C.2 Patient Modules

The following Sections specify Modules used for patient management.

C.2.1 Patient Relationship Module

Table C.2-1 defines the Attributes that reference SOP Instances related to this SOP Class.

Table C.2-1. Patient Relationship Module Attributes

Attribute Name

Tag

Attribute Description

Referenced Study Sequence

(0008,1110)

Uniquely identifies the Study SOP Instances associated with the Patient SOP Instance. One or more Items shall be included in this Sequence.

See Section 10.6.1.

>Include Table 10-11 “SOP Instance Reference Macro Attributes”

Referenced Visit Sequence

(0008,1125)

Uniquely identifies the Visit SOP Instances associated with this Patient SOP Instance. One or more Items shall be included in this Sequence.

>Include Table 10-11 “SOP Instance Reference Macro Attributes”

Referenced Patient Alias Sequence

(0038,0004)

Uniquely identifies any Patient SOP Instances that also describe this patient. These SOP Instances are aliases. Zero or more Items shall be included in this Sequence.

>Include Table 10-11 “SOP Instance Reference Macro Attributes”


C.2.2 Patient Identification Module

Table C.2-2 defines the Attributes relevant to identifying a patient.

Table C.2-2. Patient Identification Module Attributes

Attribute Name

Tag

Attribute Description

Patient's Name

(0010,0010)

Patient's full name

Patient ID

(0010,0020)

Primary hospital identification number or code for the patient.

Include Table 10-18 “Issuer of Patient ID Macro Attributes”

Other Patient IDs

(0010,1000)

Other identification numbers or codes used to identify the patient.

Other Patient IDs Sequence

(0010,1002)

A sequence of identification numbers or codes used to identify the patient, which may or may not be human readable, and may or may not have been obtained from an implanted or attached device such as an RFID or barcode.

>Patient ID

(0010,0020)

An identification number or code used to identify the patient

>Include Table 10-18 “Issuer of Patient ID Macro Attributes”

>Type of Patient ID

(0010,0022)

The type of identifier in this item.

Enumerated Values:

TEXT

RFID

BARCODE

Note

The identifier is coded as a string regardless of the type, not as a binary value.

Other Patient Names

(0010,1001)

Other names used to identify the patient.

Patient's Birth Name

(0010,1005)

Patient's birth name.

Patient's Mother's Birth Name

(0010,1060)

Birth name of patient's mother.

Medical Record Locator

(0010,1090)

An identifier used to find the patient's existing medical record (e.g., film jacket).

Referenced Patient Photo Sequence

(0010,1100)

A photo to confirm the identity of a patient.

Only a single Item is permitted in this Sequence.

See C.2.2.1.1.

>Include Table 10-3b “Referenced Instances and Access Macro Attributes”


C.2.2.1 Patient Identification Module Attributes

C.2.2.1.1 Referenced Patient Photo Sequence

A Patient Photo may be provided as an additional means to confirm the identity of the patient.

When the Referenced SOP Sequence (0008,1199) is present, the Referenced SOP Class UID (0008,1150) shall be either VL Photographic Image Storage (1.2.840.10008.5.1.4.1.1.77.1.4) or Secondary Capture Image Storage (1.2.840.10008.5.1.4.1.1.7).

When the WADO Retrieval Sequence (0040,E023) is present, the Retrieve URI (0040,E010) shall refer to a JPEG image if the referenced server is not WADO-compliant.

C.2.3 Patient Demographic Module

Table C.2-3 defines the Attributes relevant to generally describing a patient at a specific point in time, e.g., at the time of admission.

Table C.2-3. Patient Demographic Module Attributes

Attribute Name

Tag

Attribute Description

Patient's Age

(0010,1010)

Age of the Patient.

Occupation

(0010,2180)

Occupation of the Patient.

Confidentiality Constraint on Patient Data Description

(0040,3001)

Special indication to the modality operator about confidentiality of patient information (e.g., that he should not use the patients name where other patients are present).

Patient's Birth Date

(0010,0030)

Date of birth of the named patient

Patient's Birth Time

(0010,0032)

Time of birth of the named patient

Patient's Sex

(0010,0040)

Sex of the named patient.

Enumerated Values:

M

male

F

female

O

other

Quality Control Subject

(0010,0200)

Indicates whether or not the subject is a quality control phantom.

Enumerated Values:

YES

NO

If this Attribute is absent, then the subject may or may not be a phantom.

This attribute describes a characteristic of the Imaging Subject. It is distinct from Quality Control Image (0028,0300) in the General Image Module, which is used to describe an image acquired.

Patient's Insurance Plan Code Sequence

(0010,0050)

A sequence that conveys the patient's insurance plan. Zero or more Items shall be included in this Sequence.

>Include Table 8.8-1 “Code Sequence Macro Attributes”

No Baseline CID is defined.

Patient's Primary Language Code Sequence

(0010,0101)

The languages that can be used to communicate with the patient.

Zero or more Items shall be included in this sequence. The sequence items are ordered by preference (most preferred language to least preferred language).

>Include Table 8.8-1 “Code Sequence Macro Attributes”

Baseline CID 5000 “Languages”.

>Patient's Primary Language Modifier Code Sequence

(0010,0102)

A modifier for a Patient's Primary Language. Can be used to specify a national language variant.

Only a single Item shall be included in this sequence.

>>Include Table 8.8-1 “Code Sequence Macro Attributes”

Baseline CID 5001 “Countries”.

Patient's Size

(0010,1020)

Patient's height or length in meters

Patient's Weight

(0010,1030)

Weight of the patient in kilograms

Patient's Size Code Sequence

(0010,1021)

Patient's size category code

One or more Items are permitted in this sequence.

>Include Table 8.8-1 “Code Sequence Macro Attributes”

Baseline CID is CID 7040 “Broselow-Luten Pediatric Size Categories” for pediatric patients.

Patient's Address

(0010,1040)

Legal address of the named patient

Military Rank

(0010,1080)

Military rank of patient

Branch of Service

(0010,1081)

Branch of the military. The country allegiance may also be included (e.g., U.S. Army).

Country of Residence

(0010,2150)

Country in which patient currently resides

Region of Residence

(0010,2152)

Region within patient's country of residence

Patient's Telephone Numbers

(0010,2154)

Telephone numbers at which the patient can be reached

Ethnic Group

(0010,2160)

Ethnic group or race of patient

Patient's Religious Preference

(0010,21F0)

The religious preference of the patient

Patient Comments

(0010,4000)

User-defined comments about the patient

Responsible Person

(0010,2297)

Name of person with medical decision making authority for the patient.

Responsible Person Role

(0010,2298)

Relationship of Responsible Person to the patient.

See Section C.7.1.1.1.2 for Defined Terms.

Responsible Organization

(0010,2299)

Name of organization with medical decision making authority for the patient.

Patient Species Description

(0010,2201)

The species of the patient.

Patient Species Code Sequence

(0010,2202)

The species of the patient.

>Include Table 8.8-1 “Code Sequence Macro Attributes”

Defined CID 7454 “Species”.

Patient Breed Description

(0010,2292)

The breed of the patient.See Section C.7.1.1.1.1.

Patient Breed Code Sequence

(0010,2293)

The breed of the patient.See Section C.7.1.1.1.1.

>Include Table 8.8-1 “Code Sequence Macro Attributes”

Defined CID 7480 “Breed”.

Breed Registration Sequence

(0010,2294)

Information identifying an animal within a breed registry.

>Breed Registration Number

(0010,2295)

Identification number of a veterinary patient within the registry.

>Breed Registry Code Sequence

(0010,2296)

Identification of the organization with which an animal is registered.

>>Include Table 8.8-1 “Code Sequence Macro Attributes”

Defined CID 7481 “Breed Registry”.


Note

The language codes specified in CID 5000 “Languages”, used in Patient's Primary Language Code Sequence (0010,0101), optionally allow the encoding of the country of language in the code value for the language. Encoding of the country of language in a subsidiary Patient's Primary Language Modifier Code Sequence (0010,0102) is allowed for backward compatibility with previous editions of the Standard.

C.2.4 Patient Medical Module

Table C.2-4 defines the Attributes relevant to a patient's medical state or history.

Table C.2-4. Patient Medical Module Attributes

Attribute Name

Tag

Attribute Description

Medical Alerts

(0010,2000)

Conditions to which medical staff should be alerted (e.g., contagious condition, drug allergies, etc.)

Allergies

(0010,2110)

Description of prior reaction to contrast agents, or other patient allergies or adverse reactions.

Smoking Status

(0010,21A0)

Indicates whether patient smokes.

Enumerated Values:

YES

NO

UNKNOWN

Additional Patient History

(0010,21B0)

Additional information about the patient's medical history

Pregnancy Status

(0010,21C0)

Describes pregnancy state of patient.

Enumerated Values:

0001

not pregnant

0002

possibly pregnant

0003

definitely pregnant

0004

unknown

Last Menstrual Date

(0010,21D0)

Date of onset of last menstrual period

Patient's Sex Neutered

(0010,2203)

Whether or not a procedure has been performed in an effort to render the patient sterile.

Enumerated Values:

ALTERED

Altered/Neutered

UNALTERED

Unaltered/intact

Special Needs

(0038,0050)

Medical and social needs (e.g., wheelchair, oxygen, translator, etc.)

Patient State

(0038,0500)

Description of patient state (comatose, disoriented, vision impaired, etc.)

Pertinent Documents Sequence

(0038,0100)

List of Documents (e.g., SR, or CDA) that contain information considered pertinent for the patient medical condition.

Zero or more Items shall be included in this sequence.

>Include Table 10-11 “SOP Instance Reference Macro Attributes”

>Purpose of Reference Code Sequence

(0040,A170)

Describes the purpose for which the document reference is made. Zero or more Items shall be included in this sequence.

>>Include Table 8.8-1 “Code Sequence Macro Attributes”

No Baseline CID is defined.

>Document Title

(0042,0010)

Title of the referenced document.

Patient Clinical Trial Participation Sequence

(0038,0502)

Sequence of identifiers for clinical trials in which the patient participates.

Zero or more Items shall be included in this sequence.

>Clinical Trial Sponsor Name

(0012,0010)

The name of the clinical trial sponsor, responsible for conducting the clinical trial and for defining the Clinical Trial Protocol.

>Clinical Trial Protocol ID

(0012,0020)

Identifier for the noted protocol, used by the Clinical Trial Sponsor to uniquely identify the investigational protocol.

>Clinical Trial Protocol Name

(0012,0021)

The name or title of the clinical trial protocol.

>Clinical Trial Site ID

(0012,0030)

The identifier, issued by the Clinical Trial Sponsor, of the site responsible for submitting clinical trial data.

>Clinical Trial Site Name

(0012,0031)

Name of the site responsible for submitting clinical trial data.

>Clinical Trial Subject ID

(0012,0040)

The assigned identifier for the patient as a clinical trial subject.

>Clinical Trial Subject Reading ID

(0012,0042)

Identifies the patient as a clinical trial subject for blinded evaluations.


Note

The Patient Clinical Trial Participation Sequence (0038,0502) identifies potentially multiple trials in which the patient is enrolled. Application behavior in the presence of multiple items is outside the scope of the standard.