Add Specimen Module to Presentation States Status September 2022 Voting Packet Date of Last Update 2022/08/14 Person Assigned David Clunie Submitter Name Markus Daniel Herrmann IDC Submission Date 2022/03/20 Correction Number CP-2216 Log Summary: Add Specimen Module to Presentation States Name of Standard PS3.3 Rationale for Correction: The presentation states contain a mechanism for refering to whole slide microscopy images that was added in Sup 145, but did not include the Sup 122 Specimen Module. There is a need to search for presentation states that apply to a particular specimen or slide (container). Add the Specimen Module as optional to all Presentation State IODs, including those for blending and pseudo-coloring (which might be used for immunoflourescence images) as well as those for X-Ray applications (since they might be used for specimen radiography) as well as Structured Display (just as the Specimen Module is in most images, including Segmentations, and as it is being added in CP 2177 to the Microscopy Bulk Simple Annotations). Note that the Specimen Module is not used in SR objects, for which a single SR may span images and slides and specimens, and in which the references and identifiers may be present in the content tree. Correction Wording:

Amend DICOM PS3.3 as follows (and update the overview tables correspondingly):

Grayscale Softcopy Presentation State IOD Modules

IE	Module	Reference	Usage
Patient	Patient		M
	Clinical Trial Subject		U
Study	General Study		M
	Patient Study		U
	Clinical Trial Study		U
Series	General Series		M
	Clinical Trial Series		U
	Presentation Series		M
Equipment	General Equipment		M
Presentation State	Presentation State Identification		M
	Presentation State Relationship		M
	Presentation State Shutter		M
	Presentation State Mask		M
	Mask		C - Required if the referenced image(s) are multi-frame and are to be subtracted
	Display Shutter		C - Required if a Display Shutter is to be applied to referenced image(s) and the is not present
	Bitmap Display Shutter		C - Required if a Display Shutter is to be applied to referenced image(s) and the is not present
	Overlay Plane		C - Required if Overlay is to be applied to referenced image(s) or the is present.
	Overlay Activation		C - Required if referenced image contains overlay data that is to be displayed or Presentation State Instance contains Overlay data other than Bitmap Shutter
	Displayed Area		M
	Graphic Annotation		C - Required if Graphic Annotations are to be applied to referenced image(s)
	Spatial Transformation		C - Required if rotation or flipping are to be applied to referenced image(s)
	Graphic Layer		C - Required if Graphic Annotations or Overlays or Curves are to be applied to referenced image(s)
	Graphic Group		U
	Modality LUT		C - Required if a Modality LUT is to be applied to referenced image(s)
	Softcopy VOI LUT		C - Required if a VOI LUT is to be applied to referenced image(s)
	Softcopy Presentation LUT		M
	Specimen		U
	SOP Common		M

Color Softcopy Presentation State IOD Modules

IE	Module	Reference	Usage
Patient	Patient		M
	Clinical Trial Subject		U
Study	General Study		M
	Patient Study		U
	Clinical Trial Study		U
Series	General Series		M
	Clinical Trial Series		U
	Presentation Series		M
Equipment	General Equipment		M
Presentation State	Presentation State Identification		M
	Presentation State Relationship		M
	Presentation State Shutter		M
	Display Shutter		C - Required if a Display Shutter is to be applied to referenced image(s) and the is not present
	Bitmap Display Shutter		C - Required if a Display Shutter is to be applied to referenced image(s) and the is not present
	Overlay Plane		C - Required if Overlay is to be applied to referenced image(s) or the is present.
	Overlay Activation		C - Required if referenced image contains overlay data that is to be displayed or Presentation State Instance contains Overlay data other than Bitmap Shutter
	Displayed Area		M
	Graphic Annotation		C - Required if Graphic Annotations are to be applied to referenced image(s)
	Spatial Transformation		C - Required if rotation, flipping or magnification are to be applied to referenced image(s)
	Graphic Layer		C - Required if Graphic Annotations or Overlays or Curves are to be applied to referenced image(s)
	Graphic Group		U
	ICC Profile		M
	Specimen		U
	SOP Common		M

Pseudo-Color Softcopy Presentation State IOD Modules

IE	Module	Reference	Usage
Patient	Patient		M
	Clinical Trial Subject		U
Study	General Study		M
	Patient Study		U
	Clinical Trial Study		U
Series	General Series		M
	Clinical Trial Series		U
	Presentation Series		M
Equipment	General Equipment		M
Presentation State	Presentation State Identification		M
	Presentation State Relationship		M
	Presentation State Shutter		M
	Presentation State Mask		M
	Mask		C - Required if the referenced image(s) are multi-frame and are to be subtracted
	Display Shutter		C - Required if a Display Shutter is to be applied to referenced image(s) and the is not present
	Bitmap Display Shutter		C - Required if a Display Shutter is to be applied to referenced image(s) and the is not present
	Overlay Plane		C - Required if Overlay is to be applied to referenced image(s) or the is present.
	Overlay Activation		C - Required if referenced image contains overlay data that is to be displayed or Presentation State Instance contains Overlay data other than Bitmap Shutter
	Displayed Area		M
	Graphic Annotation		C - Required if Graphic Annotations are to be applied to referenced image(s)
	Spatial Transformation		C - Required if rotation or flipping are to be applied to referenced image(s)
	Graphic Layer		C - Required if Graphic Annotations or Overlays or Curves are to be applied to referenced image(s)
	Graphic Group		U
	Modality LUT		C - Required if a Modality LUT is to be applied to referenced image(s)
	Softcopy VOI LUT		C - Required if a VOI LUT is to be applied to referenced image(s)
	Palette Color Lookup Table		M
	ICC Profile		M
	Specimen		U
	SOP Common		M

Blending Softcopy Presentation State IOD Modules

IE	Module	Reference	Usage
Patient	Patient		M
	Clinical Trial Subject		U
Study	General Study		M
	Patient Study		U
	Clinical Trial Study		U
Series	General Series		M
	Clinical Trial Series		U
	Presentation Series		M
Equipment	General Equipment		M
Presentation State	Presentation State Identification		M
	Presentation State Blending		M
	Displayed Area		M
	Graphic Annotation		C - Required if Graphic Annotations are to be applied
	Spatial Transformation		C - Required if rotation or flipping are to be applied
	Graphic Layer		C - Required if is present.
	Graphic Group		U
	Palette Color Lookup Table		M
	ICC Profile		M
	Specimen		U
	SOP Common		M

Basic Structured Display IOD Modules

IE	Module	Reference	Usage
Patient	Patient		M
	Clinical Trial Subject		U
Study	General Study		M
	Patient Study		U
	Clinical Trial Study		U
Series	General Series		M
	Clinical Trial Series		U
	Presentation Series		M
Equipment	General Equipment		M
	Enhanced General Equipment		U
Presentation State	Structured Display		M
	Structured Display Image Box		M
	Structured Display Annotation		U
	Common Instance Reference		M
	Specimen		U
	SOP Common		M

XA/XRF Grayscale Softcopy Presentation State IOD Modules

IE	Module	Reference	Usage
Patient	Patient		M
	Clinical Trial Subject		U
Study	General Study		M
	Patient Study		U
	Clinical Trial Study		U
Series	General Series		M
	Clinical Trial Series		U
	Presentation Series		M
Equipment	General Equipment		M
	Enhanced General Equipment		M
Presentation State	Presentation State Identification		M
	Presentation State Relationship		M
	Presentation State Shutter		M
	Bitmap Display Shutter		C - Required if a Display Shutter is to be applied to referenced image(s) and the is not present
	Overlay Plane		C - Required if Overlay is to be applied to referenced image(s) or the is present.
	Overlay Activation		C - Required if referenced image contains overlay data that is to be displayed or Presentation State Instance contains Overlay data other than Bitmap Shutter
	Displayed Area		M
	Graphic Annotation		C - Required if Graphic Annotations are to be applied to referenced image(s)
	Spatial Transformation		C - Required if rotation or flipping are to be applied to referenced image(s)
	Graphic Layer		C - Required if Graphic Annotations or Overlays or Curves are to be applied to referenced image(s)
	Softcopy VOI LUT		C - Required if a VOI LUT is to be applied to referenced image(s)
	XA/XRF Presentation State Mask		C - Required if the referenced image(s) are to be subtracted
	XA/XRF Presentation State Shutter		C - Required if a Display Shutter is to be applied to referenced image(s) and the is not present
	XA/XRF Presentation State Presentation		C - Required if the referenced image(s) are to be displayed with a prescribed preference
	Softcopy Presentation LUT		M
	Specimen		U
	SOP Common		M

Advanced Blending Presentation State IOD Modules

IE	Module	Reference	Usage
Patient	Patient		M
	Clinical Trial Subject		U
Study	General Study		M
	Patient Study		U
	Clinical Trial Study		U
Series	General Series		M
	Presentation Series		M
	Clinical Trial Series		U
Frame of Reference	Frame of Reference		M
Equipment	General Equipment		M
	Enhanced General Equipment		M
Presentation State	Presentation State Identification		M
	Advanced Blending Presentation State		M
	Advanced Blending Presentation State Display		M
	Displayed Area		U
	Graphic Annotation		U
	Spatial Transformation		C - Required if rotation or flipping are to be applied
	Graphic Layer		C - Required if Graphic Annotation Module is present.
	Graphic Group		U
	ICC Profile		M
	Specimen		U
	Common Instance Reference		M
	SOP Common		M