The N-DELETE procedures are initiated by the invoking DIMSE Service User issuing an N-DELETE request primitive. On receipt of the N-DELETE request primitive the DIMSE-N protocol machine shall:

On receipt of a Message conveying an N-DELETE-RQ the DIMSE-N protocol machine shall issue an N-DELETE indication primitive to the performing DIMSE Service User.

On receipt of the N-DELETE response primitive, issued by the performing DIMSE Service User, the DIMSE-N protocol machine shall:

On receipt of a Message conveying an N-DELETE-RSP the DIMSE-N protocol machine shall issue an N-DELETE confirmation primitive to the invoking DIMSE Service User, thus completing the N-DELETE procedure.