DICOM PS3.17 2025b - Explanatory Information

HHHH Protocol Approval Examples and Concepts (Informative)

The following example is provided to illustrate the usage of the Protocol Approval IOD.

This example shows approval of a pair of CT Protocols for routine adult head studies. It is approved by the Chief of Radiology and by the Physicist. The Instance UIDs of the two CT Protocols are 1.2.3.456.7.7 and 1.2.3.456.7.8.

Note that the Institution Code Sequence (0008,0082) inside the Asserter Identification Sequence (0044,0103) communicates that Mercy Hospital is the organization to which Dr. Welby is responsible. The Institution Code Sequence (0008,0082) at the end of the first Approval Item communicates that Mercy Hospital is the institution for which the protocols are "Approved for use at the institution".

Table HHHH-1. Approval by Chief Radiologist

Attribute

Tag

Value

Manufacturer

(0008,0070)

Acme Corp.

Manufacturer's Model Name

(0008,1090)

Primo Protocol Management Workstation Plus

Device Serial Number

(0018,1000)

A59848573

Software Versions

(0018,1020)

V2.3

SOP Class UID

(0008,0016)

1.2.840.10008.5.1.4.1.1.200.3 (Protocol Approval)

SOP Instance UID

(0008,0018)

1.33.9.876.1.1.1

Approval Subject Sequence

(0044,0109)

Item #1

>Referenced SOP Class UID

(0008,1150)

1.2.840.10008.5.1.4.1.1.200.1 (CT Defined Procedure Protocol)

>Referenced SOP Instance UID

(0008,1155)

1.2.3.456.7.7

Item #2

>Referenced SOP Class UID

(0008,1150)

1.2.840.10008.5.1.4.1.1.200.1 (CT Defined Procedure Protocol)

>Referenced SOP Instance UID

(0008,1155)

1.2.3.456.7.8

Approval Sequence

(0044,0100)

Item #1

>Assertion Code Sequence

(0044,0101)

(128603, DCM, "Approved for use at the institution")

>Assertion UID

(0044,0102)

1.2.33.9.876.5.5.5.5.21

>Asserter Identification Sequence

(0044,0103)

>>Observer Type

(0040,A084)

PSN

>>Person Name

(0040,A123)

"Welby^Marcus^^Dr.^MD"

>>Person Identification Code Sequence

(0040,1101)

(12345, 99NPI, "Welby^Marcus^^Dr.^MD")

>>Organizational Role Code Sequence

(0044,010A)

(128670, DCM, "Head of Radiology")

>>Institution Name

(0008,0080)

Mercy Hospital, Centerville

>>Institution Code Sequence

(0008,0082)

(000011113, 99NPI, "Mercy Hospital, Centerville")

>Assertion DateTime

(0044,0104)

20150601145327

>Assertion Expiration DateTime

(0044,0105)

20200601000000 (based on a 5 yearly review plan)

>Institution Code Sequence

(0008,0082)

(000011113, 99NPI, "Mercy Hospital, Centerville")

Item #2

>Assertion Code Sequence

(0044,0101)

(128605, DCM, "Approved for use on pregnant patients")

>Assertion UID

(0044,0102)

1.2.33.9.876.5.5.5.5.22

>Asserter Identification Sequence

(0044,0103)

>>Observer Type

(0040,A084)

PSN

>>Person Name

(0040,A123)

"Welby^Marcus^^Dr.^MD"

>>Person Identification Code Sequence

(0040,1101)

(12345, 99NPI, "Welby^Marcus^^Dr.^MD")

>>Organizational Role Code Sequence

(0044,010A)

(128670, DCM, "Head of Radiology")

>>Institution Name

(0008,0080)

Mercy Hospital, Centerville

>>Institution Code Sequence

(0008,0082)

(000011113, 99NPI, "Mercy Hospital, Centerville")

>Assertion DateTime

(0044,0104)

20150601145327

>Assertion Expiration DateTime

(0044,0105)

20200601000000 (based on a 5 yearly review plan)

>Assertion Comments

(0044,0106)

"Limited scan range and proper use of abdominal shielding result in negligible dose to the fetus."


DICOM PS3.17 2025b - Explanatory Information