DICOM PS3.3 2025b - Information Object Definitions

C.4.13 Performed Procedure Step Relationship Module

Table C.4-13 specifies the Attributes of the Performed Procedure Step Relationship Module, which are used to reference other SOP Classes and other Information Entities of the DICOM real-world model as defined in Section 7.3.1.6.

Table C.4-13. Performed Procedure Step Relationship Module Attributes

Attribute Name

Tag

Attribute Description

Patient's Name

(0010,0010)

Patient's full legal name.

Patient ID

(0010,0020)

Primary identifier for the Patient.

Note

In the case of imaging a group of small animals simultaneously, the single Value of this identifier corresponds to the identification of the entire group. See also Section C.7.1.4.1.1.

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

Patient's Birth Date

(0010,0030)

Date of birth of the named Patient.

Patient's Birth Date in Alternative Calendar

(0010,0033)

Date of birth of the named Patient in the Alternative Calendar (0010,0035).

Note

No format is specified for alternative calendar dates so none should be assumed.

Patient's Death Date in Alternative Calendar

(0010,0034)

Date of death of the named Patient in the Alternative Calendar (0010,0035).

Note

No format is specified for alternative calendar dates so none should be assumed.

Patient's Alternative Calendar

(0010,0035)

The Alternative Calendar used for Patient's Birth Date in Alternative Calendar (0010,0033) and Patient's Death Date in Alternative Calendar (0010,0034).

See Section C.7.1.5 for Defined Terms.

Required if either Patient's Birth Date in Alternative Calendar (0010,0033) or Patient's Alternative Death Date in Calendar (0010,0034) is present.

Patient's Sex

(0010,0040)

Sex of the named Patient

Enumerated Values:

M

male

F

female

O

other

See Note 2 and Note 3 in Table C.7-1.

Gender Identity Sequence

(0010,0041)

An individual's personal sense of being a man, woman, boy, girl, nonbinary, or something else, ascertained by asking them what their identity is.

One or more Items are permitted in this Sequence.

See Section C.7.2.2.1.5.

>Gender Identity Code Sequence

(0010,0044)

A coded gender identity.

Only a single Item shall be included in this Sequence.

See also Section C.7.2.2.1.4.

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

BCID 7458 “Person Gender Identity”.

>Effective Start DateTime

(0040,A034)

The date and time at which the content of this Sequence Item begins to be applicable.

See Section C.7.2.2.1.5.

>Effective Stop DateTime

(0040,A035)

The date and time at which the content of this Sequence Item ceases to be applicable.

See Section C.7.2.2.1.5.

>Gender Identity Comment

(0010,0045)

Comments on this gender identity, such as the context in which it should be used.

Sex Parameters for Clinical Use Category Sequence

(0010,0043)

Guidance on how to apply settings or reference ranges that are derived from observable information such as an organ inventory, recent hormone lab tests, genetic testing, menstrual status, obstetric history, etc.

One or more Items are permitted in this Sequence.

See Section C.7.2.2.1.2.

>Sex Parameters for Clinical Use Category Code Sequence

(0010,0046)

The category of this Sex Parameter for Clinical Use (SPCU).

Only a single Item shall be included in this Sequence.

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

BCID 7459 “Category of Sex Parameters for Clinical Use”.

>Effective Start DateTime

(0040,A034)

The date and time at which the content of this Sequence Item begins to be applicable.

See Section C.7.2.2.1.5.

>Effective Stop DateTime

(0040,A035)

The date and time at which the content of this Sequence Item ceases to be applicable.

See Section C.7.2.2.1.5.

>Sex Parameters for Clinical Use Category Comment

(0010,0042)

Further description of clinical implications and reasons for the selected code

>Sex Parameters for Clinical Use Category Reference

(0010,0047)

Reference to a resource that explains or extends the Sex Parameters for Clinical Use Category Code

Person Names to Use Sequence

(0010,0011)

The name(s) that should be used when addressing or referencing the person.

One or more Items are permitted in this Sequence.

>Name to Use

(0010,0012)

A name that should be used when addressing or referencing the person.

This need not be an official name nor comply with any particular name structure.

See Section C.7.2.2.1.3.

>Effective Start DateTime

(0040,A034)

The date and time at which the content of this Sequence Item begins to be applicable.

See Section C.7.2.2.1.5.

>Effective Stop DateTime

(0040,A035)

The date and time at which the content of this Sequence Item ceases to be applicable.

See Section C.7.2.2.1.5.

>Name to Use Comment

(0010,0013)

Further explanation of appropriate name usage.

Third Person Pronouns Sequence

(0010,0014)

Pronoun(s) specified by the patient to use when referring to the patient in speech, in clinical notes, and in written instructions to caregivers.

One or more Items are permitted in this Sequence.

See Section C.7.2.2.1.4.

>Pronoun Code Sequence

(0010,0015)

A single code that specifies the set of third person pronouns to be used in reference to this patient.

Only a single Item shall be included in this Sequence.

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

BCID 7448 “Third Person Pronoun Set”.

>Effective Start DateTime

(0040,A034)

The date and time at which the content of this Sequence Item begins to be applicable.

See Section C.7.2.2.1.5.

>Effective Stop DateTime

(0040,A035)

The date and time at which the content of this Sequence Item ceases to be applicable.

See Section C.7.2.2.1.5.

>Pronoun Comment

(0010,0016)

Further explanation of pronoun usage

Referenced Patient Sequence

(0008,1120)

Uniquely identifies the Patient.

Only a single Item shall be included in this Sequence.

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

Admission ID

(0038,0010)

Identification number of the Visit as assigned by the healthcare provider.

Issuer of Admission ID Sequence

(0038,0014)

Identifier of the Assigning Authority that issued the Admission ID.

Only a single Item shall be included in this Sequence.

>Include Table 10-17 “HL7v2 Hierarchic Designator Macro Attributes”

Service Episode ID

(0038,0060)

Identifier of the Service Episode as assigned by the healthcare provider.

Issuer of Service Episode ID Sequence

(0038,0064)

Identifier of the Assigning Authority that issued the Service Episode ID.

Only a single Item shall be included in this Sequence.

>Include Table 10-17 “HL7v2 Hierarchic Designator Macro Attributes”

Service Episode Description

(0038,0062)

Description of the type of service episode.

Scheduled Step Attributes Sequence

(0040,0270)

Sequence containing Attributes that are related to the scheduling of the Procedure Step.

One or more Items shall be included in this Sequence.

>Study Instance UID

(0020,000D)

Unique identifier for the Study.

>Referenced Study Sequence

(0008,1110)

Uniquely identifies the Study associated with this Scheduled Procedure Step.

Only a single Item shall be included in this Sequence.

See Section 10.6.1.

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

>Accession Number

(0008,0050)

A departmental Information System generated number that identifies the Imaging Service Request.

>Issuer of Accession Number Sequence

(0008,0051)

Identifier of the Assigning Authority that issued the Accession Number.

Only a single Item shall be included in this Sequence.

>>Include Table 10-17 “HL7v2 Hierarchic Designator Macro Attributes”

>Placer Order Number/Imaging Service Request

(0040,2016)

The order number assigned to the Imaging Service Request by the party placing the order.

>Order Placer Identifier Sequence

(0040,0026)

Identifier of the Assigning Authority that issued the Placer Order Number.

Only a single Item shall be included in this Sequence.

>>Include Table 10-17 “HL7v2 Hierarchic Designator Macro Attributes”

>Filler Order Number/Imaging Service Request

(0040,2017)

The order number assigned to the Imaging Service Request by the party filling the order.

>Order Filler Identifier Sequence

(0040,0027)

Identifier of the Assigning Authority that issued the Filler Order Number.

Only a single Item shall be included in this Sequence.

>>Include Table 10-17 “HL7v2 Hierarchic Designator Macro Attributes”

>Requested Procedure ID

(0040,1001)

Identifier of the related Requested Procedure.

>Requested Procedure Description

(0032,1060)

Institution-generated administrative description or classification of Requested Procedure.

>Requested Procedure Code Sequence

(0032,1064)

A Sequence that conveys the Procedure Type of the requested procedure.

Only a single Item shall be included in this Sequence.

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

No Baseline CID is defined.

>Scheduled Procedure Step ID

(0040,0009)

Identifier of the related Scheduled Procedure Step.

>Scheduled Procedure Step Description

(0040,0007)

Institution-generated description or classification of the Scheduled Procedure Step to be performed.

>Scheduled Protocol Code Sequence

(0040,0008)

Sequence describing the Scheduled Protocol following a specific Coding Scheme.

One or more Items shall be included in this Sequence.

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

No Baseline CID is defined.

>>Protocol Context Sequence

(0040,0440)

Sequence that specifies the context for the Scheduled Protocol Code Sequence (0040,0008) Item.

One or more Items shall be included in this Sequence.

See Section C.4.10.1.

>>>Include Table 10-2 “Content Item Macro Attributes”

No Baseline TID is defined.

>>>Content Item Modifier Sequence

(0040,0441)

Sequence that specifies modifiers for a Protocol Context Content Item.

One or more Items shall be included in this Sequence.

See Section C.4.10.1.

>>>>Include Table 10-2 “Content Item Macro Attributes”

No Baseline TID is defined.


Note

  1. The Patient information is included in order to relate the Modality Performed Procedure Step SOP Instance to the Study Management SOP Instance and other associated IODs in case the SCU (the modality) is unable to obtain or use the Study Instance UID created by the Information System.

  2. Placer Order Number / Imaging Service Request (0040,2016) and Filler Order Number / Imaging Service Request (0040,2017) are intended to convey the corresponding order numbers as defined in HL7, in the case where interoperability with an HL7 environment is the objective.

  3. Attributes (0040,2006) and (0040,2007) were previously defined in DICOM. They are now retired (see PS3.3-1998 ).

  4. Placer Order Number / Procedure (0040,1006) and Filler Order Number / Procedure (0040,1007) were previously defined in DICOM. They are now retired (see PS3.3-1998 ).

DICOM PS3.3 2025b - Information Object Definitions