In an SR Instance the default subject context information is provided by the attributes in the Common Patient IE Modules. This may include the Sex Parameters for Clinical Use Category Sequence (0010,0043).

Individual observations, analyses, etc. may have a different subject context. The default information can be overridden by information that is provided within the specific template. This is particularly relevant to the Sex Parameters for Clinical Use Category Sequence (0010,0043). An acquisition process or analysis that was performed using a different Sex Parameters for Clinical Use (0010,0043) can be indicated within the template.

It is possible that a specific analysis might be performed using both "Male-typical" and "Female-typical" analysis methods. The Subject Context for each individual report TID can indicate which method was used for that analysis. The physician might review and consider both analysis results when deciding how to treat this patient.