25

    MS WordPS 3.3-2011

    PS3.3 2015a

    absolute activity

    Accession Number

    administer

    admission

    Admission ID ID

    admitting

    admitting diagnosis (diagnoses)

    AE title AE

    aliased

    Anatomical Orientation Type

    anatomy

    Archive

    atlas

    baseline

    basic

    blended presentation states

    Blood Signal Nulling

    boli bolusbolus ( boli boluses)

    bolus

    brachy therapy

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    breed of the patient

    bulk motion

    Cartesian coordinate system

    Cartesian volume

    central plane

    Compensator

    Compensator

    concept

    concept value

    Confidentiality Constraint

    content

    content item

    context

    Corrected

    country allegiance

    De-identification Method

    deliver .

    delivery

    denote

    designator

    device

    device

    Dimension Organization

    discharge diagnosis

    dwell position

    dwell time

    Entrance

    Entrance Dose

    entry

    equipment

    event

    Exposed Area

    exposure

    exposure dose

    fiducial

    Fixation Light

    fluence J/m2

    Fractional

    frame pixel shift

    fundamental meaning

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    general anatomy macros

    graphical annotation

    Gross Tumor Volume

    healthcare provider

    Identification

    identify

    image receptor

    Imager

    Index

    informed consent

    Instance

    interrogating

    interrogating ultrasound energy

    Intervals Rejected

    ion therapy treatment

    Irradiation

    keratometer

    Keratometry

    Lateral Spreading Device

    lean body mass

    Lensometry lensometer

    Lines of Response LOR

    log entry

    lookup table LUT

    machine

    Mandatory

    Medication

    metric

    Modified

    normal population

    normal sensitivity

    Normals

    normative ,,

    observer

    Ophthalmic

    Order Filler

    Order Placer

    Orientation

    origin

    Override

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    party filling the order

    Patient Breed

    patient care plan

    Patient Demographic Module

    Patient Species

    pcs-value PCS

    performance

    Performing Physician

    Perimetry

    pitch angle

    pixel measures

    Polar to Cartesian scan-conversion

    Power

    prescribe

    prospective

    p-value P

    radiation dose

    Range

    range compensator

    Range Modulator

    Range Shifter

    referring physician

    repository

    required

    Registration

    retrospective

    roll angle

    row

    row

    Segment

    Segmentation

    Service Episode 1

    setup

    Source equipment

    Specific Absorption Rate

    Specimen

    Standardized Uptake Value (SUV) SUV

    stereometric

    Stereometric Relationship Module

    stereoscopic ;

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    stereoscopic

    subsidiary content item

    surrogate

    temporal

    threshold

    TLHC Top Left Hand Corner

    Tolerance Table

    user

    Value Multiplicity

    visit

    Visual Field

    volume based calculation technique

    volumetric properties

    Workitem

    X-Ray Receptor

    Zoom Factor

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    NOTICE AND DISCLAIMER

    NEMA

    NEMA

    NEMA

    NEMA

    NEMA

    NEMA

    NEMA

    NEMA

    NEMA

    NEMA

    NEMA

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    DISCLAIMER ......................................................................................................................... 2

    .......................................................................................................................................................... 3

    NOTICE AND DISCLAIMER ......................................................................................... 8

    .......................................................................................................................................................... 9

    FOREWORD ............................................................................................................................... 65

    1 SCOPE AND FIELD OF APPLICATION .......................................................... 66

    2 NORMATIVE REFERENCES ........................................................................................... 66

    ISO IEC ..................................................................... 66

    ITU ..................................................................................................................... 68

    INTERNET ENGINEERING TASK FORCE (IETF ........................................................................... 69

    HEALTH LEVEL SEVEN (HL7) ......................................................................................................... 69

    NIST UNITED STATES NATIONAL INSTITUTE OF STANDARDS AND

    TECHNOLOGY (NIST) ...................................................................................................................... 70

    OTHER REFERENCES ..................................................................................................................... 70

    3 DEFINITIONS .......................................................................................................................... 72

    3.1 Reference model definitions ............................................................................... 72

    3.2 Service conventions definitions ....................................................................... 72

    3.3 DICOM DICOM introduction and overview definitions ............................................... 72

    3.4 DICOM DICOM service class specifications .................................................. 73

    3.5 DICOM DICOM data structures and encoding ............................................. 73

    3.6 DICOM DICOM message exchange ..................................................................... 73

    3.7 DICOM DICOM upper layer service .................................................................... 73

    3.8 DICOM DICOM Information Object ............................................................. 74

    3.8.1 Attribute tag ............................................................................................................. 74

    3.8.2 IOD Composite IOD ....................................................................................................... 74

    3.8.3 Derived image ........................................................................................................ 74

    3.8.4 DICOM DICOM information model ...................................................................... 74

    3.8.5 DICOM DICOM application model ...................................................................... 74

    3.8.6 Information entity ......................................................................................... 74

    3.8.7 IOD Information object definition (IOD).............................................. 74

    3.8.8 Module.................................................................................................................. 74

    3.8.9 Multi-frame image ...................................................................................... 74

    3.8.10 IOD Normalized IOD ................................................................................................ 74

    3.8.11 Cine run .................................................................................................................. 74

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    3.8.12 Specialization ........................................................................................................... 75

    3.8.13 Functional Group ......................................................................................... 75

    3.8.14 Code Sequence Attribute ................................................................... 75

    3.9 Character Handling Definitions .............................................................................. 75

    3.10 Radiotherapy ........................................................................................................... 75

    3.11 Macros ............................................................................................................................... 75

    3.11.1 Attribute macro .................................................................................................. 75

    3.12 Device Independent Pixel Values .................................................................... 76

    3.12.1 P P-Value ........................................................................................................................ 76

    3.12.2 PCS PCS-Value............................................................................................................. 76

    3.13 Codes and Controlled Terminology Definitions ...................................... 76

    3.14 Reference Model Security Architecture Definitions

    ............................................................................................................................................................... 76

    3.15 Security Definitions........................................................................................ 77

    3.16 DICOM DICOM security profiles ........................................................ 77

    3.17 Multi-Dimensional Definitions .................................................................................. 77

    3.17.1 RCS Reference Coordinate System (RCS) ................................................... 77

    3.17.2 Fiducial ....................................................................................................... 77

    3.17.3 Fiducial Point ........................................................................................................... 78

    4 SYMBOLS AND ABBREVIATIONS .............................................................................. 78

    5 CONVENTIONS ...................................................................................................................... 81

    5.1 Entity-relationship model ...................................................................... 81

    5.1.1 ENTITY ............................................................................................................... 81

    5.1.2 RELATIONSHIP ............................................................................................................ 81

    5.2 Sequences .................................................................................................................. 82

    5.3 Triplet Encoding of Structured Data (Retired) ..................... 83

    5.4 Attribute Macros .......................................................................................................... 83

    5.5 IOD Types and Conditions in Normalized IODs ....................... 84

    6 DICOM DICOM INFORMATION MODEL ..................................................................... 85

    6.1 Information object definition ........................................................................ 85

    6.1.1 IOD COMPOSITE IOD .................................................................................................. 85

    6.1.2 IOD NORMALIZED IOD ............................................................................................. 86

    6.2 Attributes .............................................................................................................................. 86

    6.3 On-line communication and media storage services ...... 86

    6.3.1 DIMSE-C DIMSE-C SERVICES ............................................................................... 86

    6.3.2 DIMSE-N DIMSE-N SERVICES ............................................................................... 86

    6.4 DIMSE DIMSE service group ............................................................................ 86

    6.5 SOP Service-object pair (SOP) class ......................................... 87

    6.5.1 SOP NORMALIZED AND COMPOSITE SOP CLASSES ................ 87

    6.6 Association negotiation ................................................................................ 87

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    6.7 Service class specification ................................................................................. 87

    7 DICOM DICOM MODEL OF THE REAL-WORLD ................................................ 88

    7.1 DICOM DICOM information model ............................................................................ 93

    7.2 A,B,C Organization of annexes A, B and C .......................................................... 93

    7.3 DICOM Extension of the DICOM model of the real-world ...................... 93

    7.3.1 DICOM Definition of the Extensions of the DICOM Real-World

    Model ................................................................................................................................................. 93

    7.3.1.1 PATIENT ................................................................................................................. 93

    7.3.1.2 SERVICE EPISODE AND VISIT ...................................... 93

    7.3.1.3 IMAGING SERVICE REQUEST ......................................................... 94

    7.3.1.4 PROCEDURE TYPE ................................................................................... 94

    7.3.1.5 REQUESTED PROCEDURE .................................................................... 94

    7.3.1.6 SCHEDULED PROCEDURE STEP ............................................. 95

    7.3.1.7 PROCEDURE PLAN .................................................................................... 95

    7.3.1.8 PROTOCOL .................................................................................................... 95

    7.3.1.9 MODALITY PERFORMED PROCEDURE STEP .......... 95

    7.3.1.10 GENERAL PURPOSE SCHEDULED PROCEDURE STEP 97

    7.3.1.11 GENERAL PURPOSE PERFORMED PROCEDURE STEP

    ........................................................................................................................................................ 97

    7.3.1.12 WORKITEM ................................................................................................... 98

    7.3.1.13 Clinical Document .......................................................................................... 98

    7.4 DICOM Extension of the DICOM model of the

    real-world for the general purpose worklist ........................................................................................... 99

    7.5 organizing large sets of information ............................................... 100

    7.5.1 CONCATENATION ..................................................................................................... 101

    7.5.2 DIMENSION ORGANIZATION............................................................................. 101

    7.6 DICOM EXTENSION OF THE DICOM MODEL OF THE

    REAL WORLD FOR CLINICAL TRIALS ............................................................................................. 102

    7.6.1 Clinical Trial Information Entities ........................................................ 102

    7.6.1.1 Clinical Trial Sponsor ................................................................................. 103

    7.6.1.2 Clinical Trial Protocol ............................................................................. 103

    7.6.1.3 Clinical Trial Subject................................................................................... 103

    7.6.1.4 Clinical Trial Site ..................................................................................... 103

    7.6.1.5 Clinical Trial Time Point ................................................................................. 103

    7.6.1.6 Clinical Trial Coordinating Center ..................................................... 103

    7.7 DICOM Extension of the DICOM model of the

    real-world for hanging protocols .......................................................................................................... 103

    7.7.1 Hanging Protocol Information Entity ........................... 104

    7.8 DICOM Extension of the DICOM model of the real-

    world for Color Palettes ....................................................................................................................... 104

    7.8.1 Color Palette Information Entity ............................................ 104

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    7.9 DICOM EXTENSION OF THE DICOM MODEL OF THE REAL

    WORLD FOR specimens .................................................................................................................... 104

    7.9.1 Specimen ..................................................................................................................... 105

    7.9.2 Container ..................................................................................................................... 105

    7.9.3 Container Component .................................................................................... 106

    7.9.4 Preparation Step ................................................................................................... 106

    7.10 DICOM EXTENSION OF DICOM MODEL

    OF THE REAL WORLD FOR IMPLANT TEMPLATES ....................................................................... 106

    7.11 UPS DICOM EXTENSION OF THE

    DICOM MODEL OF THE REAL-WORLD FOR THE unified procedure step (UPS) ........................... 107

    7.11.1 Unified Procedure Step ............................................................. 108

    7.11.2 Worklist ............................................................................................................. 108

    8 ENCODING OF CODED ENTRY DATA ............................................ 109

    8.1 Code Value ..................................................................................................................... 109

    8.2 Coding Scheme Designator and Coding Scheme Version

    ............................................................................................................................................................. 110

    8.3 Code Meaning ............................................................................................................. 110

    8.4 Mapping Resource ...................................................................................................... 111

    8.5 Context Group Version ........................................................................... 111

    8.6 UID Context Identifier and Context UID ............................ 111

    8.7 Context Group Extensions .................................................................. 111

    8.8 Standard Attribute Sets for Code Sequence Attributes

    ............................................................................................................................................................. 112

    9 ........................................................................................................... 113

    10 MISCELLANEOUS MACROS ................................................................................. 113

    10.1 Person Identification Macro ............................................................................. 113

    10.2 CONTENT ITEM MACRO ................................................................................ 114

    10.3 SOP Image SOP Instance Reference Macro ................................ 117

    10.4 Series and Instance Reference Macro ........................... 121

    10.5 General Anatomy Macros .................................................................. 121

    10.6 Request Attributes Macro ................................................................................ 124

    10.7 BASIC PIXEL SPACING CALIBRATION MACRO ............................ 126

    10.7.1 Basic Pixel Spacing Calibration Macro Attribute

    Descriptions ..................................................................................................................................... 127

    10.7.1.1 Pixel Spacing ............................................................................................... 127

    10.7.1.2 Pixel Spacing Calibration Type ................................................... 127

    10.7.1.3 Pixel Spacing Value Order and Valid Values ........... 128

    10.8 SOP SOP Instance Reference Macro ..................................................... 129

    10.9 Content Identification Macro ............................................................................ 129

    10.10 General Contributing Sources MACRO ................................................ 130

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    10.11 Contributing IMage Sources MACRO .................................................... 133

    10.12 Patient Orientation MACRO ........................................................................... 134

    10.12.1 Relation with other positioning attributes .............................. 135

    10.13 Performed Procedure Step Summary Macro ....................... 135

    10.14 HL7v2 HL7v2 Hierarchic Designator Macro ............................................... 136

    10.15 ID Issuer of Patient ID Macro .................................................................... 137

    10.16 Algorithm Identification Macro ............................................................ 138

    10.17 Selector Attribute Macro ............................................................................ 139

    10.17.1 Selector Attribute Macro Attribute Descriptions ................... 140

    10.17.1.1 Referencing Nested Elements..................................................... 140

    10.17.1.2 Private Attribute References .............................................................. 141

    10.18 Data Set Identification Macro ............................................................... 141

    10.19 Exposure Index Macro ................................................................................... 142

    A COMPOSITE INFORMATION OBJECT DEFINITIONS

    (NORMATIVE) ..................................................................................................................................... 143

    A.1 Elements of an information object definition .................................. 143

    A.1.1 IOD IOD Description ................................................................................................ 143

    A.1.2 IOD IOD Entity-Relationship Model ............................................. 143

    A.1.2.1 IE PATIENT IE ...................................................................................................... 144

    A.1.2.2 IE STUDY IE .................................................................................................... 145

    A.1.2.3 IE SERIES IE ................................................................................................... 145

    A.1.2.4 IE EQUIPMENT IE ............................................................................................... 145

    A.1.2.5 IE FRAME OF REFERENCE IE ................................................................ 146

    A.1.2.6 IE IMAGE IE ......................................................................................................... 146

    A.1.2.7 IE OVERLAY IE ....................................................................................... 146

    A.1.2.8 IE CURVE IE ..................................................................................................... 146

    A.1.2.9 LUT IE MODALITY LUT IE ........................................................................... 146

    A.1.2.10 VOI LUT IE.................................................................................................................... 147

    A.1.2.11 IE PRESENTATION STATE IE ................................................................... 147

    A.1.2.12 IE WAVEFORM IE .............................................................................................. 147

    A.1.2.13 SR IE SR DOCUMENT IE .................................................................................. 147

    A.1.2.14 MR IE MR SPECTROSCOPY IE .................................................................... 147

    A.1.2.15 IE RAW DATA IE ......................................................................................... 147

    A.1.2.16 IE ENCAPSULATED DOCUMENT IE ............................................... 148

    A.1.2.17 IE REAL WORLD VALUE MAPPING IE .............................................. 148

    A.1.2.18 IE SURFACE IE .................................................................................................. 148

    A.1.2.19 IE MEASUREMENTS IE .................................................................................... 148

    A.1.3 IOD IOD Module Table and Functional Group

    Macro Table ..................................................................................................................................... 148

    A.1.3.1 MANDATORY MODULES ................................................................... 148

    A.1.3.2 CONDITIONAL MODULES ........................................................... 148

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    A.1.3.3 USER OPTION MODULES .............................................. 149

    A.1.4 IOD Overview of the Composite IOD Module Content ......... 149

    A.2 Computed radiography image information

    object definition .................................................................................................................................... 167

    A.2.1 CR IOD CR Image IOD Description ................................................................. 167

    A.2.2 CR IOD CR Image IOD Entity-Relationship Model ............. 167

    A.2.3 CR IOD CR Image IOD Module Table ................................................... 167

    A.3 Computed tomography image information object

    definition .............................................................................................................................................. 168

    A.3.1 CT IOD CT Image IOD Description.................................................................. 168

    A.3.2 CT IOD CT image IOD Entity-Relationship Model .............. 168

    A.3.3 CT IOD CT Image IOD Module Table .................................................... 168

    A.4 Magnetic resonance image information object definition .... 169

    A.4.1 MR IOD MR Image IOD Description ................................................................ 169

    A.4.2 MR IOD MR image IOD Entity-Relationship Model ............ 169

    A.4.3 MR IOD MR Image IOD Module Table .................................................. 169

    A.5 Nuclear medicine image information object definition ............. 170

    A.5.1 NM IOD NM Image IOD Description ................................................................. 170

    A.5.2 NM IOD NM Image IOD Entity-Relationship Model ............ 170

    A.5.3 NM IOD NM Image IOD Module Table (Retired) ........................ 170

    A.5.4 NM IOD NM Image IOD Module Table .................................................. 170

    A.5.4.1 Acquisition Context Module ................................................ 171

    A.6 Ultrasound image information object definition .................. 172

    A.6.1 US IOD US Image IOD Description ................................................................. 172

    A.6.2 US IOD US Image IOD Entity-Relationship Model ............. 172

    A.6.3 US IOD US Image IOD Module Table (Retired) .......................... 172

    A.6.4 US IOD US Image IOD Module Table .................................................... 172

    A.6.4.1 IE Mutually Exclusive IEs .................................................................... 173

    A.7 Ultrasound multi-frame image information object

    definition .............................................................................................................................................. 173

    A.7.1 US IOD US Image IOD Description ............................................. 173

    A.7.2 US IOD US Multi-Frame Image IOD Entity-

    Relationship Model .......................................................................................................................... 173

    A.7.3 US IOD US Image IOD Module Table (Retired) ...... 173

    A.7.4 US IOD US Multi-Frame Image IOD Module Table ........... 173

    A.7.4.1 IE Mutually Exclusive IEs .................................................................... 174

    A.8 Secondary capture image information object definition ...... 175

    A.8.1 SC SC Image Information Objection Definition ........................... 175

    A.8.1.1 SC IOD SC Image IOD Description .......................................................... 175

    A.8.1.2 SC IOD SC Image IOD Entity-Relationship Model ....... 175

    A.8.1.3 SC IOD S C Image IOD Module Table ............................................ 175

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    A.8.2 SC Multi-frame Single Bit SC Image

    Information Object Definition............................................................................................................ 176

    A.8.2.1 SC IOD Multi-frame Single Bit SC Image IOD

    Description ................................................................................................................................... 176

    A.8.2.2 SC IOD Multi-frame Single Bit

    SC Image IOD Entity-Relationship Model .................................................................................... 176

    A.8.2.3 SC IOD Multi-frame Single Bit SC Image IOD

    Module Table ................................................................................................................................ 176

    A.8.2.4 SC IOD Multi-frame Single Bit SC Image IOD

    Content Constraints...................................................................................................................... 177

    A.8.3 SC Multi-frame Grayscale Byte

    SC Image Information Object Definition .......................................................................................... 178

    A.8.3.1 SC IOD Multi-frame Grayscale Byte Image

    IOD Description ............................................................................................................................ 178

    A.8.3.2 SC IOD Multi-frame

    Grayscale Byte SC Image IOD Entity-Relationship Model .......................................................... 178

    A.8.3.3 SC IOD Multi-frame Grayscale Byte

    SC Image IOD Module Table ....................................................................................................... 178

    A.8.3.4 SC IOD Multi-frame Grayscale Byte SC

    Image IOD Content Constraints ................................................................................................... 179

    A.8.3.5 SC Multi-frame Grayscale Byte

    SC Image Functional Group Macros ............................................................................................ 180

    A.8.4 SC Multi-frame Grayscale Word

    SC Image Information Object Definition .......................................................................................... 180

    A.8.4.1 SC IOD Multi-frame Grayscale Word SC

    Image IOD Description ................................................................................................................. 180

    A.8.4.2 SC IOD Multi-frame

    Grayscale Word SC Image IOD Entity-Relationship Model ......................................................... 180

    A.8.4.3 SC IOD Multi-frame Grayscale Word

    SC Image IOD Module Table ....................................................................................................... 180

    A.8.4.4 SC IOD Multi-frame Grayscale Word SC

    Image IOD Content Constraints ................................................................................................... 181

    A.8.4.5 SC Multi-frame Grayscale

    Word SC Image Functional Group Macros .................................................................................. 182

    A.8.5 SC Multi-frame True Color SC Image

    Information Object Definition............................................................................................................ 182

    A.8.5.1 SC IOD Multi-frame True Color Image IOD

    Description ................................................................................................................................... 182

    A.8.5.2 SC IOD Multi-frame True Color

    SC Image IOD Entity-Relationship Model .................................................................................... 182

    A.8.5.3 SC IOD Multi-frame True Color SC Image

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    IOD Module Table ........................................................................................................................ 183

    A.8.5.4 SC IOD Multi-frame True Color SC Image IOD

    Content Constraints...................................................................................................................... 184

    A.8.5.5 SC Multi-frame True Color SC Image

    Functional Group Macros ............................................................................................................. 184

    A.9 Standalone overlay information object definition ........... 185

    A.10 Standalone curve information object definition ..................... 185

    A.11 Basic study descriptor information object definition ...... 185

    A.12 LUT Standalone modality LUT information object definition

    ............................................................................................................................................................. 185

    A.13 VOI LUT Standalone VOI LUT information object definition .......... 185

    A.14 X-Ray Angiographic Image Information Object

    Definition .............................................................................................................................................. 186

    A.14.1 XA IOD XA Image IOD Description................................................................ 186

    A.14.2 XA IOD XA Image IOD Entity-Relationship Model ............ 186

    A.14.3 XA IOD XA Image IOD Module Table ................................................... 186

    A.15 X-Ray Angiographic Bi-Plane

    Image Information Object Definition (RETIRED) ................................................................................. 188

    A.16 RF X-Ray RF Image Information Object Definition .................. 188

    A.16.1 XRF IOD XRF Image IOD Description ........................................................... 188

    A.16.2 XRF IOD XRF Image IOD Entity-Relationship Model ....... 188

    A.16.3 XRF IOD XRF Image IOD Module Table ............................................. 188

    A.17 RT RT Image INFORMATION OBJECT DEFINITION .................... 191

    A.17.1 RT IOD RT Image IOD Description ................................................................... 191

    A.17.2 RT IOD RT Image IOD entity-relationship model .............. 191

    A.17.3 RT IOD RT Image IOD Module Table .................................................. 191

    A.18 RT RT Dose Information Object Definition ...................................... 193

    A.18.1 RT IOD RT Dose IOD Description ..................................................................... 193

    A.18.2 RT IOD RT Dose IOD entity-relationship model ................ 193

    A.18.3 RT IOD RT Dose IOD Module Table .................................................... 194

    A.19 RT RT Structure Set Information Object Definition .................. 195

    A.19.1 RT IOD RT Structure Set IOD Description ................................................. 195

    A.19.2 RT IOD RT Structure Set IOD entity-relationship model

    ......................................................................................................................................................... 195

    A.19.3 RT IOD RT Structure Set IOD Module Table ................................. 196

    A.20 RT RT Plan Information Object Definition ....................................... 197

    A.20.1 RT IOD RT Plan IOD Description .................................................................. 197

    A.20.2 RT IOD RT Plan IOD entity-relationship model ................ 197

    A.20.3 RT IOD R T Plan IOD Module Table ..................................................... 197

    A.20.3.1 RT RT FRACTION SCHEME MODULE ................................. 198

    A.20.3.2 RT RT PRESCRIPTION MODULE .................................................... 198

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    A.20.3.3 RT RT TOLERANCE TABLES MODULE ................................... 198

    A.20.3.4 RT RT PATIENT SETUP MODULE ........................................... 199

    A.21 Positron Emission Tomography Image

    Information Object Definition ............................................................................................................... 200

    A.21.1 PET IOD PET Image IOD Description .......................................................... 200

    A.21.2 PET IOD PET Image IOD Entity-Relationship Model ....... 200

    A.21.3 PET IOD PET Image IOD Module Table .............................................. 200

    A.21.3.1 Acquisition Context Module.............................................. 201

    A.22 PET Standalone PET Curve Information Object Definition .. 201

    A.23 Stored Print Information Object Definition ............................ 201

    A.24 Hardcopy GRAYSCALE IMAGE

    Information Object Definition ............................................................................................................... 201

    A.25 Hardcopy Color IMAGE Information Object

    Definition .............................................................................................................................................. 201

    A.26 Digital X-Ray image information object definition ........ 202

    A.26.1 DX IOD DX Image IOD Description ............................................................... 202

    A.26.2 DX IOD DX Image IOD Entity-Relationship Model ............ 202

    A.26.3 DX IOD DX Image IOD Module Table ................................................... 202

    A.26.4 Overlay Plane Module .............................................................. 204

    A.26.5 Acquisition Context Module .................................................... 204

    A.27 Digital MAMMOGRAPHY X-Ray image

    information object definition ................................................................................................................. 205

    A.27.1 IOD Digital Mammography X-Ray Image IOD

    Description ....................................................................................................................................... 205

    A.27.2 IOD Digital Mammography X-Ray Image IOD

    Module Table ................................................................................................................................... 205

    A.27.3 Overlay Plane Module .............................................................. 206

    A.28 Digital Intra-oral X-Ray image information object

    definition .............................................................................................................................................. 207

    A.28.1 IOD Digital Intra-oral X-Ray Image IOD Description ....... 207

    A.28.2 IOD Digital Intra-oral X-Ray Image IOD Module Table

    ......................................................................................................................................................... 207

    A.28.3 Overlay Plane Module .............................................................. 208

    A.29 RT RT BEAMS Treatment Record Information Object

    Definition .............................................................................................................................................. 209

    A.29.1 RT IOD RT Beams Treatment Record IOD Description .................. 209

    A.29.2 RT IOD RT Beams Treatment Record IOD entity-

    relationship model ............................................................................................................................ 209

    A.29.3 RT IOD RT Beams Treatment Record IOD Module Table... 209

    A.30 RT RT Brachy Treatment Record Information Object

    Definition .............................................................................................................................................. 210

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    A.30.1 RT IOD RT Brachy Treatment Record IOD Description .......... 210

    A.30.2 RT IOD RT Brachy Treatment Record IOD

    entity-relationship model .................................................................................................................. 210

    A.30.3 RT IOD RT Brachy Treatment Record IOD Module Table

    ......................................................................................................................................................... 211

    A.31 RT RT Treatment Summary Record Information Object

    Definition .............................................................................................................................................. 212

    A.31.1 RT IOD RT Treatment Summary Record IOD Description ................. 212

    A.31.2 RT IOD RT Treatment Summary Record IOD entity-

    relationship model ............................................................................................................................ 212

    A.31.3 RT IOD RT Treatment Summary Record IOD Module Table . 213

    A.32 Visible Light Image Information Object Definitions ............... 214

    A.32.1 VL VL Endoscopic Image Information Object Definition 214

    A.32.1.1 VL IOD VL Endoscopic Image IOD Description .............................. 214

    A.32.1.2 VL IOD VL Endoscopic Image IOD Entity-

    Relationship Model ....................................................................................................................... 214

    A.32.1.3 VL IOD VL Endoscopic Image IOD Content Constraints ......... 215

    A.32.1.3.1 Modality .................................................................................................. 215

    A.32.2 VL VL Microscopic Image Information Object Definition 215

    A.32.2.1 VL IOD VL Microscopic Image IOD Description .............................. 215

    A.32.2.2 V L IOD VL Microscopic Image IOD Entity-

    Relationship Model ....................................................................................................................... 215

    A.32.2.3 VL IOD VL Microscopic Image IOD Content Constraints ......... 216

    A.32.3 VL VL Slide-Coordinates Microscopic Image

    Information Object Definition............................................................................................................ 216

    A.32.3.1 VL IOD VL Slide-Coordinates Microscopic Image IOD

    Description ................................................................................................................................... 216

    A.32.3.2 VL IOD VL Slide-Coordinates

    Microscopic Image IOD Entity-Relationship Model ...................................................................... 216

    A.32.3.3 VL IOD VL Slide-Coordinates Microscopic Image IOD

    Content Constraints...................................................................................................................... 217

    A.32.4 VL VL Photographic Image Information Object Definition . 217

    A.32.4.1 VL IOD VL Photographic Image IOD Description ............................... 217

    A.32.4.2 VL IOD VL Photographic Image IOD Entity-

    Relationship Model ....................................................................................................................... 217

    A.32.4.3 VL IOD VL Photographic Image IOD Content Constraints ........... 218

    A.32.4.3.1 Modality ................................................................................................ 218

    A.32.5 Video Endoscopic Image Information Object

    Definition .......................................................................................................................................... 218

    A.32.5.1 IOD Video Endoscopic Image IOD Description ...................... 218

    A.32.5.2 IOD Video Endoscopic Image IOD Entity-

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    Relationship Model ....................................................................................................................... 218

    A.32.5.3 IOD Video Endoscopic Image IOD Content Constraints 219

    A.32.5.3.1 Modality ................................................................................................ 219

    A.32.5.3.2 Image Related Data Encoding ..................................... 220

    A.32.5.3.3 Anatomic Region Sequence ................................................. 220

    A.32.6 Video Microscopic Image Information Object

    Definition .......................................................................................................................................... 220

    A.32.6.1 IOD Video Microscopic Image IOD Description .................... 220

    A.32.6.2 IOD Video Microscopic Image IOD Entity-

    Relationship Model ....................................................................................................................... 220

    A.32.6.3 IOD Video Microscopic Image IOD Content Constraints

    ...................................................................................................................................................... 221

    A.32.6.3.1 Modality ................................................................................................ 221

    A.32.6.3.2 Image Related Data Encoding ......................................... 221

    A.32.7 Video Photographic Image Information Object

    Definition .......................................................................................................................................... 221

    A.32.7.1 IOD Video Photographic Image IOD Description ...................... 221

    A.32.7.2 IOD Video Photographic Image IOD Entity-

    Relationship Model ....................................................................................................................... 221

    A.32.7.3 IOD Video Photographic Image IOD Content Constraints . 222

    A.32.7.3.1 Modality ................................................................................................ 222

    A.32.7.3.2 Image Related Data Encoding ......................................... 222

    A.32.8 VL VL Whole Slide Microscopy Image Information

    Object Definition ............................................................................................................................... 223

    A.32.8.1 VL IOD VL Whole Slide Microscopy Image IOD Description

    ...................................................................................................................................................... 223

    A.32.8.2 VL IOD VL Whole Slide Microscopy IOD

    Entity-Relationship Model ............................................................................................................ 223

    A.32.8.3 VL IOD VL Whole Slide Microscopy IOD Module Table

    ...................................................................................................................................................... 223

    A.32.8.3.1 VL IOD VL Whole Slide Microscopy IOD Content

    Constraints ................................................................................................................................ 224

    A.32.8.3.1.1 Optical Path Module ............................................................. 224

    A.32.8.4 VL VL Whole Slide Microscopy Functional Group

    Macros .......................................................................................................................................... 225

    A.32.8.4.1 VL VL Whole Slide Microscopy

    Functional Group Macros Content Constraints ........................................................................ 225

    A.32.8.4.1.1 Referenced Image ......................................................................... 225

    A.32.8.4.1.2 Plane Position (Slide).......................................................... 225

    A.33 Softcopy Presentation State Information Object

    Definitions ............................................................................................................................................ 226

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    A.33.1 Grayscale Softcopy Presentation

    State Information Object Definition .................................................................................................. 226

    A.33.1.1 IOD Grayscale Softcopy Presentation ........ 226

    A.33.1.2 IOD Grayscale Softcopy Presentation

    State IOD Module Table ............................................................................................................... 226

    A.33.2 Color Softcopy Presentation State

    Information Object Definition............................................................................................................ 228

    A.33.2.1 IOD Color Softcopy Presentation State IOD Description

    ...................................................................................................................................................... 228

    A.33.2.2 IOD Color Softcopy Presentation State IOD

    Module Table ................................................................................................................................ 228

    A.33.3 Pseudo-Color Softcopy Presentation

    State Information Object Definition .................................................................................................. 229

    A.33.3.1 IOD Pseudo-Color Softcopy Presentation State

    IOD Description ............................................................................................................................ 229

    A.33.3.2 IOD Pseudo-Color Softcopy Presentation

    State IOD Module Table ............................................................................................................... 230

    A.33.4 Blending Softcopy Presentation State

    Information Object Definition............................................................................................................ 231

    A.33.4.1 IOD Blending Softcopy Presentation State IOD

    Description ................................................................................................................................... 231

    A.33.4.2 IOD Blending Softcopy Presentation State IOD

    Module Table ................................................................................................................................ 232

    A.33.5 Basic Structured Display Information Object Definition

    ......................................................................................................................................................... 233

    A.33.5.1 IOD Basic Structured Display IOD Description ......................... 233

    A.33.6 XA/XRF XA/XRF Grayscale

    Softcopy Presentation State Information Object Definition .............................................................. 234

    A.33.6.1 XA/XRF IOD XA/XRF Grayscale Softcopy

    Presentation State IOD Description ............................................................................................. 234

    A.33.6.2 XA/XRF IOD XA/XRF Grayscale

    Softcopy Presentation State IOD Module Table .......................................................................... 234

    A.34 Waveform Information Object Definitions ........................................ 237

    A.34.1 IOD Waveform IOD Entity-Relationship Model ................. 237

    A.34.2 Basic Voice Audio Information Object Definition

    ......................................................................................................................................................... 237

    A.34.2.1 IOD Basic Voice Audio IOD Description ............................. 237

    A.34.2.2 IOD Basic Voice Audio IOD Entity-

    Relationship Model ....................................................................................................................... 237

    A.34.2.3 IOD Basic Voice Audio IOD Module Table ............ 237

    A.34.2.4 IOD Basic Voice Audio IOD Content Constraints ........ 238

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    A.34.2.4.1 Modality ................................................................................................ 238

    A.34.2.4.2 Waveform Sequence ................................................................... 238

    A.34.2.4.3 Number of Waveform Channels .............................................. 238

    A.34.2.4.4 Sampling Frequency .............................................................. 238

    A.34.2.4.5 Waveform Sample Interpretation ............................................ 238

    A.34.3 12 12-Lead Electrocardiogram Information Object

    Definition .......................................................................................................................................... 238

    A.34.3.1 12 ECG IOD 12-Lead ECG IOD Description .............................................. 238

    A.34.3.2 12 ECG IOD 12-Lead ECG IOD Entity-Relationship

    Model ............................................................................................................................................ 238

    A.34.3.3 12 ECG IOD 12-Lead ECG IOD Module Table ............................. 238

    A.34.3.4 12 ECG IOD 12-Lead ECG IOD Content Constraints ......................... 239

    A.34.3.4.1 Modality ................................................................................................ 239

    A.34.3.4.2 Acquisition Context Module ........................................ 239

    A.34.3.4.3 Waveform Sequence ..................................................................... 239

    A.34.3.4.4 Number of Waveform Channels ................................................ 239

    A.34.3.4.5 Number of Waveform Samples ............................................... 240

    A.34.2.4.6 Sampling Frequency .............................................................. 240

    A.34.3.4.7 Channel Source ............................................................................ 240

    A.34.3.4.8 Waveform Sample Interpretation ............................................ 240

    A.34.3.4.9 Waveform Annotation Module ............................................. 240

    A.34.4 General Electrocardiogram Information Object Definition

    ......................................................................................................................................................... 241

    A.34.4.1 ECG IOD General ECG IOD Description ................................................... 241

    A.34.4.2 ECG IOD General ECG IOD Entity-Relationship Model

    ...................................................................................................................................................... 241

    A.34.4.3 ECG IOD General ECG IOD Module Table .................................... 241

    A.34.4.4 ECG IOD General ECG IOD Content Constraints .............................. 241

    A.34.4.4.1 Modality ................................................................................................ 241

    A.34.4.4.2 Waveform Sequence ..................................................................... 241

    A.34.4.4.3 Number of Waveform Channels .............................................. 241

    A.34.4.4.4 Sampling Frequency .............................................................. 242

    A.34.4.4.5 Channel Source ............................................................................ 242

    A.34.4.4.6 Waveform Sample Interpretation ............................................ 242

    A.34.3.4.7 Waveform Annotation Module .............................................. 242

    A.34.5 Ambulatory Electrocardiogram Information Object

    Definition .......................................................................................................................................... 242

    A.34.5.1 ECG IOD Ambulatory ECG IOD Description .......................................... 242

    A.34.5.2 ECG IOD Ambulatory ECG IOD Entity-Relationship

    Model ............................................................................................................................................ 242

    A.34.5.3 ECG IOD Ambulatory ECG IOD Module Table ......................... 242

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    A.34.5.4 ECG IOD Ambulatory ECG IOD Content Constraints ......................... 243

    A.34.5.4.1 Modality ................................................................................................ 243

    A.34.5.4.2 Waveform Sequence .................................................................... 243

    A.34.5.4.3 Number of Waveform Channels ............................................... 243

    A.34.5.4.5 Sampling Frequency .............................................................. 243

    A.34.5.4.6 Channel Source ............................................................................ 243

    A.34.5.4.7 Waveform Sample Interpretation ............................................ 243

    A.34.6 Hemodynamic Information Object Definition ..................... 243

    A.34.6.1 ECG IOD Hemodynamic IOD Description........................................... 243

    A.34.6.2 IOD Hemodynamic IOD Entity-Relationship Model

    ...................................................................................................................................................... 243

    A.34.6.3 IOD Hemodynamic IOD Module Table ................................... 244

    A.34.6.4 IOD Hemodynamic IOD Content Constraints .............................. 244

    A.34.6.4.1 Modality ................................................................................................ 244

    A.34.6.4.2 Acquisition Context Module ....................................... 244

    A.34.6.4.3 Waveform Sequence ................................................................... 244

    A.34.6.4.4 Number of Waveform Channels .............................................. 244

    A.34.6.4.5 Sampling Frequency .............................................................. 244

    A.34.6.4.7 Channel Source ............................................................................. 244

    A.34.6.4.8 Waveform Sample Interpretation ............................................ 245

    A.34.6.4.9 Waveform Annotation Module ............................................. 245

    A.34.7 Basic Cardiac Electrophysiology Information Object

    Definition .......................................................................................................................................... 245

    A.34.7.1 EP IOD Basic Cardiac EP IOD Description......................................... 245

    A.34.7.2 EP IOD Basic Cardiac EP IOD Entity-Relationship

    Model ............................................................................................................................................ 245

    A.34.7.3 EP IOD Basic Cardiac EP IOD Module Table ........................ 245

    A.34.7.4 EP IOD Basic Cardiac EP IOD Content Constraints ................... 246

    A.34.7.4.1 Modality ................................................................................................ 246

    A.34.7.4.2 Acquisition Context Module ....................................... 246

    A.34.7.4.3 Waveform Sequence ................................................................... 246

    A.34.7.4.4 Sampling Frequency ............................................................... 246

    A.34.7.4.5 Channel Source ............................................................................ 246

    A.34.7.4.6 Waveform Sample Interpretation ............................................ 247

    A.34.7.4.7 Waveform Annotation Module ............................................. 247

    A.34.8 Arterial Pulse Waveform Information Object Definition

    ......................................................................................................................................................... 247

    A.34.8.1 IOD Arterial Pulse Waveform IOD Description ............................ 247

    A.34.8.2 IOD Arterial Pulse Waveform IOD Entity-

    Relationship Model ....................................................................................................................... 247

    A.34.8.3 IOD Arterial Pulse Waveform IOD Module Table ................ 247

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    A.34.8.4 IOD Arterial Pulse Waveform IOD Content Constraints ....... 248

    A.34.8.4.1 Modality ................................................................................................ 248

    A.34.8.4.2 Waveform Sequence ................................................................... 248

    A.34.8.4.3 Number of Waveform Channels ........................................... 248

    A.34.8.4.4 Sampling Frequency .............................................................. 248

    A.34.8.4.5 Channel Source ......................................................................... 248

    A.34.8.4.6 Waveform Sample Interpretation ............................................ 248

    A.34.9 Respiratory Waveform Information Object Definition ........ 248

    A.34.9.1 IOD Respiratory Waveform IOD Description........................................ 248

    A.34.9.2 IOD Respiratory Waveform IOD Entity-Relationship

    Model ............................................................................................................................................ 248

    A.34.9.3 IOD Respiratory Waveform IOD Module Table ...................... 248

    A.34.9.4 IOD Respiratory Waveform IOD Content Constraints ................. 249

    A.34.9.4.1 Modality ................................................................................................ 249

    A.34.9.4.2 Waveform Sequence ................................................................... 249

    A.34.9.4.3 Number of Waveform Channels ........................................... 249

    A.34.9.4.4 Sampling Frequency .............................................................. 249

    A.34.9.4.5 Channel Source ......................................................................... 249

    A.34.9.4.6 Waveform Sample Interpretation ............................................ 249

    A.34.10 General Audio Waveform Information Object

    Definition .......................................................................................................................................... 249

    A.34.10.1 IOD General Audio Waveform IOD Description ............... 249

    A.34.10.2 IOD General Audio Waveform IOD Entity-

    Relationship Model ....................................................................................................................... 249

    A.34.10.3 IOD General Audio Waveform IOD Module Table

    ...................................................................................................................................................... 250

    A.34.10.4 IOD General Audio Waveform IOD Content Constraints

    ...................................................................................................................................................... 250

    A.34.10.4.1 Modality .............................................................................................. 250

    A.34.10.4.2 Waveform Sequence ................................................................. 250

    A.34.10.4.3 Number of Waveform Channels ......................................... 250

    A.34.10.4.4 Sampling Frequency ............................................................ 250

    A.34.10.4.5 Channel Source ....................................................................... 250

    A.34.10.4.6 Waveform Sample Interpretation .......................................... 250

    A.35 Structured REPORT Document Information Object

    Definitions ............................................................................................................................................ 251

    A.35.1 SR Basic Text SR Information Object Definition .......... 251

    A.35.1.1 SR Basic Text SR Information Object Description 251

    A.35.1.2 SR IOD Basic Text SR IOD Entity-Relationship

    Model ............................................................................................................................................ 251

    A.35.1.3 SR IOD Basic Text SR IOD Module Table ........................ 251

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    A.35.1.3.1 SR IOD Basic Text SR IOD Content Constraints .............. 252

    A.35.1.3.1.1 Value Type ........................................................................................ 252

    A.35.1.3.1.2 Relationship Constraints ................................................................ 252

    A.35.2 SR Enhanced SR Information Object Definition ...................... 253

    A.35.2.1 SR Enhanced SR Information Object Description ............. 253

    A.35.2.2 SR IOD Enhanced SR IOD Entity-Relationship Model

    ...................................................................................................................................................... 253

    A.35.2.3 SR IOD Enhanced SR IOD Module Table..................................... 253

    A.35.2.3.1 SR IOD Enhanced SR IOD Content Constraints .......................... 254

    A.35.2.3.1.1 ............................................................................................................. 254

    A.35.2.3.1.2 Relationship Constraints ................................................................. 254

    A.35.3 SR Comprehensive SR Information Object Definition .......... 255

    A.35.3.1 SR Comprehensive SR Information Object Description 255

    A.35.3.2 SR IOD Comprehensive SR IOD Entity-Relationship

    Model ............................................................................................................................................ 255

    A.35.3.3 SR IOD Comprehensive SR IOD Module Table ......................... 255

    A.35.3.3.1 SR IOD Comprehensive SR IOD Content Constraints .............. 256

    A.35.3.3.1.1 Value Type ......................................................................................... 256

    A.35.3.3.1.2 Relationship Constraints ................................................................. 256

    A.35.4 Key Object Selection Document Information

    Object Definition ............................................................................................................................... 257

    A.35.4.1 Key Object Selection Document

    Information Object Description ..................................................................................................... 257

    A.35.4.2 IOD Key Object Selection Document

    IOD Entity-Relationship Model ..................................................................................................... 257

    A.35.4.3 IOD Key Object Selection Document IOD Module

    Table............................................................................................................................................. 257

    A.35.4.3.1 IOD Key Object Selection Document IOD

    Content Constraints .................................................................................................................. 258

    A.35.4.3.1.1 Value Type ....................................................................................... 258

    A.35.4.3.1.2 Relationship Constraints ................................................................ 258

    A.35.4.3.1.3 Template Constraints ......................................................... 259

    A.35.5 CAD SR Mammography CAD SR Information Object

    Definition .......................................................................................................................................... 259

    A.35.5.1 CAD SR Mammography CAD SR Information

    Object Description ........................................................................................................................ 259

    A.35.5.2 CAD SR IOD Mammography CAD SR IOD

    Entity-Relationship Model ............................................................................................................ 259

    A.35.5.3 CAD SR IOD Mammography CAD SR IOD Module Table

    ...................................................................................................................................................... 259

    A.35.5.3.1 CAD SR IOD Mammography CAD SR IOD Content

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    Constraints ................................................................................................................................ 260

    A.35.5.3.1.1 Template Constraints .......................................................... 260

    A.35.4.3.1.2 Value Type ........................................................................................ 260

    A.35.5.3.1.3 Relationship Constraints ................................................................. 260

    A.35.6 CAD SR Chest CAD SR Information Object Definition ............ 261

    A.35.6.1 CAD SR Chest CAD SR Information Object Description .. 261

    A.35.6.2 CAD SR IOD Chest CAD SR IOD Entity-Relationship

    Model ............................................................................................................................................ 261

    A.35.6.3 CAD SR IOD Chest CAD SR IOD Module Table .......................... 261

    A.35.6.3.1 CAD SR IOD Chest CAD SR IOD Content Constraints ............... 262

    A.35.6.3.1.1 Template Constraints ......................................................... 262

    A.35.6.3.1.2 Value Type ........................................................................................ 262

    A.35.6.3.1.3 Relationship Constraints ................................................................ 263

    A.35.7 Procedure Log Information Object Definition ................... 263

    A.35.7.1 Procedure Log Information Object Description ......... 263

    A.35.7.2 IOD Procedure Log IOD Entity-Relationship Model

    ...................................................................................................................................................... 263

    A.35.7.3 IOD Procedure Log IOD Module Table ................................. 264

    A.35.7.3.1 IOD Procedure Log IOD Content Constraints ..................... 264

    A.35.7.3.1.1 Template .................................................................................... 264

    A.35.7.3.1.2 Observation DateTime ................................................................... 264

    A.35.7.3.1.3 Value Type ....................................................................................... 264

    A.35.7.3.1.4 Relationship Constraints ................................................................ 265

    A.35.8 SR X-Ray Radiation Dose SR IOD Entity-Relationship

    Model ............................................................................................................................................... 266

    A.35.8.1 SR X-Ray Radiation Dose SR Information Object

    Description ................................................................................................................................... 266

    A.35.8.2 SR IOD X-Ray Radiation Dose SR IOD Entity-

    Relationship Model ....................................................................................................................... 266

    A.35.8.3 SR IOD X-Ray Radiation Dose SR IOD Module Table ... 266

    A.35.8.3.1 SR IOD X-Ray Radiation Dose SR IOD Content Constraints

    .................................................................................................................................................. 266

    A.35.8.3.1.1 Template .................................................................................... 266

    A.35.8.3.1.2 Value Type ....................................................................................... 267

    A.35.8.3.1.3 Relationship Constraints ................................................................ 267

    A.35.9 Spectacle Prescription Report Information Object . 268

    A.35.9.1 Spectacle Prescription Report Information Object

    Description ................................................................................................................................... 268

    A.35.9.2 IOD Spectacle Prescription Report IOD Entity-

    Relationship Model ....................................................................................................................... 268

    A.35.9.3 IOD Spectacle Prescription Report IOD Module Table 268

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    A.35.9.3.1 IOD ............................................................................... 268

    A.35.9.3.1.1 Value Type ....................................................................................... 268

    A.35.9.3.1.2 Relationship Constraints ................................................................ 269

    A.35.9.3.1.3 Template Constraints .......................................................... 269

    A.35.10 CAD SR Colon CAD SR Information Object Definition .......... 269

    A.35.10.1 CAD SR Colon CAD SR Information Object Description 269

    A.35.10.2 CAD SR IOD Colon CAD SR IOD Entity-Relationship

    Model ............................................................................................................................................ 269

    A.35.10.3 CAD SR IOD Colon CAD SR IOD Module Table ........................ 269

    A.35.10.3.1 CAD SR IOD Colon CAD SR IOD Content Constraints ............. 270

    A.35.10.3.1.1 Template Constraints ....................................................... 270

    A.35.10.3.1.2 Value Type ....................................................................................... 270

    A.35.10.3.1.3 Relationship Constraints .............................................................. 270

    A.35.11 Macular Grid Thickness and Volume

    Report Information Object Definition ................................................................................................ 271

    A.35.11.1 Macular Grid Thickness and

    Volume Report Information Object Description ............................................................................ 271

    A.35.11.2 IOD Macular Grid

    Thickness and Volume Report IOD Entity-Relationship Model ................................................... 271

    A.35.11.3 IOD Macular Grid Thickness and

    Volume Report IOD Module Table ............................................................................................... 271

    A.35.11.3.1 IOD Macular Grid Thickness and

    Volume Report IOD Content Constraints ................................................................................. 272

    A.35.11.3.1.1 Value Type ..................................................................................... 272

    A.35.11.3.1.2 Relationship Constraints .............................................................. 272

    A.35.11.3.1.3 Template Constraints ....................................................... 273

    A.35.12 SR Implantation Plan SR Document information

    object definition ................................................................................................................................ 273

    A.35.12.1 SR IOD Implantation Plan SR Document IOD Description . 273

    A.35.12.2 SR IOD Implantation Plan SR Document

    IOD Entity-Relationship Model ..................................................................................................... 273

    A.35.12.3 SR IOD Implantation Plan SR Document IOD Module

    Table............................................................................................................................................. 273

    A.35.12.3.1.1 Template Constraints ....................................................... 274

    A.35.12.3.1.2 Value Type ....................................................................................... 274

    A.35.12.3.1.3 Relationship Constraints .............................................................. 274

    A.36 MR ENHANCED mr information object definitionS ........................ 276

    A.36.1 MR IOD Relationship between Enhanced MR IODs ..................................... 276

    A.36.2 MR Enhanced MR Image Information Object Definition ... 276

    A.36.2.1 MR IOD Enhanced MR Image IOD Description ................................. 276

    A.36.2.2 MR Enhanced MR Image Entity-Relationship Model

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    ...................................................................................................................................................... 276

    A.36.2.3 MR IOD Enhanced MR Image IOD Module Table ................ 277

    A.36.2.3.1 MR IOD Enhanced MR Image IOD Content Constraints ..... 278

    A.36.2.4 MR Enhanced MR Image Functional Group Macros .... 278

    A.36.3 MR MR Spectroscopy Information Object Definition ............. 281

    A.36.3.1 MR IOD MR Spectroscopy IOD Description ........................................... 281

    A.36.3.2 MR MR Spectroscopy entity-relationship model ......... 281

    A.36.3.3 MR IOD MR Spectroscopy IOD Module Table .......................... 281

    A.36.3.4 MR MR Spectroscopy Functional Group Macros ............. 282

    A.36.4 MR Enhanced MR Color Image Information Object

    Definition .......................................................................................................................................... 284

    A.36.4.1 MR IOD Enhanced MR Color Image IOD Description .............. 284

    A.36.4.2 MR Enhanced MR Color Image Entity-

    Relationship Model ....................................................................................................................... 284

    A.36.4.3 MR IOD Enhanced MR Color Image IOD Module Table

    ...................................................................................................................................................... 284

    A.36.4.3.1 MR IOD Enhanced MR Color Image IOD Content

    Constraints ................................................................................................................................ 285

    A.36.4.4 MR Enhanced MR Color Image Functional Group

    Macros .......................................................................................................................................... 286

    A.37 Raw Data Information Object Definition .................................... 286

    A.37.1 IOD Raw Data IOD Description .................................................................. 286

    A.37.2 Raw Data entity-relationship model ............................ 286

    A.37.3 IOD Raw Data IOD Module Table ................................................. 286

    A.38 Enhanced Computed tomography image

    information object definition ................................................................................................................. 287

    A.38.1 CT Enhanced CT Image Information Object Definition .... 287

    A.38.1.1 CT IOD Enhanced CT Image IOD Description ................................... 287

    A.38.1.2 CT IOD Enhanced CT Image IOD Entity-Relationship

    Model ............................................................................................................................................ 287

    A.38.1.3 CT IOD Enhanced CT Image IOD Module Table .................. 287

    A.38.1.3.1 CT IOD Enhanced CT Image IOD Content Constraints ....... 288

    A.38.1.4 CT Enhanced CT Image Functional Group Macros ..... 288