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2014/04/30

The following changes have been made relative to the published PS 3 2011 standard, by incorporating the changes specified in thesupplements and correction items.

The Final Text of all applied Supplements and Correction Proposals is available at ftp://medical.nema.org/medical/dicom/final/

In addition to the changes highlight below, various editorial changes were made during the Word to DocBook XML conversion to ac-commodate the different capabilities of DocBook, particularly to harmonize titles and organization for indexing, cross-referencing andextraction.

The figures were also redrawn in SVG format and changes in style were made to improve the appearance without changing themeaning.

Production NotesThe DocBook XML files are the source format, and all other formats are rendered from it.

The PDF format is rendered from the DocBook XML, and remains the "official" (authoritative) form of the standard. The PDF containshyperlinks to sections, figures and tables both within and between parts (which in the latter case work if you are reading the PDF ina tool that supports linking to other parts.

The two HTML formats are provided for the convenience of those who find them easier to navigate within a browser, and though theappearance and organization is different, the content is the same. One form consists of entire parts in one very large HTML page,and the other consist of chunks of large sections with navigation elements. Both forms are hyper-linked within and between parts.The figures in the HTML are SVG, so a browser that supports SVG is required (most contemporary browsers do).

The DOCX (for Word) and ODT (for OpenOffice or LibreOffice) formats are provided for the convenience of future Supplement andCP editors. Their main claim to fame is that they exists at all, and though they are viewable and editable, they are lacking many featuresof the Word source of previous release, for example the use of styles for section headings. They do contain embedded hyperlinks,and these are also present in the table of contents, even though the page numbers rendered in the table of contents may be mean-ingless. To reiterate, the intent of these files is to provide a source to cut and past into new Word documents, and not to be functionaldocuments in their own right. Since Word does not support SVG, all figures embedded in the DOCX files have been rasterized to afixed resolution and are adequate for position only and are not editable and are not intended to be a substitute for the SVG figures.

The rendering pipeline used to produce these files is available but requires some expertise to use it. It is not supported, and to achievequality rendering the use of some commercial tools was required to supplement the many open source tools that were also used.Oxygen (commercial) was used as the XML editor since it supports a WYSIWG authoring mode. OpenOffice (open source) was usedas the equation editor. The DocBook (open source, version docbook-xsl-ns-1.78.1) style sheets were used to create the HTML andintermediate FO form used to created the PDF and DOCX. MathML equations were converted to SVG using pMML2SVG (opensource, version pMML2SVG-0.8.5). RenderX XEP (commercial) was used to produce the PDF, and XMLmind FO-Converter (com-mercial) was used to produce the DOCX.

Some characteristics of the DocBook XML may be of interest to those performing automated processing or extraction:

• Zero width spaces (U+200B) are used in some places to allow long words (such as PS3.6 keywords) to break within table columnsand avoid tables becoming too wide to fit on a page. These need to be filtered out before using these words literally.

• Enumerated values and defined terms are formalized in PS3.3 as DocBook variablelist elements with a title identifying them assuch, to facilitate their automated detection and extraction

• Template and context group tables in PS 3.16 are preceded by variablelist elements defining whether or not they are extensible,etc., again to enable automated extraction.

• Hyperlinks (xref and link elements) are used extensively but may obscure the identifier of what is being linked to from the perspectiveof automated extraction. It may be useful to consult the olink targetdb files that are included in the package to "look up" the targetof such links, rather than reinventing this mechanism, which is used by the DocBook stylesheets for cross-document linking. E.g.,one can look up "sect_TID_300" in "output/html/targetdb/PS3_16_target.db" to determine that it has a "number" of "TID 300" anda "ttl" of "Measurement", etc.

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Page 1DICOM PS 3 2013 - Release Notes

Changes to PartsPS3.1

• Sup 163

• CP 1124

• CP 1240

PS3.2

• Sup 148

• Sup 152

• Sup 154

• Sup 157

• Sup 158

• Sup 161

• Sup 162

• Sup 163

• Sup 166

• Sup 168

• CP 1105

• CP 1187 – also corrected attribute name

• CP 1209

• CP 1223

• CP 1240

PS3.3

• Removed ICC Module from Whole Slide Image IOD since it should not have been added in previous edition (was not in Sup 145or CP 1017, and ICC Profile attribute is nested in Optical Path Module)

• Sup 152

• Sup 154

• Sup 157

• Sup 158

• Sup 162

• Sup 168 – included ICC module as U since uses palette color, per CP 1017 principle

• CP 739 – removed incorrect conditions and changed Type 3 sequence VM for optional macro

• CP 1041

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Page 2DICOM PS 3 2013 - Release Notes

• CP 1042

• CP 1064

• CP 1085

• CP 1091

• CP 1094

• CP 1098

• CP 1099

• CP 1101

• CP 1103

• CP 1104

• CP 1109

• CP 1111

• CP 1116

• CP 1118

• CP 1119

• CP 1120

• CP 1121

• CP 1122

• CP 1123

• CP 1125

• CP 1128

• CP 1131

• CP 1132

• CP 1133

• CP 1134

• CP 1135

• CP 1136 – was already done

• CP 1137

• CP 1138

• CP 1147

• CP 1149

• CP 1150

• CP 1157

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Page 3DICOM PS 3 2013 - Release Notes

• CP 1158

• CP 1165

• CP 1166

• CP 1169

• CP 1175

• CP 1176

• CP 1177

• CP 1179

• CP 1184

• CP 1186

• CP 1188

• CP 1190

• CP 1191

• CP 1192

• CP 1193

• CP 1198

• CP 1199 – made FT2 since modifier was not indented correctly in performed sequence

• CP 1200

• CP 1204

• CP 1205

• CP 1206

• CP 1210

• CP 1211

• CP 1213

• CP 1216

• CP 1219

• CP 1223

• CP 1229

• CP 1231

• CP 1234

• CP 1235

• CP 1236

• CP 1237

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Page 4DICOM PS 3 2013 - Release Notes

• CP 1240

• CP 1242

• CP 1243 – also added to Ophthalmic Thickness Map and legacy converted CT, MR and PET IODs, since same pattern

• CP 1245

• CP 1246

• CP 1248

• CP 1249

• CP 1250

• CP 1251

• CP 1252

• CP 1253

• CP 1255

• CP 1256

• CP 1258 –made FT2 since modifier was not indented correctly

• CP 1260

• CP 1263

• CP 1264

• CP 1265 – also made FoR Module MPBO to be consistent with amended text

• CP 1268

• CP 1269

• CP 1272

• CP 1273

• CP 1274

• CP 1276

• CP 1277

• CP 1283

• CP 1284

• CP 1289

• CP 1293

• CP 1296

• CP 1299

• CP 1300

• CP 1301

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Page 5DICOM PS 3 2013 - Release Notes

PS3.4

• Sup 152

• Sup 154

• Sup 157

• Sup 158

• Sup 162

• Sup 168

• CP 993

• CP 1154

• CP 1171

• CP 1172 – parts of it were overridden by Sup 157, which added another negotiation item

• CP 1215

• CP 1233

• CP 1240

• CP 1245

PS3.5

• Made spelling and capitalization of “Data Set” (defined in this part) consistent

• Sup 158

• CP 1089

• CP 1110

• CP 1129

• CP 1156

• CP 1198

• CP 1234

• CP 1240

• CP 1261

• CP 1262

• CP 1267

• CP 1274

PS3.6

• Corrected VR of (0014,3022) Sensor Name from DS to ST per ASTM E2699-11

• Corrected VM of ST attributes and retire/rename those that were changed in final text of ASTM E2339-11

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Page 6DICOM PS 3 2013 - Release Notes

• Marked Big Endian Transfer Syntax as retired per Sup 98 (should have been done in 2006 edition)

• Sup 152

• Sup 154

• Sup 157

• Sup 158

• Sup 162

• Sup 163

• Sup 168

• CP 739

• CP 1090

• CP 1107

• CP 1112

• CP 1120

• CP 1121

• CP 1123

• CP 1137

• CP 1138

• CP 1147

• CP 1149

• CP 1170

• CP 1184

• CP 1188

• CP 1204

• CP 1216

• CP 1221

• CP 1232

• CP 1236

• CP 1246

• CP 1247

• CP 1257

• CP 1258

• CP 1240

• CP 1248

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Page 7DICOM PS 3 2013 - Release Notes

• CP 1249

• CP 1268

• CP 1269

• CP 1306

PS3.7

• CP 1222

• CP 1240

• CP 1270

PS3.8

• CP 1240

PS3.10

• CP 1240

PS3.11

• CP 1130

• CP 1182

• CP 1240

PS3.12

• CP 1240

PS3.14

• CP 1240

PS3.15

• Sup 154

• Sup 158

• CP 1240

• CP 1279

• CP 1280

• CP 1298

• CP 1300

PS3.16

• Fixed last remaining "imager" from old CP 396 in Japanese translation of (111026, DCM, "Horizontal Pixel Spacing")

• Cleaned up Annex H LOINC code meanings (removed duplicates, CSD column, sorted numerically)

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Page 8DICOM PS 3 2013 - Release Notes

• CID 8603 changed to 8203 to match PS 3.3 and PS 3.6 usage

• Sup 150

• Sup 152

• Sup 154

• Sup 157

• Sup 158

• Sup 168

• CP 739

• CP 1077 - also marked (113735,DCM,"Exposure Time") as retired; see also CP 1151

• CP 1095

• CP 1096

• CP 1097

• CP 1100

• CP 1102

• CP 1107

• CP 1112

• CP 1113

• CP 1123 - Code 133680 changed to 113680 in Annex D, since inconsistent inCP 1123 and latter is clearly intended

• CP 1139

• CP 1140

• CP 1141

• CP 1142

• CP 1143

• CP 1144

• CP 1145

• CP 1146

• CP 1148

• CP 1149

• CP 1151 – interacted with CP 1077 - change IF in CP 1077 to IFF in CP 1151

• CP 1152

• CP 1159

• CP 1160 – RDSR degree symbol change was already done in CP 1077)

• CP 1161

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Page 9DICOM PS 3 2013 - Release Notes

• CP 1162

• CP 1164

• CP 1165

• CP 1167

• CP 1168

• CP 1170

• CP 1173

• CP 1174

• CP 1178 – note that more recent context group version used from CP 1123

• CP 1181

• CP 1183

• CP 1184

• CP 1185

• CP 1194

• CP 1195

• CP 1197 – updated context group versions to 20120822 date of CP

• CP 1199

• CP 1201

• CP 1202

• CP 1210

• CP 1214

• CP 1218

• CP 1220

• CP 1223

• CP 1229

• CP 1230

• CP 1232

• CP 1239

• CP 1240

• CP 1244

• CP 1247

• CP 1254

• CP 1258 – used appropriate ConceptID/UMLS for CP 1097 changes

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Page 10DICOM PS 3 2013 - Release Notes

• CP 1259

• CP 1266

• CP 1268

• CP 1271

• CP 1286 – also added LOINC code meanings to Annex H

• CP 1281

• CP 1295

• CP 1303

• CP 1305

• CP 1306

PS3.17

• Sup 148

• Sup 152

• Sup 154

• Sup 157

• Sup 158

• Sup 161

• Sup 163

• Sup 166

• Sup 168

• CP 1102

• CP 1117

• CP 1149

• CP 1213

• CP 1223

• CP 1240 – not done, since no reason to introduce unused abbreviation

PS3.18

• Sup 148 – used “2011” instead of “yyyymmdd” in “urn:dicom:wado:ws:yyyymmdd”, schema=”dicom.wado.ws.yyyymmdd.xsd”; doesinformative annex E.1 identify the scheme correctly ?; condition on “Charset of the response” in WS node (8.1.6) is probable incorrect;the Foreword is not updated correctly to indicate that the text is no longer identical to ISO DIS 17432; 6.4.4 Error Codes still haveXXX in them, which seems wrong

• Sup 161 – cleaned up some request/response and missing URI in MIME type stuff

• Sup 163

• Sup 166

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Page 11DICOM PS 3 2013 - Release Notes

• CP 1234 – corrected defined term to ISO 2022 IR 58

• CP 1240 – not done, since no reason to introduce unused abbreviation

PS3.19

• Sup 161

• Sup 163

• Sup 166 – provides latest version of Figure A.1.4-1 Native DICOM Model (only defect in figure is missing "Alphabetic" - but uneditable)

• CP 1240 – not done, since no reason to introduce unused abbreviation

• CP 1261

• CP 1275

PS3.20

• Sup 150

• CP 1240 – not done, since no reason to introduce unused abbreviation

Supplements IncorporatedSup 148 Web Access to DICOM Persistent Objects by Means of Web Services

Sup 150 Radiation Dose Summary Information in Radiology Reports

Sup 152 Ophthalmic Thickness Map Storage SOP Class

Sup 154 Optical Surface Scanner Storage SOP Class

Sup 157 Multi-Frame Converted Legacy Images

Sup 158 Retirement of General Purpose Worklist and Procedure Step

Sup 161 WADO by means of RESTful Services

Sup 162 Comprehensive 3D SR Storage SOP Class

Sup 163 STore Over the Web by REpresentations State Transfer (REST) Services (STOW-RS)

Sup 166 Query based on ID for DICOM Objects by Representational State Transfer (REST) Services (QIDO-RS)

Sup 168 Corneal Topography Map Storage SOP Class

Correction Items IncorporatedCP 739 Add View Code Sequence to CT, MR, SC for Cardiac Views

CP 993 Specific Character Set in PPS N-SET

CP 1041 Add Image Comments to Ophthalmology objects

CP 1042 Add colors to Visual Acuity Background

CP 1064 Float VR in numeric SR content items

CP 1077 Add CR report type to Dose SR and relax content conditions

CP 1085 Clarify CT Acquisition Types

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Page 12DICOM PS 3 2013 - Release Notes

CP 1089 Clarify use of ESC

CP 1090 Allow Image IODs to reference multiple Irradiation Event UIDs

CP 1091 Other language code meanings not translations

CP 1094 Hanging protocol range selector cannot be date or time

CP 1095 Duplicate Exposure Time Codes

CP 1096 Correct breed codes

CP 1097 CID 3829, 3839, 3840 Structure of Anatomy

CP 1098 Clarify behavior of HP Filter-by Operator if the selected attribute value is absent

CP 1099 Allow SCOORD on WSI Total Matrix

CP 1100 Add Pericardial Effusion to Echo SR

CP 1101 Acquisition Duration units in Enhanced US

CP 1102 Correct LOINC Code Meanings

CP 1103 Pixel Intensity Relationship LUT Number of Items

CP 1104 Add Paddle Identification for Mammography

CP 1105 Conformance Claim for SR-CDA Transform

CP 1107 No human readable label for irradiation events in CT Dose SR

CP 1109 Correct figure numbers in PS.3.3

CP 1110 Encoding undefined length empty items and sequence

CP 1111 Correction Palette LUT Descriptor description

CP 1112 Add SR Structure for ROI Statistics

CP 1113 Correct Lead III Code

CP 1116 RT Image Higher Precision Current and Time

CP 1117 Transform Inversion Correction

CP 1118 Recorded Brachy Applicator Terms

CP 1119 Registration Fiducials Reference Macro

CP 1120 Source Distance in General Accessories

CP 1121 Dose Scope Indicator

CP 1122 Correct Attribute Tag for Reference Image Sequence

CP 1123 Add attributes and codes for dose reports generated during QA scans

CP 1124 Add standard for DICOM reference

CP 1125 Add Protocol Name to SR Series

CP 1128 Enforce UT CR/LF Part 5 requirement in Part 3

CP 1129 Correct Part 5 rule on Group 0004 in Sequence

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Page 13DICOM PS 3 2013 - Release Notes

CP 1130 Clarify Referenced Image Sequence usage as Additional DICOMDIR keys

CP 1131 Leaf Position Boundaries Clarification

CP 1132 High Dose Technique Type Clarification

CP 1133 RT ROI Identification Sequence Baseline CID Clarification

CP 1134 Correction of RT Ion Plan Module Table

CP 1135 Extensions of Pitch and Roll Attribute Description

CP 1136 Correct Channel Time Tag number

CP 1137 Structure Set Relationship Sequence

CP 1138 Average Beam Dose Parameter

CP 1139 Part 16 VM 2-n

CP 1140 Part 16 consistency clean-up Annex A

CP 1141 Part 16 consistency clean-up Annex C

CP 1142 Add context group for Cardiac Sync Technique

CP 1143 Change NCDR nomenclature to SNOMED

CP 1144 Correct Wall Motion codes CID 3703

CP 1145 Add Informative SNOMED Numeric IDs

CP 1146 Enhance Cardiovascular Procedure List

CP 1147 Observation UID

CP 1148 Add Pathology Protocol Codes

CP 1149 Add Staining Equipment and Protocol Codes

CP 1150 Inconsistent Raw Data reference in Enhanced PET

CP 1151 Correct Condition for “Number of Pulses” in TID 10003

CP 1152 Additional document titles for Key Object Selection Document

CP 1154 Clarify usage of Referenced SOP Sequence in Storage Commitment

CP 1156 UUID as UID

CP 1157 Correct RT Plan Module Conditionality

CP 1158 Clarify RT Structure Set ROI Number

CP 1159 Correct Part 16 Codes

CP 1160 Degree sign in UCUM

CP 1161 Correct Plural Code Meanings

CP 1162 Correct Gynecological History

CP 1164 Coronary Artery codes

CP 1165 Clarify Coding Scheme Designator

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Page 14DICOM PS 3 2013 - Release Notes

CP 1166 Allow Frame of Reference in Segmentation even if derived image references

CP 1167 Coding scheme for UK NHS National Interim Clinical Imaging Procedures (NICIP)

CP 1168 Device observer code meaning incorrectly capitalized

CP 1169 Breast Tomosynthesis is missing X-Ray Receptor Type so condition on Field of View Origin is incomplete

CP 1170 Add AAPM 204 Size-Specific Dose Estimates to CT RDSR

CP 1171 Do not include Encapsulated Document on Retrieve without Bulk Data

CP 1172 Incompleteness of CP 1027

CP 1173 Clarify basis for Total Fluoro Time and Total Acquisition Time in XA Dose Report

CP 1174 New PET Isotope and Radiopharm codes needed

CP 1175 Structured Display needs creation date & time for instance and DICOMDIR

CP 1176 Change CID of Anatomic Region Sequence for X-Ray 3D Angiography

CP 1177 Remove inaccurate series entity description

CP 1178 Additional Procedure Intents in CID 3629

CP 1179 Correct RWV Map in NM IOD

CP 1181 Correct LOINC codes for fetuses

CP 1182 Add SOP Classes to CT/MR Media Profiles

CP 1183 Clarify meanings for UCUM codes

CP 1184 Retire CID 3082 Cardiology Units of Measurement

CP 1185 Correct vascular resistance units

CP 1186 Remove Concatenation requirement in agreement with Sup 43

CP 1187 Wrong DICOM Tags are referenced in part 2 in HL7/Modality Worklist Attribute Mapping

CP 1188 Add Tray ID to Compensator

CP 1190 Add Purpose of Reference Code Sequence to Ophthalmic Frame Location Macro

CP 1191 Correct tag mismatch between intravascular OCT image module and dictionary

CP 1192 Correct tag mismatch between RT Beams Delivery instruction module and dictionary

CP 1193 Remove obsolete reference in Pixel Presentation description

CP 1194 Clarify dose for breast X-Ray

CP 1195 Various corrections to PS 3.16

CP 1197 Unspecified code should be forbidden in extensible context groups for mandatory content items

CP 1198 Clarify encoding of Surface Segmentation Point Indices

CP 1199 Add Modifier to Processing Parameters Sequence

CP 1200 Add attributes to Surface Mesh Module Standard

CP 1201 Correct Calibration Factor CI Definition (TID 10002)

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Page 15DICOM PS 3 2013 - Release Notes

CP 1202 Correct code for Liver

CP 1204 Identify specific Source used in RT Plan

CP 1205 Device Parameters in CT Images

CP 1206 Dose Summation Type Clarification

CP 1209 Incorrect use of private creator tag in PS 3.2 Annex B

CP 1210 Add SUV Ideal Body Weight

CP 1211 Inconsistent Mean Point Distance in Surface Segmentation

CP 1213 Clarify affine transformation matrix constraints

CP 1214 Add Tracking Identifier Template to Measurement Templates

CP 1215 Require GSPS for Enhanced PET Storage for consistency with other enhanced images

CP 1216 Instance Creation Date and Time not changed on coercion

CP 1218 Correct further errors in UCUM codes and related meanings

CP 1219 Clarify Completion Flag for Dose SR

CP 1220 Editorial Corrections for PS3.16

CP 1221 Add note on VR conflict in data dictionary

CP 1222 Amend DIMSE Service status codes

CP 1223 Additional Items for Dose SR (by IEC PT 61910-1)

CP 1229 Add glucose to PET acquisition context

CP 1230 Correct terms for fore and hind navicular bone

CP 1231 Correct abbreviation for left in quadruped orientation example

CP 1232 Add iterative reconstruction to CT RDSR

CP 1233 Add Patient Size (Height) to Modality Worklist

CP 1234 Add GBK and GB2312 Character Sets for Chinese Text Encoding

CP 1235 Inconsistent units of Acquisition Duration (0018,9073)

CP 1236 Directional flow velocity issues with Enhanced Ultrasound Volume IOD

CP 1237 Equally spaced Planes in Enhanced US Volume

CP 1239 Change Value Multiplicity of the Findings container for Pelvic Vascular Structure

CP 1240 Replacement of the full organization name for acronym JIRA

CP 1242 Clarify that Dimension Index Values start from 1

CP 1243 Common Instance Reference Module in Image IODs

CP 1244 Additional Workitem Codes For QA Checks

CP 1245 Add Note about SOP Class UID at the Study level

CP 1246 Autosequencing Support in Beam Delivery Instruction

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Page 16DICOM PS 3 2013 - Release Notes

CP 1247 Rename CID 21

CP 1248 Indication For Deformed Dose

CP 1249 Deprecation Of Multiple FORs In StructureSet

CP 1250 Stereotactic Information for Breast X-Ray

CP 1251 Include Series Date, Time in RT IODs

CP 1252 Add Real World Value Mapping to General Image Module

CP 1253 Clarify Recommended Viewing Mode Usage

CP 1254 Correct Definition of Irradiation Duration

CP 1255 Incorrect Note Reference in Beams Module

CP 1256 Add defined term for MPEG4

CP 1257 Row and Column offset tags swapped in Whole Slide Imaging

CP 1258 Refactor segment description, extend segment types and anatomy

CP 1259 Add Medical Subject Headings (MeSH) as Coding Scheme

CP 1260 Frame Increment Pointer for Enhanced Images

CP 1261 Other Double 64 Bit Floating Point Value Representation

CP 1262 Distinguish JPEG Interchange Format from JPEG File Interchange Format

CP 1263 Relax rescale restrictions for Multi-frame Grayscale Word IOD to allow use as parametric maps

CP 1264 Define exact windowing functioning for use with small rescaled pixel values

CP 1265 References to slices on which segmentation was performed

CP 1266 Extend SR Image Library with cross-sectional content items

CP 1267 Video streams are independent and may not span instances

CP 1268 Additional Registration Input Information

CP 1269 Add Target Information for Mammography Biopsy

CP 1270 Correct Reference in C-Find Protocol Specification

CP 1271 Corrections for IEEE Nomenclature

CP 1272 DCID for Referenced Frame

CP 1273 Navigation Sequence Item references one frame

CP 1274 Type 1 SQ Empty Items in Functional Groups

CP 1275 Correct PS3.19 example

CP 1276 Correction of Description of Reference to Recorded Wedge Number

CP 1277 Correction of Intraoperative Applicator Type In Ion Beam

CP 1279 Structural brain MR known safe private elements

CP 1280 Breast tomo known safe private elements

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Page 17DICOM PS 3 2013 - Release Notes

CP 1281 Correct wrong SNOMED view codes

CP 1283 Cleanup Lossy Image Compression descriptions and conditions

CP 1284 Correct Typos in X-Ray 3D IODs

CP 1286 Additional Report Section Names

CP 1289 Note on transitivity of registrations

CP 1293 Remove Invocation Statement for Scheduled Parameters

CP 1295 De-identification method code meaning too long

CP 1296 Correct incorrect Acquisition Start Time attribute name in NM

CP 1298 Update description of Detector ID de-identification

CP 1299 Add volume based calculation technique for tomosynthesis

CP 1300 Include PPS End Date & Time in Composite IODs and de-identification

CP 1301 Clarify Distance Source to Patient in Mammo and CR

CP 1303 Correct HAS CONCEPT MOD-NUM relationships

CP 1305 Correct TID 10001 template structure figure

CP 1306 Structural brain MR codes

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Page 18DICOM PS 3 2013 - Release Notes

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