Varian System Server

DICOM Conformance Statement

P/N VA8804D3CS July 2010

General Information

Abstract This document provides information about the DICOM Conformance of the
Varian System Server product family, i.e. ARIA, Eclipse and Acuity 8.8/8.9

Manufacturer and Manufacturer: European Representative:

European
Varian Medical Systems, Inc. Ltd. Varian Medical Systems UK Ltd.
Representative
3100 Hansen Way, Bldg. 4A Gatwick Road, Crawley
Palo Alto, CA 94304-1030, U.S.A. West Sussex RH10 9RG
United Kingdom

Notice Information in this document is subject to change without notice and does not
represent a commitment on the part of Varian. Varian is not liable for errors
contained in this document or for incidental or consequential damages in
connection with the furnishing or use of this material.
This document contains proprietary information protected by copyright. No part
of this document may be reproduced, translated, or transmitted without the
express written permission of Varian Medical Systems, Inc.

Trademarks ARIA®, Varian®, VMS® are registered trademarks

ARIA™is trademark of Varian Medical Systems, Inc.
Microsoft, Windows NT and Windows are registered trademarks of
Microsoft Corporation.
All other trademarks or registered trademark are the property of their respective
owners.

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 General Information

Contacting Support Support services are available without charge during the initial warranty period.
If you seek information not included in this publication, call Varian Medical
Systems support at the following locations:
 United States and Canada telephone support — + 1 888 827 4265
 United States and Canada Direct telephone support — + 1 650 213 1000
 European telephone Support — + 41 41 749 8844
 Fax (US) — + 1 702 938 4754
 Fax (Service Europe) — + 41 41 740 3340
All other countries please call your local service office
To contact the support location nearest you for Service, Parts or Support, see
the list at the Varian Medical Systems website:
Worldwide Listing —
http://www.varian.com/us/oncology/services_and_support/contacts.html

Communicating Via the World Wide Web

If you have access to the Internet, you will find Varian Medical System support
at the following location:
Oncology Systems — http://my.varian.com
If you have a Varian account, enter your username and password. Otherwise,
first click create new account to get a username and password.
From MyVarian home page, click Contact Us from the Support list along the left
side of the window.
If possible, please send all e-mail inquires through the my.varian.com web site
at http://my.varian.com/contactus; otherwise, use the following e-mails
addresses for support:

Sending E-Mail
 North America (North America [email protected]
and Canada)
 Central & South America [email protected]
 Europe (Europe, Middle East, [email protected]
Africa)
 Australia (Australia, New [email protected]
Zealand, Australasia)
 China, Asia [email protected]
 Japan [email protected]
 Brachy Therapy Systems [email protected]

Copyright 2010 Varian Medical Systems Inc., Oncology Systems

All rights reserved.

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General Information

Document History

8.8.04 Jul 09, 2010 Updated to reflect changes in 8.8 & 8.9
8.2.03 Mar 30, 2009 Updated to reflect changes in 8.2 & 8.6
8.0.05 Jul 7, 2007 Initial Version for 8.0

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Contents

Contents ............................................................................................................................. 5
List of Figures .................................................................................................................... 9
List of Tables ...................................................................................................................... 9
1. Introduction ................................................................................................................ 13
1.1 Audience ......................................................................................................................................... 13
1.2 Overview ......................................................................................................................................... 13
1.3 Remarks ......................................................................................................................................... 15
1.4 References ..................................................................................................................................... 16
1.5 Abbreviations and Definitions ......................................................................................................... 16

2. Networking ................................................................................................................. 18
2.1 Implementation Model .................................................................................................................... 18
2.1.1 Application Data Flow ........................................................................................................ 18
2.1.2 Functional Definition of AE’s.............................................................................................. 20
2.1.3 Sequencing of Real World Activities.................................................................................. 21
2.2 AE Specifications............................................................................................................................ 22
2.2.1 RadOnc Client Application Entity....................................................................................... 22
2.2.2 File Daemon Application Entity.......................................................................................... 43
2.2.3 DB Daemon Application Entity .......................................................................................... 47
2.3 Network Interfaces.......................................................................................................................... 64
2.3.1 Physical Network Interfaces .............................................................................................. 64
2.3.2 Additional Protocols ........................................................................................................... 64
2.4 Configuration .................................................................................................................................. 64
2.4.1 AE Title/Presentation Address Mapping ............................................................................ 64
2.4.2 Parameters ........................................................................................................................ 65

3. Media Interchange ..................................................................................................... 67

4. Support of Character Sets ........................................................................................ 68
4.1 Overview ......................................................................................................................................... 68
4.2 Display Behavior............................................................................................................................. 68

5. Security ...................................................................................................................... 69
5.1 Security Profiles .............................................................................................................................. 69
5.2 Association Level Security ............................................................................................................. 69
5.2.1 RadOnc Client ................................................................................................................... 69
5.2.2 File Daemon and DB Daemon........................................................................................... 69
5.3 Application Level Security .............................................................................................................. 69
5.3.1 RadOnc Client ................................................................................................................... 69
5.3.2 File Daemon and DB Daemon........................................................................................... 69

Appendix A Specialization .......................................................................................... 71

A.1 IOD Contents .................................................................................................................................. 71

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A.1.1 Created SOP Instances ..................................................................................................... 71

A.1.2 Usage of Attributes from received IOD’s ........................................................................... 71
A.1.3 Attribute Mapping .............................................................................................................. 71
A.1.4 Coerced/Modified Fields .................................................................................................... 71
A.2 Data Dictionary of Private Attributes .............................................................................................. 72
A.2.1 Private Attributes used by all Application Entities ............................................................. 73
A.2.2 Private Attributes used by DB Daemon Application Entity in Archive Service Mode ........ 76
A.3 Coded Terminology and Templates ............................................................................................... 76
A.3.1 Context Groups ................................................................................................................. 76
A.3.2 Template Specifications .................................................................................................... 76
A.3.3 Private Code Definitions .................................................................................................... 76
A.4 Grayscale Image Consistency ....................................................................................................... 76
A.5 Standard Extended/Specialized/Private SOP Classes .................................................................. 77
A.5.1 Standard Extended SOP Classes ..................................................................................... 77
A.5.2 Standard Private SOP Classes ......................................................................................... 78
A.6 Private Transfer Syntaxes .............................................................................................................. 79

Appendix B Object Matching Criteria ........................................................................ 80

B.1 General Matching Criteria .............................................................................................................. 80
B.1.1 Manual Import using RadOnc Client Query/Retrieve SCU ............................................... 80
B.1.2 Manual Import of DICOM Media Files ............................................................................... 81
B.1.3 Automatic Import using DB Daemon Storage SCP ........................................................... 81
B.2 IOD Specific Matching Criteria ....................................................................................................... 81
B.2.1 RT Plan and RT Ion Plan .................................................................................................. 81
B.2.2 RT Beams Treatment Record and RT Ion Beams Treatment Record .............................. 84

Appendix C IOD Details .............................................................................................. 85

C.1 Supported IODs .............................................................................................................................. 85
C.1.1 Computed Radiography Image – A.2.3 ............................................................................. 85
C.1.2 Computed Tomography Image – A.3.3 ............................................................................. 86
C.1.3 Magnetic Resonance Image – A.4.3 ................................................................................. 87
C.1.4 Ultrasound Image – A.6.4 .................................................................................................. 87
C.1.5 Secondary Capture Image – A.8.1.3 ................................................................................. 88
C.1.6 X-Ray Angiographic Image – A.14.3 ................................................................................. 89
C.1.7 RT Image – A.17.3 ............................................................................................................ 90
C.1.8 RT Dose – A.18.3 .............................................................................................................. 90
C.1.9 RT Structure Set – A.19.3 ................................................................................................. 91
C.1.10 RT Plan – A.20.3 ............................................................................................................... 92
C.1.11 Positron Emission Tomography Image – A.21.3 ............................................................... 92
C.1.12 RT Beams Treatment Record – A.29.3 ............................................................................. 93
C.1.13 RT Treatment Summary Record – A.31.3 ......................................................................... 94
C.1.14 Spatial Registration – A.39.3 ............................................................................................. 94
C.1.15 RT Ion Plan – A.49.2 ......................................................................................................... 95
C.1.16 RT Ion Beams Treatment Record – A.50.2 ....................................................................... 96
C.1.17 Motion Management Protocol (Private) ............................................................................. 96
C.1.18 Motion Management Waveform (Private) ......................................................................... 97

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C.2 Modules and Attributes ................................................................................................................... 99

C.2.1 Patient – C.7.1.1 ................................................................................................................ 99
C.2.2 General Study - C.7.2.1 ................................................................................................... 102
C.2.3 General Series – C.7.3.1 ................................................................................................. 108
C.2.4 Frame of Reference – C.7.4.1 ......................................................................................... 121
C.2.5 General Equipment – C.7.5.1 .......................................................................................... 122
C.2.6 General Image – C.7.6.1 ................................................................................................. 124
C.2.7 Image Plane – C.7.6.2 ..................................................................................................... 134
C.2.8 Image Pixel – C.7.6.3 ...................................................................................................... 135
C.2.9 Contrast/Bolus – C.7.6.4 ................................................................................................. 138
C.2.10 Cine – C.7.6.5 .................................................................................................................. 140
C.2.11 Multi-Frame – C.7.6.6 ...................................................................................................... 143
C.2.12 CR Series – C.8.1.1 ......................................................................................................... 144
C.2.13 CR Image – C.8.1.2 ......................................................................................................... 145
C.2.14 CT Image – C.8.2.1 ......................................................................................................... 149
C.2.15 MR Image – C.8.3.1 ........................................................................................................ 155
C.2.16 US Image – C.8.5.6 ......................................................................................................... 162
C.2.17 SC Equipment – C.8.6.1 .................................................................................................. 169
C.2.18 SC Image – C.8.6.2 ......................................................................................................... 170
C.2.19 X-Ray Image – C.8.7.1 .................................................................................................... 171
C.2.20 RT Series – C.8.8.1 ......................................................................................................... 176
C.2.21 RT Image – C.8.8.2 ......................................................................................................... 184
C.2.22 RT Dose – C.8.8.3 ........................................................................................................... 197
C.2.23 RT DVH – C.8.8.4 ............................................................................................................ 202
C.2.24 Structure Set – C.8.8.5 .................................................................................................... 205
C.2.25 ROI Contour – C.8.8.6 ..................................................................................................... 209
C.2.26 RT ROI Observations – C.8.8.8....................................................................................... 211
C.2.27 RT General Plan – C.8.8.9 .............................................................................................. 216
C.2.28 RT Prescription – C.8.8.10 .............................................................................................. 220
C.2.29 RT Tolerance Tables – C.8.8.11 ..................................................................................... 222
C.2.30 RT Patient Setup – C.8.8.12............................................................................................ 225
C.2.31 RT Fraction Scheme – C.8.8.13 ...................................................................................... 230
C.2.32 RT Beams – C.8.8.14 ...................................................................................................... 234
C.2.33 RT Brachy Application Setups – C.8.8.15 ....................................................................... 260
C.2.34 Approval – C.8.8.16 ......................................................................................................... 270
C.2.35 RT General Treatment Record – C.8.8.17 ...................................................................... 272
C.2.36 RT Treatment Machine Record – C.8.8.18 ..................................................................... 273
C.2.37 RT Beams Session Record – C.8.8.21 ........................................................................... 274
C.2.38 RT Treatment Summary Record – C.8.8.23 .................................................................... 293
C.2.39 RT Ion Tolerance Tables – C.8.8.24 ............................................................................... 297
C.2.40 RT Ion Beams – C.8.8.25 ................................................................................................ 299
C.2.41 RT Ion Beams Session Record – C.8.8.26 ..................................................................... 329
C.2.42 PET Series – C.8.9.1 ....................................................................................................... 352
C.2.43 PET Image – C.8.9.4 ....................................................................................................... 358
C.2.44 Curve – C.10.2................................................................................................................. 364

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C.2.45 Waveform Identification – C.10.8 .................................................................................... 366

C.2.46 Waveform – C.10.9.......................................................................................................... 369
C.2.47 Modality LUT – C.11.1 ..................................................................................................... 374
C.2.48 VOI LUT – C.11.2 ............................................................................................................ 376
C.2.49 SOP Common – C.12.1 ................................................................................................... 377
C.2.50 Common Instance Reference – C.12.2 ........................................................................... 385
C.2.51 Spatial Registration Series – C.20.1 ............................................................................... 386
C.2.52 Spatial Registration – C.20.2........................................................................................... 386
C.2.53 Extended Interface – Private ........................................................................................... 389
C.2.54 Tolerance – Private ......................................................................................................... 390
C.2.55 Motion Management Protocol – Private .......................................................................... 397
C.2.56 Motion Management Protocol Series – Private ............................................................... 401
C.2.57 Motion Management Waveform Series – Private ............................................................ 402

Appendix D Extended Interface ............................................................................... 403

D.1 RT Plan / RT Ion Plan .................................................................................................................. 403
D.2 RT Beams Treatment Record ...................................................................................................... 408

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 List of Figures

List of Figures

Figure 2-1: SCU Role Application Data Flow Diagram .................................................................................... 18

Figure 2-2: SCP Role Application Data Flow Diagram..................................................................................... 19
Figure 2-3: Sequencing of Activities – RadOnc Client Query/Retrieve ............................................................ 27
Figure 2-4: Sequencing of Activities – RadOnc Client Print Images ................................................................ 36
Figure 2-5: Sequencing of Activities – DB Daemon Handling Query Requests .............................................. 55
Figure 2-6: Sequencing of Activities – DB Daemon Handling Retrieval Requests .......................................... 56

List of Tables

Table 1-1: Network Services ............................................................................................................................ 14

Table 1-2: Media File SOP Classes ................................................................................................................. 15
Table 2-1: SOP Classes for RadOnc Client Application Entity ........................................................................ 22
Table 2-2: DICOM Application Context for RadOnc Client Application Entity.................................................. 23
Table 2-3: Number of Associations initiated for RadOnc Client Application Entity .......................................... 23
Table 2-4: DICOM Implementation Class and Version for RadOnc Client Application Entity.......................... 23
Table 2-5: Object Categories used by RadOnc Client Storage SCU Application Entity .................................. 24
Table 2-6: Proposed Presentation Contexts for RadOnc Client Storage SCU Application Entity ................... 25
Table 2-7: RadOnc Client C-STORE Response Status Handling Behavior .................................................... 25
Table 2-8: RadOnc Client Storage SCU Communication Failure Behavior ..................................................... 26
Table 2-9: Proposed Presentation Contexts for RadOnc Client Q/R SCU Application Entity.......................... 28
Table 2-10: RadOnc Client C-FIND Response Status Handling Behavior ...................................................... 29
Table 2-11: RadOnc Client Q/R C-FIND SCU Communication Failure Behavior ............................................ 30
Table 2-12: Study Root Request Identifier for RadOnc Client Q/R C-FIND SCU ............................................ 31
Table 2-13: RadOnc Client C-MOVE Response Status Handling Behavior .................................................... 32
Table 2-14: RadOnc Client Q/R C-MOVE SCU Communication Failure Behavior .......................................... 33
Table 2-15: Study Root Request Identifier for RadOnc Client Q/R C-MOVE SCU .......................................... 33
Table 2-16: Acceptable Presentation Contexts for RadOnc Client Temporary Storage SCP Application
Entity and Receive Storage Request ........................................................................................... 33
Table 2-17: Response Status of RadOnc Client Temporary Storage SCP and Receive Storage Request .... 34
Table 2-18: Proposed Presentation Contexts for RadOnc Client Print SCU Application Entity....................... 37
Table 2-19: Printer SOP Class N-EVENT-REPORT Behavior ........................................................................ 38
Table 2-20: Basic Film Session SOP Class N-CREATE Request Attributes ................................................... 38
Table 2-21: Basic Film Session SOP Class N-CREATE Response Status Handling Behavior ...................... 39
Table 2-22: Basic Film Session SOP Class N-DELETE Response Status Handling Behavior ....................... 39

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List of Tables

Table 2-23: Basic Film Session SOP Class N-ACTION Response Status Handling Behavior ....................... 39
Table 2-24: Basic Film Box Session SOP Class N-CREATE Request Attributes ........................................... 40
Table 2-25: Basic Film Box SOP Class N-CREATE Response Status Handling Behavior ............................. 41
Table 2-26: Basic Film Box SOP Class N-DELETE Response Status Handling Behavior ............................. 41
Table 2-27: Basic Film Box SOP Class N-ACTION Response Status Handling Behavior .............................. 41
Table 2-28: Basic Grayscale Image Box SOP Class N-SET Request Attributes ............................................ 42
Table 2-29: Basic Grayscale Image Box SOP Class N-SET Response Status Handling Behavior ................ 42
Table 2-30: SOP Classes for File Daemon Application Entity ......................................................................... 44
Table 2-31: DICOM Application Context for File Daemon Application Entity .................................................. 44
Table 2-32: Number of Associations accepted for File Daemon Application Entity ......................................... 44
Table 2-33: DICOM Implementation Class and Version for File Daemon Application Entity .......................... 44
Table 2-34: DICOM Implementation Class and Version for Media Files ......................................................... 45
Table 2-35: Acceptable Presentation Contexts for File Daemon Application Entity and Receive Storage
Request........................................................................................................................................ 45
Table 2-36: Response Status of File Daemon Storage SCP and Receive Storage Request .......................... 46
Table 2-37: SOP Classes for DB Daemon Application Entity .......................................................................... 47
Table 2-38: DICOM Application Context for DB Daemon Application Entity ................................................... 48
Table 2-39: Number of Associations accepted for DB Daemon Application Entity ......................................... 48
Table 2-40: DICOM Implementation Class and Version for DB Daemon Application Entity ........................... 48
Table 2-41: Acceptable Presentation Contexts for DB Daemon Application Entity and Receive Storage
Request........................................................................................................................................ 49
Table 2-42: Response Status of DB Daemon Storage SCP and Receive Storage Request .......................... 50
Table 2-43: Portal Dose Image Type Values and their Meaning ..................................................................... 51
Table 2-44: Acceptable Presentation Contexts for DB Daemon Application Entity and Query/Retrieve ........ 57
Table 2-45: Study Root C-FIND SCP Supported Elements for DB Daemon ................................................... 60
Table 2-46: Response Status of DB Daemon Storage SCP and Receive Query Request ............................. 61
Table 2-47: Response Status of DB Daemon Storage SCP and Receive Retrieval Request ......................... 62
Table 2-48: AE Title Configuration Table ......................................................................................................... 64
Table 2-49: Configuration Parameters ............................................................................................................. 66
Table 3-1: Transfer Syntaxes used in DICOM Media Files.............................................................................. 67
Table A-1: Coerced/Modified Fields ................................................................................................................. 71
Table A-2: Private Creator Identification Strings .............................................................................................. 72
Table A-3: Private Attributes used in all Application Entities ........................................................................... 76
Table A-4: Private Attributes used by DB Daemon Application Entity in Archive Service Mode ..................... 76
Table A-5: Standard Attributes added to CT Image Module ............................................................................ 77
Table A-6: Standard Attributes added to RT Ion Beams Module ..................................................................... 77
Table A-7: Standard Attributes added to RT Beams Session Record Module ................................................ 78
Table A-8: LTArchive RT Treatment Record Storage SOP Class ................................................................... 78

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Table A-9: Motion Management Protocol Storage SOP Class ........................................................................ 78

Table A-10: Motion Management Protocol Storage SOP Class ...................................................................... 78
Table B-1: Patient Matching Criteria for Storage SCP of RadOnc Client Q/R SCU ........................................ 81
Table B-2: Patient Matching Criteria for DB Daemon Storage SCP ................................................................ 81
Table B-3: RT Plan and RT Ion Plan Component Matching ............................................................................ 83
Table B-4: RT Plan and RT Ion Plan Component Matching ............................................................................ 84
Table C-1: Computed Radiography Image IOD Modules Support ................................................................... 86
Table C-2: Computed Tomography Image IOD Modules Support ................................................................... 86
Table C-3: Magnetic Resonance Image IOD Modules Support ....................................................................... 87
Table C-4: Ultrasound Image IOD Modules Support ....................................................................................... 88
Table C-5: Secondary Capture Image IOD Modules Support .......................................................................... 88
Table C-6: X-Ray Angiographic Image IOD Modules Support ......................................................................... 89
Table C-7: RT Image IOD Modules Support .................................................................................................... 90
Table C-8: RT Dose IOD Modules Support ...................................................................................................... 91
Table C-9: RT Structure Set IOD Modules Support ......................................................................................... 91
Table C-10: RT Plan IOD Modules Support ..................................................................................................... 92
Table C-11: Positron Emission Tomography Image IOD Modules Support ..................................................... 93
Table C-12: RT Beams Treatment Record IOD Modules Support ................................................................... 94
Table C-13: RT Treatment Summary Record IOD Modules Support .............................................................. 94
Table C-14: Spatial Registration Image IOD Modules Support ....................................................................... 95
Table C-15: RT Ion Plan IOD Modules Support ............................................................................................... 95
Table C-16: RT Ion Beams Treatment Record IOD Modules Support ............................................................. 96
Table C-17: Motion Management Protocol IOD Modules Support ................................................................... 97
Table C-18: Motion Management Waveform IOD Modules Support ............................................................... 98
Table D-1: RT Plan / RT Ion Plan Extended Interface XML Structure ........................................................... 407
Table D-2: RT Beams Treatment Record Extended Interface XML Structure ............................................... 410

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List of Tables

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 Introduction

1. Introduction
1.1 Audience
This document is intended for the following groups of persons:
• Customers and hospital staff who want to use DICOM with Varian System Server
applications
• System integrators of medical equipment
• Other vendors offering interfacing via DICOM
• Marketing and sales persons
It is assumed, that the reader is familiar with the DICOM standard.
The document is structured along the template definition as specified in Part 2 of the DICOM
standard.

1.2 Overview
The Varian System Server product family is a comprehensive suite of integrated applications
which cover all aspects of radiotherapy. This includes especially treatment planning, virtual
simulation, simulation, electronic chart and treatment review. To support those functions the
following DICOM services for receiving and sending diagnostic imaging modalities as well as all
radiotherapy objects are supported by all applications of this product family.
Table 1-1 lists network services supported by the Varian System Server product family.

SOP Classes User of Service (SCU) Provider of Service (SCP)

Transfer

Computed Radiography Image Option (see Note 1) Option (see Note 4)

Storage
CT Image Storage Option (see Note 1) Option (see Note 4)
MR Image Storage Option (see Note 1) Option (see Note 4)
Ultrasound Image Storage No Option (see Note 4)
Secondary Capture Image Storage Option (see Note 1) Option (see Note 4)
X-Ray Angiographic Image No Option (see Note 4)
Storage
Spatial Registration Storage No Option (see Note 4)
Positron Emission Tomography No Option (see Note 4)
Image Storage
RT Image Storage Option (see Note 1) Option (see Note 4)
RT Dose Storage Option (see Note 1) Option (see Note 4)
RT Structure Set Storage Option (see Note 1) Option (see Note 4)
RT Beams Treatment Record Option (see Note 1) Option (see Note 4)
Storage

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Introduction

SOP Classes User of Service (SCU) Provider of Service (SCP)

LTArchive RT Treatment Record Option (see Note 6) Option (see Note 6)

Storage
RT Plan Storage Option (see Note 1) Option (see Note 4)
RT Treatment Summary Record Option (see Note 5) No
Storage
RT ION Plan Storage Option (see Note 1) Option (see Note 4)
RT Ion Beams Treatment Record Option (see Note 1) Option (see Note 4)
Storage
Motion Management Protocol Option (see Note 1) Option (see Note 4)
(Private)
Motion Management Waveform Option (see Note 1) Option (see Note 4)
(Private)

Query/Retrieve

Study Root Query/Retrieve Option (see Note 2) Option (see Note 5)

Information Model – FIND
Study Root Query/Retrieve Option (see Note 2) Option (see Note 5)
Information Model – MOVE

Print Management

Basic Grayscale Print Management Option (see Note 3) No

Meta SOP Class

Table 1-1: Network Services

Table 1-2 lists Media File SOP Classes supported for file based export and import by.

SOP Classes DICOM Media File Export DICOM Media File Import

Computed Radiography Image Option (see Note 7) Option (see Note 8)

Storage
CT Image Storage Option (see Note 7) Option (see Note 8)
MR Image Storage Option (see Note 7) Option (see Note 8)
Ultrasound Image Storage No Option (see Note 8)
Secondary Capture Image Storage Option (see Note 7) Option (see Note 8)
X-Ray Angiographic Image No Option (see Note 8)
Storage
Spatial Registration Storage Option (see Note 7) Option (see Note 8)
Positron Emission Tomography No Option (see Note 8)
Image Storage
RT Image Storage Option (see Note 7) Option (see Note 8)
RT Dose Storage Option (see Note 7) Option (see Note 8)
RT Structure Set Storage Option (see Note 7) Option (see Note 8)

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SOP Classes DICOM Media File Export DICOM Media File Import

RT Beams Treatment Record Option (see Note 7) Option (see Note 8)

Storage
RT Plan Storage Option (see Note 7) Option (see Note 8)
RT Treatment Summary Record Option (see Note 7) Option (see Note 8)
Storage
RT Ion Plan Storage Option (see Note 7) Option (see Note 8)
RT Ion Beams Treatment Record Option (see Note 7) Option (see Note 8)
Storage
Motion Management Protocol
(Private)
Motion Management Waveform
(Private)

Table 1-2: Media File SOP Classes

Note 1 Requires Storage SCU Export Filter and associated licenses or DB Daemon
configured as Query/Retrieve SCP.
Note 2 Requires Query/Retrieve Import Filter and associated licenses.
Note 3 Requires DICOM printer configuration set up.
Note 4 Requires DB Daemon or File Daemon that is configured as Storage SCP.
Note 5 Requires DB Daemon that is configured as Query/Retrieve SCP.
Note 6 Requires DB Daemon that is configured for Archive Service Mode (Varian
proprietary)
Note 7 Requires DICOM Media File Export Filter.
Note 8 Requires DICOM Media File Import Filter.

The following products are in the scope of this Conformance Statement:

• RadOnc Client (including ARIA and Eclipse)
• DB Daemon
• File Daemon

The Varian System Server product family runs on Windows XP and Windows Server 2003
platforms.

1.3 Remarks
The scope of this Conformance Statement is to facilitate communication with Varian System
Server applications and other vendor’s medical equipment. The Conformance Statement should
be read and understood in conjunction with the DICOM standard [1].
The DICOM standard in the current version evolved in 1993 with DICOM 3.0. The definition of
DICOM standard for radiotherapy data started in 1994 and has now reached a productive state.
Nowadays DICOM is the primary choice for exchanging data with an open standard protocol for

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Introduction

the majority of vendors and institutions. Varian Medical Systems is committed to this notion of
standard-based cross-vendor interoperability as well as making use of the DICOM protocol
among its own products.
DICOM, by itself, does not guarantee interoperability. However, the Conformance Statement
facilitates a first-level validation for interoperability between different applications supporting the
same DICOM functionality.
This Conformance Statement is not intended to replace validation with other DICOM equipment
to ensure proper exchange of information intended.
Because the DICOM standard is subject to ongoing changes, enhancements and improvements,
Varian Medical Systems reserves the right to advance their products by making use of upcoming
DICOM features without prior announcement.

1.4 References
[1] Digital Imaging and Communications in Medicine (DICOM), Parts 1-18 (2008)
National Electrical Manufacturers Association (NEMA)
Rosslyn, VA
United States of America
[2] Varian System Server DICOM Conformance Statement Treatment Daemon Supplement
B VA8801D3CS_TD
Baden, Switzerland

1.5 Abbreviations and Definitions

This section provides the definitions of terms, acronyms, and abbreviations which are used
throughout the document. An arrow sign () left of a word indicates that it can be looked up in
this table.

AE Application Entity (DICOM term)

ALWAYS Attribute Always Present with a value
ANAP Attribute Not Always Present
Daemon Collective term for Windows services accepting DICOM
Associations
DB Database
DICOM Digital Imaging and Communications in Medicine, a standard on
image communications in medical applications
DIMSE DICOM Message Service element
DNS Domain Name System
EMPTY Attribute is sent without a value
Export Describes the process of converting an object, that is stored on the
Varian System Database, from internal data representation to
DICOM format and writing it to a DICOM sink. Opposite of
Import.
IE Information Entity
Import Describes the process of reading an object from a DICOM
source, converting it to an internal data representation and
eventually saving it to the Varian System Database. Opposite of
Export.

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IOD Information Object Definition (DICOM term)

Management System Collective term including Daemon and RadOnc Client
Multi-frame Image Image that contains multiple two-dimensional pixel planes
NEMA National Electrical Manufacturers Association
PDU Protocol Data Unit (DICOM term)
RadOnc Radiation Oncology Client Applications, including Eclipse
SCU Service Class User (DICOM term)
SCP Service Class Provider (DICOM term)
SOP Service-Object-Pair, a definition of an information object (like an
image) and of a service (like storage) that can be performed for the
object (DICOM term)
TCP/IP Transmission Control Protocol / Internet Protocol, a widely used
computer networking protocol
UID Unique Identifier used to identify an object by a worldwide unique
identifier (DICOM term)
VNAP Value Not Always Present (attribute sent zero length if no value is
present)
VR Value Representation, a data encoding method in DICOM

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2. Networking
2.1 Implementation Model
2.1.1 Application Data Flow

Remote Store
Storage SCU
Export object SCP receives
(RadOnc Client)
object

Remote Q/R
Search and SCP receives
Query/Retrieve SCU
Retrieve Query or
(RadOnc Client)
object Retrieve
command

Remote
Temporary Storage SCU
Import object Storage SCP sends
(RadOnc Client) requested
objects

Remote
DICOM Print
Print SCU SCP receives
Print images
(RadOnc Client) and prints
selected
images

DICOM Standard Interface

Figure 2-1: SCU Role Application Data Flow Diagram

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Save received
object as
Storage SCP
DICOM Media
(File Daemon)
File to file
system

Remote
Storage SCU
sends object

Convert
received
Storage SCP
object and
(DB Daemon)
insert it into
DB

Remote Q/R
Process FIND
Query/Retrieve SCP SCU queries
and MOVE
(DB Daemon) or requests
commands
object

Extract Remote
requested Storage SCP
Storage SCU
object from DB receives
(DB Daemon)
and send it to requested
remote AE objects

DICOM Standard Interface

Figure 2-2: SCP Role Application Data Flow Diagram

RadOnc Client Storage SCU Application Entity

The Storage SCU Application Entity is invoked by the user from within a RadOnc Client
Application to export selected images and RT objects or to export all objects of a whole patient to
any configured remote Application Entity.

RadOnc Client Query/Retrieve SCU Application Entity

The Query/Retrieve Application Entity is invoked by the user from within a RadOnc Client
Application to import images or RT objects from any configured remote Application Entity,
typically a PACS.

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RadOnc Client Temporary Storage SCP Application Entity

A temporary Storage SCP Application Entity is created by the Query/Retrieve SCU Application
Entity to receive objects requested from a remote Query/Retrieve SCP. It is tightly coupled with
the Query/Retrieve Application Entity.

RadOnc Client Print SCU Application Entity

The Print SCU Application Entity is invoked by the user from within a RadOnc Client Application
to send a single image or any number of selected images to a DICOM printer. Various options for
layout and scaling of these images can be selected.

File Daemon/DB Daemon Storage SCP Application Entity

Two different Storage SCPs are part of the Varian System Server product family. File Daemon
provides a simple Storage SCP that saves any incoming object of known type as DICOM Media
File to a configurable directory on the file system (see Table 1-1). A DICOM Media File header is
therefore prepended to the incoming DICOM stream. DB Daemon can optionally be configured to
work as Storage SCP. As opposed to File Daemon it is connected to the Varian System
Database and inserts received objects directly to the database. File Daemon’s and DB Daemon’s
Storage SCPs are invoked by a remote Storage SCU.

DB Daemon Query/Retrieve SCP Application Entity

DB Daemon can optionally be configured to work as Query/Retrieve SCP. It provides access to

all DICOM objects stored in the Varian System Database. DB Daemon’s Query/Retrieve SCP is
invoked by a remote Query/Retrieve SCU searching for and retrieving objects.

DB Daemon Storage SCU Application Entity

DB Daemon’s Storage SCU is invoked by DB Daemon’s Query/Retrieve SCP to transfer

requested objects to a remote Storage SCP.

2.1.2 Functional Definition of AE’s

2.1.2.1 Functional Definition of RadOnc Client Application Entity

The RadOnc Client Application Entity can serve as Storage SCU, Query/Retrieve SCU and Print
SCU. Any of those SCUs mentioned above are invoked by user interaction.
Storage SCU and Query/Retrieve SCU are available as DICOM Storage Service export filter and
DICOM Query Retrieve Service import filter. Parameters for the desired remote AE have to be
configured when setting up such a filter. Multiple different configurations of the same import or
export filter can exist in parallel, allowing the user to quickly access any previously configured
remote SCP. Storage SCU and Query/Retrieve SCU can handle objects of types listed in Table
1-1.
The user can send images to any DICOM Printer SCP via the print menu entry. In the print dialog
the user can select among various layout and display options. Connection Settings for any
number of remote DICOM Print SCPs have to be configured in advance.

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2.1.2.2 Functional Definition of File Daemon Application Entity

The File Daemon Application Entity is running continuously as a service and is responsible for
handling incoming association requests of other Application Entities. It accepts Storage requests
of SOP Classes listed in Table 1-1. When receiving data, objects are stored as DICOM Media
files in a configurable directory from which they can be imported to the Varian System Database
via the RadOnc Client’s import function later on.
Multiple File Daemons can be running in parallel when configured as different Application
Entities, listening on different TCP/IP ports.

2.1.2.3 Functional Definition of DB Daemon Application Entity

The DB Daemon Application Entity is running continuously as a Windows service and is

responsible for handling incoming association requests of other Application Entities. It accepts
Storage and Query/Retrieve requests of SOP Classes listed in Table 1-1. Received objects are
stored directly to the Varian System Database, queries for objects are answered based on
objects stored in the Varian System Database, and requested objects are extracted from the
Varian System Database and sent to the requestor. However, only “copies” of objects are
exported, they will not be removed from the database.
Storage SCP and Query/Retrieve SCP services can be configured and activated/deactivated
separately and are designed to be supported in parallel by the same Application Entity which
technically is identical to the same instance of the DB Daemon service.
Multiple DB Daemons can be running in parallel when configured as different Application
Entities, listening on different TCP/IP ports.

2.1.3 Sequencing of Real World Activities

Not applicable because importing and exporting objects can happen in any sequence and
independent of each other.

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2.2 AE Specifications
2.2.1 RadOnc Client Application Entity
2.2.1.1 SOP Classes

The RadOnc Client Application Entity provides Standard Conformance to the following SOP
Classes.

SOP Class Name SOP Class UID SCU SCP

(Note 1)

Computed Radiography Image 1.2.840.10008.5.1.4.1.1.1 Yes Yes

Storage
CT Image Storage 1.2.840.10008.5.1.4.1.1.2 Yes Yes
MR Image Storage 1.2.840.10008.5.1.4.1.1.4 Yes Yes
Secondary Capture Image Storage 1.2.840.10008.5.1.4.1.1.7 Yes Yes
Spatial Registration Storage 1.2.840.10008.5.1.4.1.1.66.1 No Yes
RT Image Storage 1.2.840.10008.5.1.4.1.1.481.1 Yes Yes
RT Dose Storage 1.2.840.10008.5.1.4.1.1.481.2 Yes Yes
RT Structure Set Storage 1.2.840.10008.5.1.4.1.1.481.3 Yes Yes
RT Beams Treatment Record 1.2.840.10008.5.1.4.1.1.481.4 No Yes
Storage
RT Plan Storage 1.2.840.10008.5.1.4.1.1.481.5 Yes Yes
RT Ion Plan Storage 1.2.840.10008.5.1.4.1.1.481.8 Yes Yes
RT Ion Beams Treatment Record 1.2.840.10008.5.1.4.1.1.481.9 No Yes
Storage
Motion Management Protocol 1.2.246.352.70.1.40 Yes Yes
(Private)
Motion Management Waveform 1.2.246.352.70.1.41 Yes Yes
(Private)
Study Root Query/Retrieve 1.2.840.10008.5.1.4.1.2.2.1 Yes No
Information Model – FIND
Study Root Query/Retrieve 1.2.840.10008.5.1.4.1.2.2.2 Yes No
Information Model – MOVE
Basic Grayscale Print Management 1.2.840.10008.5.1.1.9 Yes No
Meta SOP Class

Table 2-1: SOP Classes for RadOnc Client Application Entity

Note 1 Temporary Storage SCP used to receive Instances requested by Query/Retrieve

SCU.

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2.2.1.2 Association Policies

2.2.1.2.1 General

The DICOM standard application context name for DICOM 3.0 is always proposed.

Application Context Name 1.2.840.10008.3.1.1.1

Table 2-2: DICOM Application Context for RadOnc Client Application Entity

2.2.1.2.2 Number of Associations

RadOnc Client Application Entity initiates one Association at a time because this happens only
through a user interface action. Only one Association can be handled at a time and no new
Association will be initiated as long as another Association is still active.

Maximum number of simultaneous Associations 1

Table 2-3: Number of Associations initiated for RadOnc Client Application Entity

RadOnc Client Application Entity does not accept any Associations.

2.2.1.2.3 Asynchronous Nature

RadOnc Client Application Entity does not support asynchronous communication.

2.2.1.2.4 Implementation Identifying Information

The implementation information for this Application Entity is defined in the following table.

Storage SCU Implementation Class UID 1.2.246.352.70.2.1.3

Query/Retrieve SCU Implementation Class UID 1.2.246.352.70.2.1.5
Print SCU Implementation Class UID 1.2.246.352.70.2.1.8
Implementation Version Name (not used)

Table 2-4: DICOM Implementation Class and Version for RadOnc Client Application Entity

2.2.1.3 Association Initiation Policy

2.2.1.3.1 Activity – Store

2.2.1.3.1.1 Description and Sequencing of Activities

The user can select one or more objects to be exported. The Storage SCU will be invoked and
attempts to initiate a new Association. If multiple objects shall be transferred then multiple C-
STORE requests will be issued over the Association.
Objects to be transferred are sorted among their category as defined in Table 2-5 and
transferred in the following order (object categories as defined in Table 2-5):
1. Objects in category “Plan”
2. Objects in category “Image”
3. Objects in category “Structure Set”

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4. Objects in category “Dose”

5. Objects in category “Treatment Record”

Object Category SOP Class Name SOP Class UID

Plan RT Plan Storage 1.2.840.10008.5.1.4.1.1.481.5

RT Ion Plan Storage 1.2.840.10008.5.1.4.1.1.481.8
Structure Set RT Structure Set Storage 1.2.840.10008.5.1.4.1.1.481.3
Dose RT Dose Storage 1.2.840.10008.5.1.4.1.1.481.2
Treatment Record RT Beams Treatment Record 1.2.840.10008.5.1.4.1.1.481.4
Storage
RT Ion Beams Treatment Record 1.2.840.10008.5.1.4.1.1.481.9
Storage
Image Remaining objects SOP Class *

Table 2-5: Object Categories used by RadOnc Client Storage SCU Application Entity

2.2.1.3.1.2 Proposed Presentation Contexts

RadOnc Client Storage SCU is capable of proposing the Presentation Contexts shown in the
following table.

Presentation Context Table

Abstract Syntax Transfer Syntax Role Ext.

Neg.
Name UID Name UID
Computed 1.2.840.10008.5.1.4.1.1.1 DICOM Implicit VR Little Endian 1.2.840.10008.1.2 SCU None
Radiography Image
Storage
CT Image Storage 1.2.840.10008.5.1.4.1.1.2 DICOM Implicit VR Little Endian 1.2.840.10008.1.2 SCU None
MR Image Storage 1.2.840.10008.5.1.4.1.1.4 DICOM Implicit VR Little Endian 1.2.840.10008.1.2 SCU None
Secondary Capture 1.2.840.10008.5.1.4.1.1.7 DICOM Implicit VR Little Endian 1.2.840.10008.1.2 SCU None
Image Storage
Spatial Registration 1.2.840.10008.5.1.4.1.1.66.1 DICOM Implicit VR Little Endian 1.2.840.10008.1.2 SCU None
Storage
RT Image Storage 1.2.840.10008.5.1.4.1.1.481.1 DICOM Implicit VR Little Endian 1.2.840.10008.1.2 SCU None
RT Dose Storage 1.2.840.10008.5.1.4.1.1.481.2 DICOM Implicit VR Little Endian 1.2.840.10008.1.2 SCU None
RT Structure Set 1.2.840.10008.5.1.4.1.1.481.3 DICOM Implicit VR Little Endian 1.2.840.10008.1.2 SCU None
Storage
RT Beams 1.2.840.10008.5.1.4.1.1.481.4 DICOM Implicit VR Little Endian 1.2.840.10008.1.2 SCU None
Treatment Record
Storage
RT Plan Storage 1.2.840.10008.5.1.4.1.1.481.5 DICOM Implicit VR Little Endian 1.2.840.10008.1.2 SCU None

RT Ion Plan Storage 1.2.840.10008.5.1.4.1.1.481.8 DICOM Implicit VR Little Endian 1.2.840.10008.1.2 SCU None
RT Ion Beams 1.2.840.10008.5.1.4.1.1.481.9 DICOM Implicit VR Little Endian 1.2.840.10008.1.2 SCU None
Treatment Record
Storage

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Presentation Context Table

Abstract Syntax Transfer Syntax Role Ext.

Neg.
Name UID Name UID
Motion 1.2.246.352.70.1.40 DICOM Implicit VR Little Endian 1.2.840.10008.1.2 SCU None
Management
Protocol
Motion 1.2.246.352.70.1.41 DICOM Implicit VR Little Endian 1.2.840.10008.1.2 SCU None
Management
Waveform

Table 2-6: Proposed Presentation Contexts for RadOnc Client Storage SCU Application
Entity

When requesting an Association, only the Presentation Contexts of a selection of Abstract

Syntaxes will be proposed to the SCU, corresponding to the SOP Classes of objects to be
transferred.

2.2.1.3.1.3 SOP Specific Conformance for all Storage SOP Classes

The behavior of RadOnc Client Storage SCU when encountering status codes in a C-FIND
response is summarized in Table 2-7 below.

Service Further Meaning Error Behavior

Status Code

Refused Out of Resources A7xx The user is informed that the C-STORE
request has failed. Status (0000,0900) and
Failure Data Set does not A9xx
Status Comment (0000,0902) are logged and
match SOP Class
displayed along with additional error
Cannot understand Cxxx information.
Warning Coercion of Data B000 The SCP has successfully stored the SOP
Elements Instance. The user is informed that the C-
STORE request has been performed
Data Set does not B007 successfully with warnings. Status
match SOP Class (0000,0900) and Status Comment
Elements Discarded B006 (0000,0902) are logged and displayed along
with additional information.
Success Success 0000 The SCP has successfully stored the SOP
Instance. If all SOP Instances that have been
selected to be transferred together have been
stored successfully the user gets a success
message.
* * Any other Depending on the type of the Error Code it is
status either handled like a Failure or Warning.
code. However, Error Codes other than listed above
in this table should not occur, as they are not
defined for C-STORE (see [1], PS 3.4, Table
B.2-1).

Table 2-7: RadOnc Client C-STORE Response Status Handling Behavior

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After sending all SOP Instances, either successfully or not, the Association is released using A-
RELEASE and the results are presented to the user. All events required for extracting SOP
Instances from the Varian System Database and sending them to the SCP are logged.

Exception Behavior

Timeout The Association is released using A-RELEASE and the

whole task of sending SOP Instances is aborted. The
user is informed about the timeout and available
information about it is logged.
Association aborted by the SCP or The whole task of sending SOP Instances is aborted.
network layers

Table 2-8: RadOnc Client Storage SCU Communication Failure Behavior

2.2.1.3.1.4 SOP Specific Conformance for RT Structure Set Storage

See section 2.2.3.4.2.6.

2.2.1.3.1.5 SOP Specific Conformance for RT Dose Storage

See section 2.2.3.4.2.7.

2.2.1.3.1.6 SOP Specific Conformance for RT Plan Storage

See section 2.2.3.4.2.8.

Planned Verification Image

Because the size of a verification image to be taken is not known in advance a width and height
of zero pixels is assumed; as a consequence for RT Image Position (3002,0012), in Planned
Verification Image Sequence (300A,00CA), the position of the image receptors center is used.
This is because these coordinates are the same as those of the upper left hand corner of an
image with zero number of pixels in x and y directions.

2.2.1.3.1.7 SOP Specific Conformance for RT Image Storage

See section 2.2.3.4.2.9.

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2.2.1.3.2 Activity – Query/Retrieve

2.2.1.3.2.1 Description and Sequencing of Activities

The user invokes the DICOM Query/Retrieve Service import filter. At this time an Association is
requested. When closing the dialog the Association is released again using A-RELEASE.

RadOnc Remote
Q/R SCU Q/R Server
Local Remote
Storage SCP Storage SCU

1. Open Association

activate
2. C-FIND (STUDY Level; patient list)

3. C-FIND (STUDY Level; study list)

4. C-FIND (SERIES Level; series list)

Repeat

5. C-FIND (IMAGE Level; Retrieve study list)

Repeat

6. C-MOVE (IMAGE Level) collect objects

activate
7. Open Association

8. C-STORE

9. Release Association

10. C-MOVE Response confirm

shutdown 11. Release Association

12. Release Association (if still connected)

Figure 2-3: Sequencing of Activities – RadOnc Client Query/Retrieve

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A possible sequence of interactions between RadOnc Client Query/Retrieve SCU and a remote
Query/Retrieve Server (e.g. retrieving SOP Instances of a patient) is illustrated in Figure 2-3:
1. The RadOnc Client Query/Retrieve SCU opens an Association with the Query/Retrieve
Server. If it succeeds a temporary local Storage SCP is created.
2. A first C-FIND command with Query Level STUDY is issued containing, possibly empty,
Patient Name and Patient ID. The result of this query is used to show a list of available
patients matching the Patient Name and Patient ID query entered by the user.
3. The user selects a patient and again a C-FIND command with Query Level STUDY is issued
containing the full Patient Name and Patient ID. This query is used to retrieve a list of all
Studies of the selected patient.
4. The user selects a Study which triggers a C-FIND command with Query Level SERIES to get
all Series that are contained in the selected Study. This step may be repeated for other
Studies if user actions require retrieving information about another sub-tree of the object
hierarchy.
5. The user selects a Series which triggers a C-FIND command with Query Level IMAGE to get
all Series that are contained in the selected Series. This step may be repeated for other
Series if user actions require retrieving information about another sub-tree of the object
hierarchy.
6. The user selects one or more objects to be retrieved. When initiating retrieve operation a C-
MOVE command for every SOP Instance to be retrieved is sent to the remote
Query/Retrieve Server.
7. Upon receipt of a C-MOVE command the remote Query/Retrieve Server will open a new
Association with the local Storage SCP.
8. For every C-MOVE command received from RadOnc Client Query/Retrieve SCU the remote
Query/Retrieve Server will send via the remote Storage SCU a C-STORE command to the
local Storage SCP.
9. When all objects have been transferred, whether successfully or not, and the user did not
cancel the transfer then RadOnc Client Query/Retrieve SCU will release the Association
using A-RELEASE and also shutdown it’s temporary local Storage SCP.
10. The temporary local Storage SCP releases the Association using A-RELEASE if not already
done by the remote Storage SCU.

2.2.1.3.2.2 Proposed Presentation Contexts

RadOnc Client Query/Retrieve SCU is capable of proposing the Presentation Contexts shown in
the following table.

Presentation Context Table

Abstract Syntax Transfer Syntax Role Ext.

Neg.
Name UID Name UID
Study Root Query/Retrieve 1.2.840.10008.5.1.4.1.2.2.1 DICOM Implicit VR Little 1.2.840.10008.1.2 SCU None
information model – FIND Endian
Study Root Query/Retrieve 1.2.840.10008.5.1.4.1.2.2.2 DICOM Implicit VR Little 1.2.840.10008.1.2 SCU None
information model – MOVE Endian

Table 2-9: Proposed Presentation Contexts for RadOnc Client Q/R SCU Application Entity

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2.2.1.3.2.3 SOP Specific Conformance for C-FIND SOP Classes

The behavior of RadOnc Client Query/Retrieve SCU when encountering status codes in a C-
FIND response is summarized in Table 2-10 below.

Service Further Meaning Error Behavior

Status Code

Refused Out of Resources A7xx No results are displayed in the Query/Retrieve

object browser.
Failure Data Set does not A9xx
match SOP Class
Cannot understand Cxxx
Cancel Matching terminated FE00 Cancel is handled like Failure, i.e. no results
due to Cancel are displayed.
Request
Success Matching is 0000 The SCP has completed the matches. Results
complete – No final are displayed in the Query/Retrieve object
Identifier is supplied browser.
Pending Matches are FF00 The result transferred with this C-FIND
continuing – Current Response is collected for display in the
Match is supplied Query/Retrieve object browser once the C-
and any Optional FIND operation is completed.
Keys were
supported in the
same manner as
Required Keys.
Matches are FF01
continuing –
Warning that one or
more Optional Keys
were not supported
for existence and/or
matching for this
Identifier.
* * Any other No results are displayed in the Query/Retrieve
status object browser.
code.

Table 2-10: RadOnc Client C-FIND Response Status Handling Behavior

No C-CANCEL-FIND requests are ever issued.

Relational-queries are not supported.
Specific Character Set is not supported. It is not included in a query and will be ignored when
present in the response.

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Exception Behavior

Timeout The user is informed that the operation (C-FIND or C-

MOVE) has timed out and can choose to retry the
operation.
Association aborted by the SCP or When the Association is aborted during a C-MOVE
network layers operation the user is informed and failure details are
displayed. The user can choose to retry the operation.

Table 2-11: RadOnc Client Q/R C-FIND SCU Communication Failure Behavior

Table 2-12 below lists the Attributes supported by the C-FIND SCU. Only a subset of the
Attributes in this table will be sent in a specific C-FIND request, depending on Query Level and, if
applicable, Modality.

Name Tag VR Type Types of

Matching

Study Level

Study Date (0008,0020) DA R U

Study Time (0008,0030) TM R U
Accession Number (0008,0050) SH R U
Patient's Name (0010,0010) PN R U, S, W
Patient ID (0010,0020) LO R U, S, W
Study ID (0020,0010) SH R U
Study Instance UID (0020,000D) UI U U, S
Study Description (0008,1030) LO O U
Patient’s Birth Date (0010,0030) DA O U

Series Level

Modality (0008,0060) CS R U
Series Number (0020,0011) IS R U
Series Instance UID (0020,000E) UI U U, S
Series Date (0008,0021) DA O U
Series Time (0008,0031) TM O U

Composite Object Level

(all modalities)

Instance Number (0020,0013) IS R U

SOP Instance UID (0008,0018) UI U U
SOP Class UID (0008,0016) UI O U

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Name Tag VR Type Types of

Matching

Composite Object Level

(all image modalities)

Content Date (0008,0023) DA O U

Content Time (0008,0033) TM O U
Acquisition Number (0020,0012) IS O U

Composite Object Level

(RT (Ion) Beams Treatment Record)

Treatment Date (3008,0250) DA O U

Treatment Time (3008,0251) TM O U

Composite Object Level

(RT Dose)

Dose Summation Type (3004,000A) CS O U

Composite Object Level

(RT Image)

RT Image Label (3002,0002) SH O U

Composite Object Level

(RT (Ion) Plan)

RT Plan Label (300A,0002) SH O U

Plan Intent (300A,000A) CS O U

Composite Object Level

(RT Structure Set)

Structure Set Label (3006,0002) SH O U

Composite Object Level

(Spatial Registration)

Content Date (0008,0023) DA O U

Content Time (0008,0033) TM O U

Composite Object Level

(Motion Management Protocol, Motion
Management Waveform)

Content Date (0008,0023) DA O U

Content Time (0008,0033) TM O U
Waveform Label (3283,1050) SH O U

Table 2-12: Study Root Request Identifier for RadOnc Client Q/R C-FIND SCU

The Types of Matching column in the above table should be read as follows:

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S Single Value Matching

L List of UID Matching
U Universal Matching
W Wild Card Matching
R Range Matching
One or more matching types of the above list may be supported per Attribute.

2.2.1.3.2.4 SOP Specific Conformance for C-MOVE SOP Classes

The behavior of RadOnc Client Query/Retrieve SCU when encountering status codes in a C-
MOVE response is summarized in the following table.

Service Further Meaning Error Behavior

Status Code

Refused Out of Resources – A701 None of the requested SOP Instances could
Unable to calculate be retrieved. The user will be informed about
number of matches the failure and can choose to retry retrieval.
Out of Resources – A702
Unable to perform
sub-operations
Move Destination A801
unknown
Failure Identifier does not A900
match SOP Class
Unable to Process Cxxx
Cancel Sub-operations FE00 Cancel is handled like Failure.
terminated due to
Cancel Indication
Warning Sub-operations B000 Some or all SOP Instances have not been
complete – One or transmitted successfully. The user is informed
more Failures and can choose to retry retrieval of the
remaining SOP Instances.
Success Sub-operations 0000 All SOP Instances have successfully been
complete – No transmitted. The user is informed that all
Failures objects have been retrieved successfully.
Pending Sub-operations are FF00 Transferring requested SOP Instances is
continuing continuing. This message is ignored.
* * Any other Any other status code is handled like Failure.
status
code.

Table 2-13: RadOnc Client C-MOVE Response Status Handling Behavior

After having received all requested SOP Instances or when the user aborts the operation the
Association is released using A-RELEASE. All events occurring during querying and retrieving
SOP Instances are logged. If any log entries are marked with internal category Warning or Error
they will be shown to the user automatically.
No C-CANCEL-MOVE requests are ever issued.
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Exception Behavior

Timeout The user is informed that the operation (C-FIND or C-

MOVE) has timed out and can choose to retry the
operation.
Association aborted by the SCP or When the Association is aborted during a C-MOVE
network layers operation the user is informed and failure details are
displayed. The user can choose to retry the operation.

Table 2-14: RadOnc Client Q/R C-MOVE SCU Communication Failure Behavior

The table below lists the Attributes that will be sent by the C-MOVE SCU. Only a subset of the
Attributes in this table will be sent in a specific C-MOVE request, depending on Query Level.

Name Tag VR

Study Level

Study Instance UID (0020,000D) UI

Series Level

Series Instance UID (0020,000E) UI

Composite Object Level

SOP Instance UID (0008,0018) UI

Table 2-15: Study Root Request Identifier for RadOnc Client Q/R C-MOVE SCU

2.2.1.3.3 Activity – Receive Storage Request

2.2.1.3.3.1 Description and Sequencing of Activities

For a sequence diagram and complete sequencing of activities in the Query/Retrieve context see
Figure 2-3. Received Instances are saved to temporary files and will be converted to the internal
data model and imported to the Varian System Database in a separate step.

2.2.1.3.3.2 Accepted Presentation Contexts

RadOnc Client Temporary Storage SCP Application Entity accepts Presentation Contexts shown
in the following table.

Presentation Context Table

Abstract Syntax Transfer Syntax Role Ext.

Neg.
Name UID Name UID
All Storage SOP All Storage SOP DICOM Implicit VR Little Endian 1.2.840.10008.1.2 SCP None
Classes in Table 2-1 Classes in Table 2-1
DICOM Explicit VR Little Endian 1.2.840.10008.1.2.1

Table 2-16: Acceptable Presentation Contexts for RadOnc Client Temporary Storage SCP
Application Entity and Receive Storage Request

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2.2.1.3.3.3 SOP Specific Conformance for all Storage SOP Classes

RadOnc Client Temporary Storage SCP Application Entity conforms to storage service classes
at level 0 (local) where not stated otherwise. Therefore it is guaranteed that at least all Type 1
Attributes are stored in the Varian System Database. Other Attributes are mainly supported but
may be discarded in certain cases.

2.2.1.3.3.3.1 Presentation Context Acceptance Criterion

RadOnc Client Temporary Storage SCP accepts all Presentation Contexts for all SOP Classes
and Transfer Syntaxes supported by RadOnc Client Temporary Storage SCP. If more than one
proposed Presentation Context is supported by the same Abstract Syntax all of them will be
accepted.

2.2.1.3.3.3.2 Transfer Syntax Selection Policies

If offered a choice of Transfer Syntaxes in a Presentation Context, RadOnc Client Temporary

Storage SCP will select the first Transfer Syntax that is listed in the Presentation Context.
RadOnc Client Temporary Storage SCP will accept duplicate Presentation Contexts, that is, if it
is offered multiple Presentation Contexts, each of which offers acceptable Transfer Syntaxes, it
will accept all Presentation Contexts, applying the same rule for selecting a Transfer Syntax for
each as described above.

2.2.1.3.3.3.3 Response Status

RadOnc Client Temporary Storage SCP will behave as described in the Table below when
generating the C-STORE response command message.

Service Further Meaning Error Reason

Status Code

Refused Out of Resources A700 Failed to save incoming DICOM stream to

temporary file.
Out of Resources A7xx Never sent
Failure Invalid object 0117 Failed to read SOP Common Module.
instance
Data Set does not A9xx Never sent
match SOP Class
Invalid C-STORE C000 Received invalid C-STORE request.
request
Warning Coercion of Data B000 Never sent
Elements
Data Set does not B007 Never sent
match SOP Class
Elements Discarded B006 Never sent
Success 0000 Instance successfully stored in temporary file.

Table 2-17: Response Status of RadOnc Client Temporary Storage SCP and Receive
Storage Request

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Note 2 An Error Code of 0000 (Success) does not mean that the Instance has successfully
been imported to the Varian System Database. It only means that it has been
received and stored successfully to a temporary file.

2.2.1.3.3.4 SOP Specific Conformance for RT Image Storage

2.2.1.3.3.4.1 Data Handling

See section 2.2.3.4.1.4.1.

2.2.1.3.3.4.2 Import Preconditions

If an RT Image references an RT Plan, this RT Plan must already be available on the Varian
System Database or be retrieved during the same import session, otherwise connection between
RT Image and RT Plan will not be preserved.

2.2.1.3.3.5 SOP Specific Conformance for certain Image Storage SOP Classes

See section 2.2.3.4.1.5.

2.2.1.3.3.6 SOP Specific Conformance for RT Structure Set Storage

2.2.1.3.3.6.1 Data Handling

See section 2.2.3.4.1.6.1.

2.2.1.3.3.6.2 Import Preconditions

To be able to import an RT Structure Set to the Varian System Database images referenced in
Contour Image Sequence (3006,0016) must already be available on the database or be retrieved
during the same import session.

2.2.1.3.3.7 SOP Specific Conformance for RT Dose Storage

See section 2.2.3.4.1.7.

2.2.1.3.3.8 SOP Specific Conformance for RT Plan Storage

See section 2.2.3.4.1.8.

2.2.1.3.3.9 SOP Specific Conformance for RT Beams Treatment Record Storage and RT Ion Beams
Treatment Record Storage

See section 2.2.3.4.1.9.

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2.2.1.3.4 Activity – Print Images

2.2.1.3.4.1 Description and Sequencing of Activities

The user selects any number of images to be sent to a hardcopy device. On the RadOnc print
client the user may select between different image layouts, scaling and additional information to
be printed together with the selected images. Structures and additional information like
measurements, labels, etc. will always be burned in. Finally the RadOnc Client will compose one
single image for every page to be printed and send this image to the hardcopy device.

RadOnc Printer
Print SCU

1. Open Association

2. N-CREATE (Film Session)

3. N-CREATE (Film Box)

4. N-Set (Image Box)

5a. A-ACTION (Film Box)

5b. N-ACTION (Film Session)

6. Print Sheets

7. N-EVENT-REPORT (Printer)

8a. N-DELETE (Film Box)

8b. N-DELETE (Film Session)

9. Release Association

Figure 2-4: Sequencing of Activities – RadOnc Client Print Images

A possible sequence of interactions between RadOnc Client Print SCU and a remote
Query/Retrieve Server (e.g. retrieving SOP Instances of a patient) is illustrated in Figure 2-4:
1. The RadOnc Client Print SCU opens a connection with the Printer.
2. N-CREATE on the Film Session SOP Class creates a Film Session.

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3. N-CREATE on the Film Box SOP Class creates a Film Box linked to the Film Session. A
single Image Box will be created as the result of this operation.
4. N-SET on the Image Box SOP Class transfers the contents of the film sheet to the printer.
5. If ‘Collate’ option is not selected then 5a will be executed else 5b.
a. N-ACTION on the Film Box SOP Class instructs the printer to print the Film Box.
b. N-ACTION on the Film Session SOP Class instructs the printer to print the Film Box.
6. The printer prints the requested number of sheets.
7. The Printer asynchronously reports its status via N-EVENT-REPORT notification (Printer
SOP Class). The printer can send this message at any time. RadOnc Client Print SCU does
not require the N-EVENT-REPORT to be sent. RadOnc Client Print SCU is capable of
receiving an N-EVENT-REPORT notification at any time during an Association. If the Printer
reports a status of Warning or Failure, the user is informed.
8. If ‘Collate’ option is not selected then 8a will be executed else 8b.
a. N-DELETE on the Film Box SOP Class deletes the complete Film Box SOP Instance
hierarchy.
b. N-DELETE on the Film Session SOP Class deletes the complete Film Session SOP
Instance hierarchy.
9. RadOnc Client Print SCU closes the Association to the Printer.

2.2.1.3.4.2 Proposed Presentation Contexts

RadOnc Client Print SCU is capable of proposing the Presentation Contexts shown in the
following table.

Presentation Context Table

Abstract Syntax Transfer Syntax Role Ext.

Neg.
Name UID Name UID
Basic Grayscale Print 1.2.840.10008.5.1.1.9 DICOM Implicit VR Little Endian 1.2.840.10008.1.2 SCU None
Management Meta SOP
Class

Table 2-18: Proposed Presentation Contexts for RadOnc Client Print SCU Application
Entity

2.2.1.3.4.3 SOP Specific Conformance for Printer SOP Class

RadOnc Client Print SCU supports the following DIMSE operations and notifications for the
Printer SOP Class:
• N-EVENT-REPORT
Details of the supported attributes and status handling behavior are defined in the following
subsections.

2.2.1.3.4.3.1 Printer SOP Class Notifications (N-EVENT-REPORT)

RadOnc Client Print SCU is capable of receiving an N-EVENT-REPORT request at any time
during an Association.

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The behavior when receiving Event Types within an N-EVENT-REPORT is summarized in the
following table.

Event Event Attribute Name Tag Behavior

Type Type
Name ID

Normal 1 Message is ignored.

Warning 2 Printer Status (2110,0010) A warning message is displayed to the
user containing a human-readable
Printer Status Info (2110,0020) interpretation of Printer Status and
Printer Name (2110,0020) Printer Status Info
Failure 3 Printer Status (2110,0010) An error message is displayed to the
user containing a human-readable
Printer Status Info (2110,0020) interpretation of Printer Status and
Printer Name (2110,0020) Printer Status Info

Table 2-19: Printer SOP Class N-EVENT-REPORT Behavior

The N-EVENT-REPORT response will always return a Service Status of SUCCESS with Error
Code 0000.

2.2.1.3.4.4 SOP Specific Conformance for Basic Film Session SOP Class

RadOnc Client Print SCU supports the following DIMSE operations and notifications for the Basic
Film Session SOP Class:
• N-CREATE
• N-DELETE
• N-ACTION
Details of the supported attributes and status handling behavior are defined in the following
subsections.

2.2.1.3.4.4.1 Basic Film Session SOP Class Operations (N-CREATE)

The Attributes supplied in an N-CREATE request are listed in the following table.

Attribute Name Tag VR Value Presence Source

of Value

Number of Copies (2000,0010) IS Unrestricted ALWAYS User

Medium Type (2000,0030) CS BLUE FILM, CLEAR FILM ALWAYS User
or PAPER

Table 2-20: Basic Film Session SOP Class N-CREATE Request Attributes

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The behavior of RadOnc Client Print SCU when encountering status codes in an N-CREATE
response is summarized in the following table.

Service Further Meaning Error Behavior

Status Code

Success Success 0000 The SCP has completed the operation

successfully.
* * Any other The reason for failure is displayed and the
status user can choose to retry.
code.

Table 2-21: Basic Film Session SOP Class N-CREATE Response Status Handling Behavior

2.2.1.3.4.4.2 Basic Film Session SOP Class Operations (N-DELETE)

The behavior of RadOnc Client Print SCU when encountering status codes in an N-DELETE
response is summarized in the following table.

Service Further Meaning Error Behavior

Status Code

Success Success 0000 The SCP has completed the operation

successfully.
* * Any other Will be ignored.
status
code.

Table 2-22: Basic Film Session SOP Class N-DELETE Response Status Handling Behavior

2.2.1.3.4.4.3 Basic Film Session SOP Class Operations (N-ACTION)

An N-ACTION request with Action Type ID 1 is issued to instruct the Print SCP to print the
contents of the Film Session. The Action Reply argument in an N-ACTION response is not
evaluated.
The behavior of RadOnc Client Print SCU when encountering status codes in an N-ACTION
response is summarized in the following table.

Service Further Meaning Error Behavior

Status Code

Success Success 0000 The SCP has completed the operation

successfully.
* * Any other The reason for failure is displayed and the
status user can choose to retry.
code.

Table 2-23: Basic Film Session SOP Class N-ACTION Response Status Handling Behavior

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2.2.1.3.4.5 SOP Specific Conformance for Basic Film Box SOP Class

RadOnc Client Print SCU supports the following DIMSE operations and notifications for the Basic
Film Box SOP Class:
• N-CREATE
• N-DELETE
• N-ACTION
Details of the supported attributes and status handling behavior are defined in the following
subsections.

2.2.1.3.4.5.1 Basic Film Box SOP Class Operations (N-CREATE)

The Attributes supplied in an N-CREATE request are listed in the following table.

Attribute Name Tag VR Value Presence Source

of Value

Image Display (2010,0010) ST STANDARD, ROW, COL, ALWAYS User

Format SLIDE, SUPERSLICE or
CUSTOM
Referenced Film (2010,0500) SQ Reference to parent Basic ALWAYS Auto
Session Sequence Film Session
>Referenced SOP (0008,1150) UI ALWAYS Auto
Class UID
>Referenced SOP (0008,1155) UI ALWAYS Auto
Instance UID
Film Orientation (2010,0040) CS PORTRAIT or ALWAYS User
LANDSCAPE
Film Size ID (2010,0050) CS 8INX10IN, 8_5INX11IN, ALWAYS User
10INX12IN, 10INX14IN,
11INX14IN, 11INX17IN,
14INX14IN, 14INX17IN,
24CMX24CM,
24CMX30CM, A4 or A3
Magnification Type (2010,0060) CS NONE ALWAYS User
Min Density (2010,0120) US 23 ... 300 ANAP User
Max Density (2010,0130) US 23 ... 300 ANAP User
Configuration (2010,0150) ST ANAP User
Information
Smoothing Type (2010,0080) CS ANAP User

Table 2-24: Basic Film Box Session SOP Class N-CREATE Request Attributes

The behavior of RadOnc Client Print SCU when encountering status codes in an N-CREATE
response is summarized in the following table.

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Service Further Meaning Error Behavior

Status Code

Success Success 0000 The SCP has completed the operation

successfully.
* * Any other The reason for failure is displayed and the
status user can choose to retry.
code.

Table 2-25: Basic Film Box SOP Class N-CREATE Response Status Handling Behavior

2.2.1.3.4.5.2 Basic Film Box SOP Class Operations (N-DELETE)

The behavior of RadOnc Client Print SCU when encountering status codes in an N-DELETE
response is summarized in the following table.

Service Further Meaning Error Behavior

Status Code

Success Success 0000 The SCP has completed the operation

successfully.
* * Any other Will be ignored.
status
code.

Table 2-26: Basic Film Box SOP Class N-DELETE Response Status Handling Behavior

2.2.1.3.4.5.3 Basic Film Box SOP Class Operations (N-ACTION)

An N-ACTION request with Action Type ID 1 is issued to instruct the Print SCP to print the
contents of the Film Session. The Action Reply argument in an N-ACTION response is not
evaluated.
The behavior of RadOnc Client Print SCU when encountering status codes in an N-ACTION
response is summarized in the following table.

Service Further Meaning Error Behavior

Status Code

Success Success 0000 The SCP has completed the operation

successfully.
* * Any other The reason for failure is displayed and the
status user can choose to retry.
code.

Table 2-27: Basic Film Box SOP Class N-ACTION Response Status Handling Behavior

2.2.1.3.4.6 SOP Specific Conformance for Basic Grayscale Image Box SOP Class

RadOnc Client Print SCU supports the following DIMSE operations and notifications for the Basic
Image Box SOP Class:
• N-SET

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Details of the supported attributes and status handling behavior are defined in the following
subsections.

2.2.1.3.4.7 Basic Grayscale Image B0ox SOP Class (N-SET)

The Attributes supplied in an N-CREATE request are listed in the following table.

Attribute Name Tag VR Value Presence Source

of Value

Image Position (2020,0010) US 1 ALWAYS Auto

Basic Grayscale (2020,0110) SQ ALWAYS User
Image Sequence
>Samples Per Pixel (0028,0002) US 1 ALWAYS Auto
>Photometric (0028,0004) CS MONOCHROME2 ALWAYS Auto
Interpretation
>Rows (0028,0010) US ALWAYS Auto
>Columns (0028,0011) US ALWAYS Auto
>Pixel Aspect Ratio (0028,0034) IS ANAP Auto
>Bits Allocated (0028,0100) US 8 or 12 ALWAYS User
>Bits Stored (0028,0101) US 8 or 16 ALWAYS Auto
>High Bit (0028,0102) US 11 or 15 ALWAYS Auto
>Pixel (0028,0103) US 0000H (unsigned integer) ALWAYS Auto
Representation
>Pixel Data (7FE0,0010) OW ALWAYS Auto
or
OB
Smoothing Type (2010,0080) CS ANAP User
Min Density (2010,0120) US 23 .. 300 ANAP User
Max Density (2010,0130) US 23 .. 300 ANAP User
Configuration (2010,0150) ST ANAP User
Information

Table 2-28: Basic Grayscale Image Box SOP Class N-SET Request Attributes

The behavior of RadOnc Client Print SCU when encountering status codes in an N-SET
response is summarized in the following table.

Service Further Meaning Error Code Behavior

Status

Success Success 0000 The SCP has completed the operation

successfully.
* * Any other The reason for failure is displayed and the
status code. user can choose to retry.

Table 2-29: Basic Grayscale Image Box SOP Class N-SET Response Status Handling
Behavior

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2.2.1.4 Association Acceptance Policy

The RadOnc Client Application Entity does not accept Associations.

2.2.2 File Daemon Application Entity

2.2.2.1 SOP Classes

The File Daemon Application Entity provides Standard Conformance to the following SOP
Classes.

SOP Class Name SOP Class UID SCU SCP

Computed Radiography Image 1.2.840.10008.5.1.4.1.1.1 No Yes

Storage
CT Image Storage 1.2.840.10008.5.1.4.1.1.2 No Yes
Ultrasound Multi-frame Image 1.2.840.10008.5.1.4.1.1.3 No Yes
Storage (Retired)
Ultrasound Multi-frame Image 1.2.840.10008.5.1.4.1.1.3.1 No Yes
Storage
MR Image Storage 1.2.840.10008.5.1.4.1.1.4 No Yes
Nuclear Medicine Image Storage 1.2.840.10008.5.1.4.1.1.5 No Yes
(Retired)
Ultrasound Image Storage 1.2.840.10008.5.1.4.1.1.6 No Yes
(Retired)
Ultrasound Image Storage 1.2.840.10008.5.1.4.1.1.6.1 No Yes
Secondary Capture Image Storage 1.2.840.10008.5.1.4.1.1.7 No Yes
Standalone Overlay Storage 1.2.840.10008.5.1.4.1.1.8 No Yes
(Retired)
Standalone Curve Storage (Retired) 1.2.840.10008.5.1.4.1.1.9 No Yes
X-Ray Angiographic Image Storage 1.2.840.10008.5.1.4.1.1.12.1 No Yes
Nuclear Medicine Image Storage 1.2.840.10008.5.1.4.1.1.20 No Yes
Spatial Registration Storage 1.2.840.10008.5.1.4.1.1.66.1 No Yes
Positron Emission Tomography 1.2.840.10008.5.1.4.1.1.128 No Yes
Image Storage
RT Image Storage 1.2.840.10008.5.1.4.1.1.481.1 No Yes
RT Dose Storage 1.2.840.10008.5.1.4.1.1.481.2 No Yes
RT Structure Set Storage 1.2.840.10008.5.1.4.1.1.481.3 No Yes
RT Beams Treatment Record 1.2.840.10008.5.1.4.1.1.481.4 No Yes
Storage
RT Plan Storage 1.2.840.10008.5.1.4.1.1.481.5 No Yes
RT Ion Plan Storage 1.2.840.10008.5.1.4.1.1.481.8 No Yes
RT Ion Beams Treatment Record 1.2.840.10008.5.1.4.1.1.481.9 No Yes
Storage

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SOP Class Name SOP Class UID SCU SCP

Motion Management Protocol 1.2.246.352.70.1.40 No Yes

(Private)
Motion Management Waveform 1.2.246.352.70.1.41 No Yes
(Private)

Table 2-30: SOP Classes for File Daemon Application Entity

2.2.2.2 Association Policies

2.2.2.2.1 General

The DICOM standard application context name for DICOM 3.0 is always proposed.

Application Context Name 1.2.840.10008.3.1.1.1

Table 2-31: DICOM Application Context for File Daemon Application Entity

2.2.2.2.2 Number of Associations

The File Daemon Application Entity accepts all association requests that request one of the
supported SOP Classes. It does not place any limitations on the number of concurrent
associations or on who may connect to it, unless the ‘Permit Trusted Application Entities only’
option is enabled. If enabled, only Association request of the defined Application Entities will be
accepted.

Maximum number of simultaneous Associations Unrestricted

Table 2-32: Number of Associations accepted for File Daemon Application Entity

File Daemon Application Entity does not initiate any Associations.

2.2.2.2.3 Asynchronous Nature

File Daemon Application Entity does not support asynchronous communication.

2.2.2.2.4 Implementation Identifying Information

The implementation information for this Application Entity is defined in the following table.

Storage SCP Implementation Class UID 1.2.246.352.70.2.1

Echo SCP Implementation Class UID 1.2.246.352.70.2.1.2
Implementation Version Name (not used)

Table 2-33: DICOM Implementation Class and Version for File Daemon Application Entity

File Daemon Application Entity stores all received IODs as DICOM Media Files. The
implementation information that is used for those files is defined in the following table.

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DICOM Media File Implementation UID 1.2.246.352.70.2.1.7

Implementation Version Name (not used)

Table 2-34: DICOM Implementation Class and Version for Media Files

2.2.2.3 Association Initiation Policy

The File Daemon Application Entity does not initiate Associations.

2.2.2.4 Association Acceptance Policy

Unless the ‘Permit Trusted Application Entities only’ option is enabled, the File Daemon
Application Entity accepts all association requests that request one of the supported SOP
Classes; otherwise it restricts access to the user-configured Application Entities.

2.2.2.4.1 Activity – Receive Storage Request

2.2.2.4.1.1 Description and Sequencing of Activities

All Instances received will be stored as DICOM Media File on the local file system on a
configurable location. For the Implementation UID of the created DICOM Media File the DICOM
Media File Implementation UID as defined in Table 2-33 is used. DICOM Media Files are written
using the same Transfer Syntax as has been used to transfer the incoming Instance.

2.2.2.4.1.2 Accepted Presentation Contexts

File Daemon Application Entity accepts Presentation Contexts shown in the following table.

Presentation Context Table

Abstract Syntax Transfer Syntax Role Ext.

Neg.
Name UID Name UID
All Storage SOP All Storage SOP Classes DICOM Implicit VR Little Endian 1.2.840.10008.1.2 SCP None
Classes in Table in Table 2-30
DICOM Explicit VR Little Endian 1.2.840.10008.1.2.1
2-30
MPEG2 Main Profile @ Main 1.2.840.10008.1.2.4.
Level 100

Table 2-35: Acceptable Presentation Contexts for File Daemon Application Entity and
Receive Storage Request

2.2.2.4.1.3 SOP Specific Conformance for Storage SOP Classes

File Daemon Application Entity conforms to storage service classes at level 2 (full). Therefore it
is guaranteed that all Type 1, Type 2, and Type 3 Attributes defined in the Information Object
Definition associated with the SOP Class, as well as any Standard Extended attributes (including
Private Attributes) included in the SOP Instance, will be stored.

2.2.2.4.1.3.1 Presentation Context Acceptance Criterion

File Daemon will always accept any Presentation Context for the supported SOP Classes with
the supported Transfer Syntaxes. More than one proposed Presentation Context will be

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accepted for the same Abstract Syntax if the Transfer Syntax is supported, whether or not it is
the same as another Presentation Context.

2.2.2.4.1.3.2 Transfer Syntax Selection Policies

If offered a choice of Transfer Syntaxes in a Presentation Context, File Daemon will select the
first Transfer Syntax that is listed in the Presentation Context.
File Daemon will accept duplicate Presentation Contexts, that is, if it is offered multiple
Presentation Contexts, each of which offers acceptable Transfer Syntaxes, it will accept all
Presentation Contexts, applying the same rule for selecting a Transfer Syntax for each as
described above.

2.2.2.4.1.3.3 Response Status

File Daemon will behave as described in the Table below when generating the C-STORE
response command message.

Service Further Meaning Error Reason

Status Code

Refused Out of Resources A7xx Never sent

Failure Data Set does not A9xx Never sent
match SOP Class
Invalid C-STORE C000 SOP Common Module could not be read or
request output file could not be created.
Warning Coercion of Data B000 Never sent
Elements
Data Set does not B007 Never sent
match SOP Class
Elements Discarded B006 Never sent
Success 0000 Instance successfully stored on file system

Table 2-36: Response Status of File Daemon Storage SCP and Receive Storage Request

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2.2.3 DB Daemon Application Entity

2.2.3.1 SOP Classes

The DB Daemon Application Entity provides Standard Conformance to the following SOP
Classes.

SOP Class Name SOP Class UID SCU SCP

(Note 5)

Computed Radiography Image 1.2.840.10008.5.1.4.1.1.1 Yes Yes

Storage
CT Image Storage 1.2.840.10008.5.1.4.1.1.2 Yes Yes
MR Image Storage 1.2.840.10008.5.1.4.1.1.4 Yes Yes
Ultrasound Image Storage 1.2.840.10008.5.1.4.1.1.6.1 No Yes
(Note 3)
Secondary Capture Image Storage 1.2.840.10008.5.1.4.1.1.7 Yes Yes
X-Ray Angiographic Image Storage 1.2.840.10008.5.1.4.1.1.12.1 No Yes
(Note 3)
Spatial Registration Storage 1.2.840.10008.5.1.4.1.1.66.1 Yes Yes
Positron Emission Tomography 1.2.840.10008.5.1.4.1.1.128 No Yes
Image Storage
RT Image Storage 1.2.840.10008.5.1.4.1.1.481.1 Yes Yes
RT Dose Storage 1.2.840.10008.5.1.4.1.1.481.2 Yes Yes
RT Structure Set Storage 1.2.840.10008.5.1.4.1.1.481.3 Yes Yes
RT Beams Treatment Record 1.2.840.10008.5.1.4.1.1.481.4 Yes Yes
Storage
LTArchive RT Treatment Record 1.2.246.352.70.1.10 Yes Yes
Storage (Note 4) (Note 4)
RT Plan Storage 1.2.840.10008.5.1.4.1.1.481.5 Yes Yes
RT Treatment Summary Record 1.2.840.10008.5.1.4.1.1.481.7 Yes No
Storage
RT Ion Plan Storage 1.2.840.10008.5.1.4.1.1.481.8 Yes Yes
RT Ion Beams Treatment Record 1.2.840.10008.5.1.4.1.1.481.9 Yes Yes
Storage
Motion Management Protocol 1.2.246.352.70.1.40 Yes Yes
(Private)
Motion Management Waveform 1.2.246.352.70.1.41 Yes Yes
(Private)
Study Root Query/Retrieve 1.2.840.10008.5.1.4.1.2.2.1 No Yes
Information Model – FIND
Study Root Query/Retrieve 1.2.840.10008.5.1.4.1.2.2.2 No Yes
Information Model – MOVE

Table 2-37: SOP Classes for DB Daemon Application Entity

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Note 3 Some SOP Instances will be converted to a different Modality when imported. For
details see section 2.2.3.4.1.5.
Note 4 This SOP Class is supported only if DB Daemon is configured as Archive Daemon.
Note 5 The SCU role is supported only to perform C-STORE sub-commands upon a C-
MOVE request.

2.2.3.2 Association Policies

2.2.3.2.1 General

The DICOM standard application context name for DICOM 3.0 is always proposed.

Application Context Name 1.2.840.10008.3.1.1.1

Table 2-38: DICOM Application Context for DB Daemon Application Entity

2.2.3.2.2 Number of Associations

The DB Daemon Application Entity accepts all association requests that request one of the
supported SOP Classes. It does not place any limitations on the number of concurrent
associations or on who may connect to it, unless the ‘Permit Trusted Application Entities only’
option is enabled. If enabled, only Association request of the defined Application Entities will be
accepted.

Maximum number of simultaneous Associations Unrestricted

Table 2-39: Number of Associations accepted for DB Daemon Application Entity

DB Daemon Application Entity does not initiate any Associations.

2.2.3.2.3 Asynchronous Nature

DB Daemon Application Entity does not support asynchronous communication.

2.2.3.2.4 Implementation Identifying Information

DB Daemon can be configured to work either in Vision Service mode or in Archive Service mode.
The Archive Service mode is useful only in combination with Varian System Server LT Archive
Client; therefore when in Archive Service mode it will accept only Association Open Requests
from LT Archive Client.
The implementation information for this Application Entity is defined in the following table.

Implementation Class UID (Vision Service mode) 1.2.246.352.70.2.1.43

Implementation Class UID (Archive Service mode) 1.2.246.352.70.2.1.33
Implementation Version Name (not used)

Table 2-40: DICOM Implementation Class and Version for DB Daemon Application Entity

2.2.3.3 Association Initiation Policy

The DB Daemon Application Entity does not initiate Associations.

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2.2.3.4 Association Acceptance Policy

Unless the ‘Permit Trusted Application Entities only’ option is enabled, the DB Daemon
Application Entity accepts all association requests that request one of the supported SOP
Classes; otherwise it restricts access to the user-configured Application Entities.

2.2.3.4.1 Activity – Receive Storage Request

2.2.3.4.1.1 Description and Sequencing of Activities

All Instances received will be converted to the internal data model and stored to the Varian
System Database. If conversion was not successful, the incoming DICOM stream will be stored
as DICOM Media File on the local file system on a configurable location.

2.2.3.4.1.2 Accepted Presentation Contexts

DB Daemon Application Entity accepts Presentation Contexts shown in the following table.

Presentation Context Table

Abstract Syntax Transfer Syntax Role Ext.

Neg.
Name UID Name UID
All Storage SOP All Storage SOP Classes DICOM Implicit VR Little Endian 1.2.840.10008.1.2 SCP None
Classes in Table in Table 2-37
DICOM Explicit VR Little Endian 1.2.840.10008.1.2.1
2-37
MPEG2 Main Profile @ Main 1.2.840.10008.1.2.4.
Level 100

Table 2-41: Acceptable Presentation Contexts for DB Daemon Application Entity and
Receive Storage Request

2.2.3.4.1.3 SOP Specific Conformance for all Storage SOP Classes

DB Daemon Application Entity conforms to storage service classes at level 0 (local) where not
stated otherwise. Therefore it is guaranteed that at least all Type 1 Attributes are stored in the
Varian System Database. Other Attributes are mainly supported but may be discarded in certain
cases.

2.2.3.4.1.3.1 Presentation Context Acceptance Criterion

DB Daemon will always accept any Presentation Context for the supported SOP Classes with
the supported Transfer Syntaxes. More than one proposed Presentation Context will be
accepted for the same Abstract Syntax if the Transfer Syntax is supported, whether or not it is
the same as another Presentation Context.

2.2.3.4.1.3.2 Transfer Syntax Selection Policies

If offered a choice of Transfer Syntaxes in a Presentation Context, DB Daemon will select the
first Transfer Syntax that is listed in the Presentation Context.
DB Daemon will accept duplicate Presentation Contexts, that is, if it is offered multiple
Presentation Contexts, each of which offers acceptable Transfer Syntaxes, it will accept all
Presentation Contexts, applying the same rule for selecting a Transfer Syntax for each as
described above.

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2.2.3.4.1.3.3 Response Status

DB Daemon will behave as described in the Table below when generating the C-STORE
response command message.

Service Further Meaning Error Reason

Status Code

Refused Out of Resources A7xx Never sent

Failure Data Set does not A9xx Never sent
match SOP Class
Invalid C-STORE C000 Received invalid C-STORE request.
request
Conversion failed C101 Converting Instance from DICOM to internal
data model failed.
Connection to C102 Connecting Instance to internal data model
Database failed failed.
Save to Database C103 Could not save Instance to the Varian System
failed Database. Reason is specified in Error
Comment.
Warning Coercion of Data B000 Never sent
Elements
Data Set does not B007 Never sent
match SOP Class
Elements Discarded B006 Never sent
Success 0000 Instance successfully stored to the Varian
System Database

Table 2-42: Response Status of DB Daemon Storage SCP and Receive Storage Request

2.2.3.4.1.4 SOP Specific Conformance for RT Image Storage

2.2.3.4.1.4.1 Data Handling

Image Type

The following Defined Terms for Value 3 of Image Type (0008,0008) are supported:
• DRR
• PORTAL
• SIMULATOR

RT Image Position Parameters

As defined by the standard, it is assumed, that the Imager Position is defined by X-Ray Image
Receptor Translation (3002,000D) and the image readout area by RT Image Position
(3002,0012).
When RT Image Position (3002,0012) is not present, it is assumed that the image is centered
around the IEC Image receptor system.

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In the absence of RT Image Orientation (3002,0010), the interpretation goes along the definition
in section C.8.8.2.7 of Part 3 of [1].

Portal Dose

RT Images of Image Type PORTAL are also used to represent portal doses, according to the
DICOM Standard [1], PS 3, section A.17.3 (RT Image IOD Module Table), Note 2. The
conversion between portal image pixel values and portal dose is defined by the Modality LUT
Module through Rescale Intercept (0028,1052) and Rescale Slope (0028,1053). The unit
depends on Rescale Slope (0028,1053).
The following 2 types of portal doses are supported, distinguished by their specific values for
Image Type (0008,0008):

Image Type Meaning

DERIVED\SECONDARY\PORTAL\CALCULA Portal dose predicted by a treatment planning

TED_DOSE system, i.e. an estimate of the dose that will
be perceived by the portal imaging device.
ORIGINAL\PRIMARY\PORTAL\ACQUIRED_ Portal dose actually measured by the portal
DOSE imaging device based on its calibration.

Table 2-43: Portal Dose Image Type Values and their Meaning

Frame of Reference UID

RT Images that do not have a Frame of Reference UID (0020,0052) will be assigned a Frame of
Reference UID. The following rules apply:
1. If other RT Images of the same Series are already available in the Varian System Database,
the Frame of Reference UID of an RT Image of this Series will be used.
2. If rule 1 does not apply, a new unrelated Frame of Reference UID will be generated and
assigned.

Curves

The Curve Label (50XX,2500) of the curves shall be unique within an image. Non-unique Ids will
be accepted, but show up as invalid labels in the application.

2.2.3.4.1.4.2 Import Preconditions

If an RT Image references an RT Plan, this RT Plan must already be available on the DB,
otherwise connection between RT Image and RT Plan will be lost.

2.2.3.4.1.4.3 Reference Image Handling

An RT Image referencing an RT Plan or RT Ion Plan will always only be assigned as “field
image” to the referenced field and never as “primary reference image”.

2.2.3.4.1.5 SOP Specific Conformance for certain Image Storage SOP Classes

For SOP Classes listed in the following list DB Daemon Application Entity accepts the SOP
Class, but may discard even Type 1 Attributes when storing those Instances to the Varian
System Database:
• Ultrasound Image Storage SOP Class

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• X-Ray Angiographic Image Storage SOP Class

To preserve consistency of those image Instances they are converted to SC Modality, inserted
into a Series of Modality OT and new Instance UIDs are issued for each Series and Image
Instance.

2.2.3.4.1.6 SOP Specific Conformance for RT Structure Set Storage

2.2.3.4.1.6.1 Data Handling

An RT Structure Set serves as a starting point for 3D patient model creation. The internal
representation of such a 3D patient model uses constant plane separation. If referenced images
in an RT Structure Set are not scanned with constant plane separation, the constructed 3D
patient model will use interpolated planes where necessary.
On import, the 3D patient model is constructed from images referenced in Contour Image
Sequence (3006,0016) of the RT Structure Set Module. It is assumed, that this sequence
contains all image references, which have been used to construct the 3D Volume, independent
of the presence of any contours on those planes.
The ROI Observation Label (3006,0085) of the ROI of a structure set shall be unique within that
structure set. Non-unique Ids will be accepted, but show up as invalid labels in the application.

2.2.3.4.1.6.2 Import Preconditions

To be able to import an RT Structure Set to the Varian System Database, all images referenced
in Contour Image Sequence (3006,0016) must already be available on the database.

2.2.3.4.1.6.3 Structure Set Relationship

Structure Set Relationship (3263,xx02) is a private attribute, see C.2.24. It is supported only on
import. ADDITION is the only supported value for Structure Set Relationship (3263,xx02). When
this value is sent with a RT Structure Set all ROIs (structures) of this imported structure set are
added to those of the referenced RT Structure Set and a new Instance UID is issued for the
referenced RT Structure Set.
If a RT Structure Set, whose Structure Set Relationship (3263,xx02) is ADDITION, is being
imported and contains ROIs, whose RT ROI Interpreted Type (3006,00A4) is MARKER, then all
ROIs (structures) of type MARKER of the referenced RT Structure Set are deleted before adding
any ROIs of the imported structure set.

2.2.3.4.1.7 SOP Specific Conformance for RT Dose Storage

Data Width

16 bit and 32 bit dose data is supported. This means that Bits Allocated (0028,0100) and Bits
Stored (0028,0101) may contain value 16 or 32.

Dose Summation Type

The following values for Dose Summation Type (3004,000A) are supported:
• PLAN
• FRACTION
• BEAM
On import values PLAN and FRACTION are handled identically applying semantics for PLAN,
since only one Item in Fraction Group Sequence (300A,0070) is supported.

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Dose Units

The following values for Dose Units (3004, 0002) are supported:
• RELATIVE
• GY

Dose Plane Spacing

If Grid Frame Offset Vector (3004,000C) is present, it must contain offset values yielding equally
spaced dose planes. Therefore, those values follow option a. in C.8.8.3.1 in Part 3 of [1]. RT
Dose Instances having unequally spaced dose planes are not supported.

2.2.3.4.1.8 SOP Specific Conformance for RT Plan Storage

2.2.3.4.1.8.1 Data Handling

Beam Limiting Devices

Two collimators (symmetric or asymmetric, in any combination) or a collimator in one direction

and an MLC in the direction perpendicular to it must be defined.
No more than one MLC is supported.

Wedges

No more than two wedges per beam are supported.

Blocks

In addition to DICOM the Varian System Server data model can handle multiple closed contours
for the same block. Thus, if there are several blocks related to a single beam in imported DICOM
data, they are merged into one block object if the following Attributes contain equal values
among several DICOM blocks:
• Block Name (300A,00FE)
• Block Divergence (300A,00FA)
• Block Type (300A,00F8)
• Material ID (300A,00E1)

Control Point Parameter Changes

Changes in the following Attributes in Control Point Sequence (300A,0111) are supported:
• Cumulative Meterset Weight (300A,0134)
• Wedge Position Sequence (300A,0116)
• Wedge Position (300A,0118)
This change is supported only for MOTORIZED wedges in a static plan, having exactly 4 Control
Points.
• Beam Limiting Device Position Sequence (300A,011A)
• Leaf/Jaw Positions (300A,011C)
• Gantry Angle (300A,011E)

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• Beam Limiting Device Angle (300A,0120)

Fraction Groups

Only one Fraction Group is supported, therefore only the first item of Fraction Group Sequence
(300A,0070) is imported, additional ones are discarded.

Fluences

Optimal and Total Actual Fluences are exported in Compensator Sequence (300A,00E3) in RT
Beams Module. Compensator Type (3004,00EE) contains either privately Defined Term
OPTIMAL (for Optimal Fluence) or TOTAL_ACTUAL (for Total Actual Fluence).

2.2.3.4.1.8.2 Import Preconditions

If an RT Plan references a Bolus, the corresponding RT Structure Set must already be available
in the Varian System Database.
If an RT Plan references an RT Structure Set, this RT Structure Set must already be available in
the Varian System Database, otherwise connection between RT Plan and RT Structure Set will
be lost.

2.2.3.4.1.8.3 Approval Status Requirements

RT Plans with Approval Status (300E,0002) APPROVED get internal status ‘Planning Approved’
when imported. For a good interoperability it is recommended that third-party applications
sending RT Plans apply a validation that is at least as tight as RadOnc Client’s / Daemon’s
before setting Approval Status to APPROVED.
In RadOnc Client / Daemon the following requirements (among others) have to be fulfilled to be
able to change the plan status to ‘Planning Approved’:
• Jaw positions shall be defined for all existing collimators.
• If a wedge is used collimator jaw openings shall be smaller than the wedge’s dimension.
• Gantry Angle (300A,011E) shall be defined.
• Patient Support Angle (300A,0122) shall be defined.
• Patient Position (0018,5100) shall be present for non-verification plans.
• A block outline shall not intersect with itself.
• A block in a non-electron beam shall have a tray assigned (Block Tray ID (300A,00F5)) and
defined Material ID (300A,00E1).
• Static electron fields shall have an applicator.
• If a treatment device (Treatment Machine Name (300A,00B2)) is assigned to a beam, then
all beam parameters shall be within the machine’s operating limits.
• All accessories in a beam shall be enabled for the selected Nominal Beam Energy
(300A,0114) and treatment technique.
• The difference between start and stop angle for an Arc treatment beam shall be greater than
or equal to 1 and less than or equal to 360 degrees.
• Dose Rate Set (300A,0115) shall be the same across all control points. This is an
implementation restriction of Varian treatment machines.
• Nominal Beam Energy (300A,0114) shall be the same across all control points. This is an
implementation restriction of Varian treatment machines.

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2.2.3.4.1.9 SOP Specific Conformance for RT Beams Treatment Record Storage and RT Ion Beams
Treatment Record Storage

For RT Beams Treatment Record Storage and RT Ion Beams Treatment Record Storage this
Application Entity conforms to storage service classes at level 2 (full). Therefore it is guaranteed
that all Type 1, Type 2, and Type 3 Attributes defined in the Information Object Definition
associated with the SOP Class, as well as any Standard Extended attributes (including Private
Attributes) included in the SOP Instance, will be stored.

2.2.3.4.2 Activity – Handling Query and Retrieval Requests

2.2.3.4.2.1 Description and Sequencing of Activities

DB Daemon Remote
Q/R SCP Q/R SCU
DB Daemon Remote
Storage SCU Storage SCP
1. Open Association

2. C-FIND Request (Search objects)

3. C-FIND Response

4. Close Association

Figure 2-5: Sequencing of Activities – DB Daemon Handling Query Requests

A typical sequence of interactions between DB Daemon Query/Retrieve SCP and a remote

Query/Retrieve SCU querying Instances is illustrated in Figure 2-5:
1. Remote AE opens Association to DB Daemon.
2. Remote AE sends one or more C-FIND Requests.
3. For every C-FIND Request DB Daemon generates a C-FIND Response containing matching
results.
4. Remote AE releases Association.

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DB Daemon Remote
Q/R SCP Q/R SCU
DB Daemon Remote
Storage SCU Storage SCP
1. Open Association
Notify
Storage
SCU to send
requested 2. C-MOVE Request (Retrieve objects)
objects

3. Open Association

4. C-STORE (Send object to C-MOVE destination)

Notification
of object
sent
5. C-MOVE Response with Status PENDING

Repeat

6. Final C-MOVE Response

7. Release Association

8. Release Association

Figure 2-6: Sequencing of Activities – DB Daemon Handling Retrieval Requests

A typical sequence of interactions between DB Daemon Query/Retrieve SCP and a remote

Query/Retrieve SCU retrieving Instances is illustrated in Figure 2-6:
1. Remote AE opens Association to DB Daemon Q/R SCP.
2. Remote AE sends a C-MOVE Request to retrieve one or more Instances.
3. DB Daemon Q/R SCP evaluates retrieve command, collects objects to send and hands them
over to its Storage SCU for sending them to the desired C-MOVE destination.
4. DB Daemon Storage SCU sends one Instance to Remote Storage SCP and notifies DB
Daemon Q/R SCP about success or failure of the operation.
5. DB Daemon Q/R SCP sends C-MOVE Response with Status PENDING to the Remote Q/R
SCU to inform it about progress of transferring Instances.
6. DB Daemon Q/R SCP sends final C-MOVE Response.
7. Remote Q/R SCU releases Association to DB Daemon Q/R SCP
8. DB Daemon Storage SCU releases Association to Remote Storage SCP, if Association has
not already been released by Remote Storage SCP.

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2.2.3.4.2.2 Accepted Presentation Contexts

DB Daemon Application Entity accepts Presentation Contexts shown in the following table.

Presentation Context Table

Abstract Syntax Transfer Syntax Role Ext.

Neg.
Name UID Name UID
Study Root 1.2.840.10008.5.1.4.1.2.2.1 DICOM Implicit VR Little Endian 1.2.840.10008.1.2 SCP None
Query/Retrieve
Information Model – DICOM Explicit VR Little Endian 1.2.840.10008.1.2.1
FIND
Study Root 1.2.840.10008.5.1.4.1.2.2.2 DICOM Implicit VR Little Endian 1.2.840.10008.1.2 SCP None
Query/Retrieve
Information Model – DICOM Explicit VR Little Endian 1.2.840.10008.1.2.1
MOVE

Table 2-44: Acceptable Presentation Contexts for DB Daemon Application Entity and
Query/Retrieve

2.2.3.4.2.3 SOP Specific Conformance for all Query/Retrieve SOP Classes

2.2.3.4.2.3.1 Presentation Context Acceptance Criterion

DB Daemon will always accept any Presentation Context for the supported SOP Classes with
the supported Transfer Syntaxes. More than one proposed Presentation Context will be
accepted for the same Abstract Syntax if the Transfer Syntax is supported, whether or not it is
the same as another Presentation Context.

2.2.3.4.2.3.2 Transfer Syntax Selection Policies

If offered a choice of Transfer Syntaxes in a Presentation Context, DB Daemon will select the
first Transfer Syntax that is listed in the Presentation Context.
DB Daemon will accept duplicate Presentation Contexts, that is, if it is offered multiple
Presentation Contexts, each of which offers acceptable Transfer Syntaxes, it will accept all
Presentation Contexts, applying the same rule for selecting a Transfer Syntax for each as
described above.

2.2.3.4.2.4 SOP Specific Conformance for Study Root Query SOP Classes

2.2.3.4.2.4.1 Matching Behavior

DB Daemon Query/Retrieve SCP supports the following Additional Query Levels not defined in
DICOM Standard [1]. They are not required for successfully querying Instances of any supported
Modality and are listed only for completeness:
• PLAN
• DOSE
• TREATMENTRECORD
• TREATMENTSUMREC (which is equal to TREATMENTSUMMARYRECORD)
The following table lists the supported types of Matching for a C-FIND request on any Query
Level specified by Study Root Query/Retrieve.

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Name Tag VR Type Types of

Matching

Study Level
(Query Level STUDY)

Study Date (0008,0020) DA R S, U

Study Time (0008,0030) TM R S, U
Accession Number (0008,0050) SH R S, U, W
Patient's Name (0010,0010) PN R S, U, W
Patient ID (0010,0020) LO R S, U, W
Study ID (0020,0010) SH R S, U, W
Study Instance UID (0020,000D) UI U S, U
Patient’s Birth Date (0010,0030) DA O U

Series Level
(Query Level SERIES)

Modality (0008,0060) CS R S, U, W
Series Number (0020,0011) IS R S, U
Series Instance UID (0020,000E) UI U S, U

Composite Object Level

(general)

Instance Number (0020,0013) IS R S, U

SOP Instance UID (0008,0018) UI U S, U
SOP Class UID (0008,0016) UI O S, U

Composite Object Level

(Query Level IMAGE)

Image Type (0008,0008) CS O S, U

Content Date (0008,0023) DA O S, U
Content Time (0008,0033) TM O S, U
Referenced SOP Class UID (0008,1150) UI O S, U
Referenced SOP Instance UID (0008,1155) UI O S, U
Referenced Beam Number (300C,0006) IS O S, U
Reference Image Type (3257,1010) CS O S, U (see
Note 6)

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Name Tag VR Type Types of

Matching

Composite Object Level

(Query Level PLAN)

Plan Label (300A,0002) SH O S, U, W

Plan Date (300A,0006) DA O S, U
Plan Time (300A,0007) TM O U
Number of Beams (300A,0080) IS O U
Referenced RT Plan Sequence (300C,0002) SQ O U
>Referenced SOP Class UID (0008,1150) UI O U
>Referenced SOP Instance UID (0008,1155) UI O U
>RT Plan Relationship (300A,0055) CS O U

Composite Object Level

(Query Level DOSE)

Referenced SOP Class UID (0008,1150) UI O U

Referenced SOP Instance UID (0008,1155) UI O S, U
Referenced Beam Number (300C,0006) IS O S, U
Number of Frames (0028,0008) IS O U

Composite Object Level

(Query Level TREATMENTRECORD)

Referenced SOP Class UID (0008,1150) UI O U

Referenced SOP Instance UID (0008,1155) UI O S, U
Treatment Date (3008,0250) DA O S, U
Treatment Time (3008,0251) TM O S, U
Referenced Fraction Group Number (300C,0022) IS O S, U
Treatment Session Beam Sequence (3008,0020) SQ O U
>Referenced Beam Number (300C,0006) IS O U
>Current Fraction Number (3008,0022) IS O U
>Treatment Delivery Type (300A,00CE) CS O U
>Treatment Termination Status (3008,002A) CS O U
>Delivered Primary Meterset (3008,0036) DS O U
>Treatment Date (3008,0250) DA O U
>Treatment Time (3008,0251) TM O U
>Referenced Calculated Dose Reference (3008,0090) SQ O U
Sequence
>>Referenced Dose Reference Number (300C,0051) IS O U
>>Calculated Dose Reference Dose Value (3008,0076) DS O U

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Name Tag VR Type Types of

Matching

>Control Point Delivery Sequence (3008,0040) SQ O U

>>Referenced Control Point Index (300C,00F0) IS O U
>>Specified Meterset (3008,0042) DS O U
>>Gantry Angle (300A,011E) DS O U
>>Override Sequence (3008,0060) SQ O U
>>>Override Parameter Pointer (3008,0062) AT O U

Composite Object Level

(Query Level TREATMENTSUMREC)

Referenced SOP Class UID (0008,1150) UI O U

Referenced SOP Instance UID (0008,1155) UI O S, U
Current Treatment Status (3008,0200) CS O U
Number of Fractions Delivered (3008,005A) IS O U
Treatment Summary Calculated Dose (3008,0050) SQ O U
Reference
Sequence
>Referenced Dose Reference Number (300C,0051) IS O U
>Dose Reference Description (300A,0016) LO O U
>Cumulative Dose to Dose Reference (3008,0052) DS O U

Table 2-45: Study Root C-FIND SCP Supported Elements for DB Daemon

Note 6 This Element is used only for performing the find operation and is never returned.

The Types of Matching column in the above table should be read as follows. One or more
matching types of the following list may be supported per Element:
S Single Value Matching
L List of UID Matching
U Universal Matching
W Wild Card Matching
R Range Matching

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2.2.3.4.2.4.2 Response Status

DB Daemon will behave as described in the Table below when generating the C-FIND response
command message.

Service Further Meaning Error Reason

Status Code

Refused Out of Resources A7xx Never sent

Failure Identifier does not A900 Never sent
match SOP Class
Unable to process C000 Failed to parse query key.
Cancel Matching terminated FE00 Never sent
due to Cancel
Request
Success Matching is 0000 Matching is complete, all results have been
complete – No final sent.
Identifier is supplied
Pending Matches are FF00 Indicates that the search for further matches
continuing – Current is continuing. This is returned when each
Match is supplied successful match is returned and when further
and any Optional matches are forthcoming.
Keys were This status code is also returned if not all
supported in the Optional keys in the query identifier are
same manner as supported.
Required Keys.
Matches are FF01 Never sent
continuing –
Warning that one or
more Optional Keys
were not supported
for existence and/or
matching for this
Identifier.

Table 2-46: Response Status of DB Daemon Storage SCP and Receive Query Request

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2.2.3.4.2.5 SOP Specific Conformance for Study Root Retrieval SOP Classes

DB Daemon will behave as described in the Table below when generating the C-MOVE
response command message.

Service Further Meaning Error Reason

Status Code

Refused Out of Resources – A701 Never sent

Unable to calculate
number of matches
Out of Resources – A702 Never sent
Unable to perform
sub-operations
Move Destination A801 Never sent
unknown
Failure Identifier does not A900 Never sent
match SOP Class
Unable to process C000 Failed to parse query key.
Cancel Sub-operations FE00 Never sent
terminated due to
Cancel Indication
Warning Sub-operations B000 Either the creating of the DICOM stream for at
complete – One or least one Instance failed, or storage of at least
more Failures one Instance to the move destination failed.
Success Sub-operations 0000
complete – No
Failures
Pending Sub-operations are FF00 A Response with this Status Code is sent
continuing every time an Instance has been successfully
converted to a DICOM stream and every time
before an Instance is sent to the move
destination.

Table 2-47: Response Status of DB Daemon Storage SCP and Receive Retrieval Request

2.2.3.4.2.6 SOP Specific Conformance for RT Structure Set Move

2.2.3.4.2.6.1 Data Handling

Contours representing volumes are always defined on the (potentially interpolated) planes of the
3D patient model. An exported RT Structure Set will thus have ROI Contours not referencing an
image at all, if there are contours on interpolated planes.
All images used to construct the 3D patient model are referenced in Contour Image Sequence
(3006,0016) of RT Structure Set Module, even if they do not have any contours defined on them.

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2.2.3.4.2.7 SOP Specific Conformance for RT Dose Move

2.2.3.4.2.7.1 Data Handling

Data Width

Only 32 bit dose data is supported. This means that Bits Allocated (0028,0100) and Bits Stored
(0028,0101) will contain value 32.

Dose Summation Type

The following values for Dose Summation Type (3004,000A) are supported:
• FRACTION
• BEAM

Dose Units

The following values for Dose Units (3004, 0002) are supported:
• RELATIVE
• GY

Dose Plane Spacing

Only equally spaced dose planes are supported. Thus if Grid Frame Offset Vector (3004,000C)
is present, it will contain offset values yielding equally spaced dose planes. The values follow the
option a. in C.8.8.3.1 in Part 3 of [1].

2.2.3.4.2.8 SOP Specific Conformance for RT Plan Move

Beam Limiting Devices

On the Varian System Database a beam can have asymmetrical or symmetrical collimator jaw
modes in X and Y directions. A beam can be in symmetrical jaw mode even if the physical
collimator jaws in the same direction support asymmetry.
A beam’s collimator mode is exported in RT Beam Limiting Device Type (300A, 00B8). Other
vendor’s implementations may require that RT Beam Limiting Device Type represents the
physical capabilities of the collimator jaws; in these cases asymmetrical jaw mode must be
selected for those beams before exporting them.

Blocks

In contrary to DICOM the Varian System Server data model can handle multiple closed contours
for the same block. Thus, if a block contains more than one closed contour it will be exported as
multiple blocks each having exactly one closed contour.

2.2.3.4.2.9 SOP Specific Conformance for RT Image Move

Curve Module

The DICOM standard allows a maximum of 16 curves within the Curve Module (see [1] Part 5,
section 7.6). If curves on RT Images exceed a certain complexity it may happen that up to 128
curves are used when an RT Image object is created. When this happens, a warning message
will be logged, stating that the resulting IOD is not fully DICOM conformant. For additional curves

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exceeding the standard conformant amount of 16, group numbers in the range of 5020 - 50FE
are used.

2.3 Network Interfaces

2.3.1 Physical Network Interfaces
The application is indifferent to the physical medium over which TCP/IP executes; which is
dependent on the underlying operating system and hardware.

2.3.2 Additional Protocols

When host names rather than IP addresses are used in the configuration properties to specify
presentation addresses for remote AEs, the application is dependent on the name resolution
mechanism of the underlying operating system (e.g. DNS).

2.4 Configuration
2.4.1 AE Title/Presentation Address Mapping
2.4.1.1 Local AE Titles

All local RadOnc Client Application Entities use the AE Title and TCP/IP port number configured
via the Import/Export Configuration dialog and DICOM Print Configuration dialog in a RadOnc
Client application. The File Daemon and DB Daemon Application Entities use the AE Title and
TCP/IP port numbers configured via the Daemon Configuration Wizard application.

Application Entity Default AE Title Default TCP/IP Port

RadOnc Client Storage SCU No Default Not Applicable

RadOnc Client Query/Retrieve SCU No Default 50400 (configurable)
RadOnc Client Print SCU No Default Not Applicable
File Daemon No Default 57348 (configurable)
DB Daemon No Default 57347 (configurable)

Table 2-48: AE Title Configuration Table

2.4.1.2 Remote AE Title/Presentation Address Mapping

2.4.1.2.1 RadOnc Client Storage SCU

For the Storage service class SCU, TCP/IP address, called AE title and port number of the
destination are configurable as well as the calling AE title used by RadOnc.
Multiple filter configurations can exist in the system at the same time.

2.4.1.2.2 RadOnc Client Query/Retrieve SCU

For the RadOnc Client Query/Retrieve SCU, TCP/IP address, called AE title and port number of
the provider are configurable. The calling AE title of the local application, which is also the Move
Destination AE title, is configurable too. The configurable Transfer Directory Path is the directory

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where the temporary objects are stored in. The local port is the port of the temporary Storage
SCP for receiving the data. The temporary Storage SCP will accept only connection requests
from the configured remote AE Title and IP Address.
Multiple configurations can exist in the system at the same time.

2.4.1.2.3 RadOnc Client Print SCU

For the RadOnc Client Print SCU, TCP/IP address, calling and called AE title and port number of
the destination are configurable. By default no debug log is produced by the RadOnc Client Print
SCU. It can be configured to produce an ASCII log containing its actions.
Multiple configurations can exist in the system at the same time.

2.4.1.2.4 File Daemon

For the File Daemon, AE Title, port number and the storage location of DICOM files are
configurable. Calling AE title verification is configurable with remote AE Title and remote TCP/IP
address. If multiple network adapters are available the TCP/IP address to be used is determined
by the selected adapter.
Multiple configurations can exist in the system at the same time.

2.4.1.2.5 DB Daemon

For the DB Daemon, AE Title, port number and the temporary storage location of DICOM files
are configurable. Calling AE title verification is configurable with remote AE Title, remote TCP/IP
address and port number and optionally Implementation UID of peer. The Remote TCP/IP Port is
used only for a C-MOVE command as destination for sending requested Instances to. If multiple
network adapters are available the TCP/IP address to be used is determined by the selected
adapter.
Multiple configurations can exist in the system at the same time.
Only one IP address per peer AE Title can be used.

2.4.2 Parameters
The following table shows DICOM relevant configuration parameters. While some of them may
be configured by the user directly via a configuration dialog or a configuration application (User),
other values can only be accessed by service engineers (Service) or can not be configured at all
(No).

Parameter Configurable Default Value

General Parameters

Max PDU Receive Size No Unlimited

Max PDU Send Size No 32768 Bytes (32kB)
Time-out waiting for a acceptance or rejection Service 30s
response to an Association request or Association
Release request (Application Level Timeout)

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Parameter Configurable Default Value

RadOnc Client Storage SCU Specific Parameters

RadOnc Client Query/Retrieve SCU Specific Parameters
RadOnc Client Print SCU Specific Parameters

Time-out awaiting a Response to a DIMSE Request Service 300s

(Low-Level Timeout)
Maximum number of simultaneously initiated No 1
Associations

File Daemon Specific Parameters

Time-out awaiting a Response to a DIMSE Request Service 240s

(Low-Level Timeout)
Connection timeout after which an Association will No 1h
be released when idle.
Maximum number of simultaneously accepted No Unlimited
Associations
Storage SOP Class support No Active

DB Daemon Specific Parameters

Time-out awaiting a Response to a DIMSE Request Service 240s

(Low-Level Timeout)
Connection timeout after which an Association will No 1h
be released when idle.
Maximum number of simultaneously accepted No Unlimited
Associations
Storage SOP Class support User Active
Query/Retrieve SOP Class support. User Active
DB Daemon can be configured to work either in User Vision Service Mode
Vision Service Mode or Archive Service Mode.

Table 2-49: Configuration Parameters

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3. Media Interchange
RadOnc Client Application Entity allows importing and exporting DICOM Media Files. Various
import and export filters are available in the RadOnc Client application to read and create
DICOM Media Files.
The files fully conform to the Part 10 format. However, the Basic Directory IOD as defined in
Media Interchange Application Profiles is not present.
Table 3-1 shows Transfer Syntaxes used in DICOM Media files created by RadOnc Client export
filters. The Transfer Syntax to be used for writing a file is selected automatically based on the
IOD’s content (see row labeled “Context of Usage”).

Context of Usage Transfer Syntax

Name UID

MPEG-encoded multi- MPEG2 Main Profile @ Main Level 1.2.840.10008.1.2.4.100

frame RT Images
All other IODs DICOM Implicit VR Little Endian 1.2.840.10008.1.2

Table 3-1: Transfer Syntaxes used in DICOM Media Files

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Support of Character Sets

4. Support of Character Sets

4.1 Overview
No dedicated support for Character Sets beyond the Default Character Repertoire is available.
However, text fields containing characters not in the Default Character Repertoire when
importing an Instance will appear unchanged when re-exporting the same Instance again.

4.2 Display Behavior

Correct display of characters not in the Default Character Repertoire depends on
available/configured operating system support.

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5. Security
5.1 Security Profiles
No Security Profiles are supported.

5.2 Association Level Security

5.2.1 RadOnc Client
Storage SCU and Print SCU do not support Association Level Security.
The temporary Storage SCP instantiated to receive Instances requested by Query/Retrieve SCU
checks the following additional values when determining whether to accept Association Open
Requests:
• Called AE Title
• Calling AE Title
• IP address of Association Request originator

5.2.2 File Daemon and DB Daemon

The File Daemon Application Entity and the DB Daemon Application Entity always check the
following values when determining whether to accept Association Open Requests:
• Called AE Title
The File Daemon Application Entity and the DB Daemon Application Entity can both be
configured to check the following additional values when determining whether to accept
Association Open Requests:
• Calling AE Title
• IP address of Association Request originator
• Implementation UID of Association Request originator
By default those additional checks are enabled when setting up a new DB Daemon configuration
and disabled when setting up a new File Daemon configuration.

5.3 Application Level Security

5.3.1 RadOnc Client
A user logging on to a RadOnc Client application has to identify himself with username and
password. Additionally, dedicated permissions to view patient data are required to use
import/export functionality like Storage SCU and Query/Retrieve SCU as well as for DICOM Print
SCU.

5.3.2 File Daemon and DB Daemon

To set up a new Daemon configuration or to change an existing Daemon configuration local
administrative credentials on the affected computer are required.

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Appendix A Specialization
A.1 IOD Contents

A.1.1 Created SOP Instances

IODs created by Varian System Server Application Entities are listed in Appendix C along with
supported modules and mapping between Attributes and fields of the Varian System Database
where applicable.

A.1.2 Usage of Attributes from received IOD’s

Varian System Server Application Entities require all Type 1 Attributes to be present.

A.1.3 Attribute Mapping

Mapping Attributes between different SOP Classes is typically straight-forward and happens by
means of commonly used fields on the Varian System Database. For details see Appendix C.

A.1.4 Coerced/Modified Fields

Fields may be coerced/modified by the following Application Entities:
RadOnc Client Temporary Storage SCP
DB Daemon Storage SCP
Attributes that can be modified after importing an Instance are listed in the table below.

Attribute Name Tag Condition

Patient Module

Patient's Name (0010,0010) Value will be changed when an already existing

patient object in the Varian System Database, to
Patient ID (0010,0020)
which the Instance being imported is connected
Patient's Birth Date (0010,0030) to, contains a different value than the Attribute of
the Instance itself, when the related value on the
Patient's Sex (0010,0040) Varian System Database is being updated.
Patient's Birth Time (0010,0032)
Other Patient IDs (0010,1000)
Ethnic Group (0010,2160)
Patient Comments (0010,4000)

Table A-1: Coerced/Modified Fields

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A.2 Data Dictionary of Private Attributes

All private Attributes in use in any Application Entity of the Varian System Server product family
are listed in the following sub-chapter.
The following table shows private creator identification strings for each private group. The
placeholder “ee” is by default replaced by “10” when creating Instances, however, this is not
guaranteed under all circumstances.

Tag Private Creator Identification String

(300B,00ee) IMPAC
(3241,00ee) Varian Medical Systems VISION 3241
(3243,00ee) Varian Medical Systems VISION 3243
(3247,00ee) Varian Medical Systems VISION 3247
(3249,00ee) Varian Medical Systems VISION 3249
(3251,00ee) Varian Medical Systems VISION 3251
(3253,00ee) Varian Medical Systems VISION 3253
(3257,00ee) Varian Medical Systems VISION 3257
(3259,00ee) Varian Medical Systems VISION 3259
(3261,00ee) Varian Medical Systems VISION 3261
(3263,00ee) Varian Medical Systems VISION 3263
(3265,00ee) Varian Medical Systems VISION 3265
(3267,00ee) Varian Medical Systems VISION 3267
(3269,00ee) Varian Medical Systems VISION 3269
(3271,00ee) Varian Medical Systems VISION 3271
(3273,00ee) Varian Medical Systems VISION 3273
(3275,00ee) Varian Medical Systems VISION 3275
(3277,00ee) Varian Medical Systems VISION 3277
(3279,00ee) Varian Medical Systems VISION 3279
(3281,00ee) Varian Medical Systems VISION 3281
(3283,00ee) Varian Medical Systems VISION 3283
(3285,00ee) Varian Medical Systems VISION 3285
(3287,00ee) Varian Medical Systems VISION 3287
(3291,00ee) Varian Medical Systems VISION 3291

Table A-2: Private Creator Identification Strings

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A.2.1 Private Attributes used by all Application Entities

The following table contains a list of private Attributes that are used throughout all Application
Entities.

Tag Name VR VM

(300B,ee01) Distal Target Distance Tolerance FL 1

(300B,ee02) Maximum Collimated Field Diameter (Field Size) FL 1
(300B,ee04) Range (Planned Distal Target Distance) FL 1
(300B,ee08) Beam Line Data Table Version SH 1
(300B,ee0E) Nominal SOBP Width FL 1
(300B,ee11) Nominal SOBP Width Tolerance FL 1
(300B,ee17) Peek Range FL 1
(3241,ee00) Internal Image Id LO
(3241,ee02) Internal Pixel Offset IS
(3241,ee03) Not Calibrated US
(3241,ee04) Image Orientation (Patient) DS 6
(3241,ee05) Image Position (Patient) DS 6
(3241,ee06) Pixel Spacing DS 2
(3243,ee09) Beam Secondary Name SH 1
(3243,ee28) Related Referenced Beam Number IS 1
(3247,ee00) Session Termination Status SH 1
(3249,ee00) Maximum Treatment Time DS 1
(3249,ee10) Referenced Primary Dose Reference UID UI 1
(3251,ee00) Treatment Machine Note LO 1
(3253,ee00) Extended Interface Data OB 1
(3253,ee01) Extended Interface Length IS 1
(3253,ee02) Extended Interface Format LO 1
(3257,ee01) Plan Type CS 1
Enumerated Values:
ALL_PLANS
PREDECESSOR
NOT_ PREDECESSOR
(3257,ee10) Reference Image Type CS 1
Enumerated Values:
ALL
PRIMARY
(3259,ee00) Additional Dose Value Sequence SQ 0..n
(3259,ee02) Actual Session Dose DS 1

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Tag Name VR VM

(3259,ee04) Daily Dose DS 1

(3259,ee06) Life Time Total Dose DS 1
(3261,ee2A) Treatment Session Beam Data OB 1
(3263,ee00) Overlap Type CS 1
Enumerated Values:
OVERLAPPING
NONOVERLAPPING
(3263,ee01) Referenced Structure Set Relationship Sequence SQ 1
(3263,ee02) Structure Set Relationship CS 1
Defined Terms:
PREDECESSOR
ADDITION
(3265,ee00) Total Number of Fractions SL 1
(3265,ee01) Last treated Fraction SL 1
(3267,ee00) Referenced Patient Volume Id SH 1
(3271,ee00) Marker Subtype CS 1
Enumerated Values:
MARKER
POINT_MATCH
REFERENCE_LINE
(3273,ee00) RT Image Isocenter Position DS 3
(3273,ee01) RT Image Patient Position CS 1
(3275,ee00) Registration Sub Type LO 1
(3277,ee00) RT Motion Synchronization Sequence SQ 1
(3283,ee00) Visual Coaching Type CS 1
(3283,ee01) Audio Coaching Type CS 1
(3283,ee02) Coaching Language Code Sequence SQ 1
(3283,ee03) Voice Type CS 1
(3283,ee04) Coaching Display Type CS 1
(3283,ee05) Breathing Technique CS 1
(3283,ee06) Inhale Period DS 1
(3283,ee07) Exhale Period DS 1
(3283,ee08) Breathhold Period DS 1
(3283,ee09) Motion Range DS 1
(3283,ee0A) Signal Source Sequence SQ 1
(3283,ee0B) Signal Source ID SH 1
(3283,ee0C) Reference Curve Sequence SQ 1

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Tag Name VR VM

(3283,ee0D) Beam On Delay DS 1

(3283,ee10) Tolerance Channel Sequence SQ 1
(3283,ee11) Tolerance Channel Number IS 1
(3283,ee20) Threshold Sequence SQ 1
(3283,ee21) Referenced Tolerance Channel Number IS 1
(3283,ee22) Threshold Group Number US 1
(3283,ee23) Threshold Value US 1
(3283,ee24) Threshold Type Sequence SQ 1
(3283,ee25) Relative Reference Value Type CS 1
(3283,ee26) Detected Relative Reference Value DS 1
(3283,ee27) Relative Reference Value Offset DS 1
(3283,ee30) Tolerance Region Sequence SQ 1
(3283,ee31) Multiplex Group Number US 1
(3283,ee32) Multiplex Group Offset DS 1
(3283,ee33) Number of Tolerance Samples US 1
(3283,ee34) Sample Domain CS 1
(3283,ee35) Sampling Frequency DS 1
(3283,ee36) Number of Tolerance Channels US 1
(3283,ee37) Referenced Channel Sequence SQ 1
(3283,ee40) Channel Identification Sequence SQ 1
(3283,ee41) Channel Identification Modifiers Sequence SQ 1
(3283,ee42) Signal Source Type CS 1
(3283,ee43) Tracked Object Id SH 1
(3283,ee50) Waveform Label SH 1
(3283,ee51) Waveform Name LO 1
(3283,ee52) Waveform Description ST 1
(3283,ee53) Motion Management Waveform Type CS 1
(3283,ee54) Timestamp DT 1
(3283,ee60) Referenced Motion Management Object Sequence SQ 1
(3285,ee00) Primary Fluence Mode Sequence (PRIVATE) SQ 1
(3285,ee01) Fluence Mode (PRIVATE) CS 1
(3285,ee02) Fluence Mode ID (PRIVATE) SH 1
(3287,ee00) Plan Integrity Sequence SQ 1

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Tag Name VR VM

(3287,ee01) Plan Integrity Hash LO 1

(3287,ee02) Plan Integrity Hash Version SH 1
(3291,xx00) Source to General Accessory Distance DS 1

Table A-3: Private Attributes used in all Application Entities

A.2.2 Private Attributes used by DB Daemon Application Entity in

Archive Service Mode
The following table contains a list of private Attributes that are used only in DB Daemon
Application Entities running in Archive Service mode.

Tag Name VR VM

(3269,ee00) Prescribed Dose per Fraction DS 1

(3269,ee01) Prescribed Percentage DS 1
(3269,ee02) Plan Normalization Factor DS 1
(3279,ee00) LT Archive Primary Reference Image Flag CS 1
Enumerated Values:
PRIMARY
NOT_PRIMARY
(3281,ee00) Image Remarks UT 1

Table A-4: Private Attributes used by DB Daemon Application Entity in Archive Service
Mode

A.3 Coded Terminology and Templates

A.3.1 Context Groups

Information will be published in a future version of this document.

A.3.2 Template Specifications

No standard templates are extended and no private templates are used.

A.3.3 Private Code Definitions

There are no private code definitions.

A.4 Grayscale Image Consistency

Not supported.

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A.5 Standard Extended/Specialized/Private SOP

Classes

A.5.1 Standard Extended SOP Classes

A.5.1.1 CT Image Storage

The following Standard Attributes are additional to the CT Image Module:

Attribute Name Tag Type Attribute Description

Patient Support Angle (300A,0122) 3 Patient Support angle, i.e. orientation of

IEC PATIENT SUPPORT coordinate
system with respect to IEC FIXED
REFERENCE coordinate system
(degrees).
Table Top Longitudinal (300A,0129) 3 Table Top Longitudinal position in IEC
Position TABLE TOP coordinate system (mm).
Table Top Lateral Position (300A,012A) 3 Table Top Lateral position in IEC TABLE
TOP coordinate system (mm).

Table A-5: Standard Attributes added to CT Image Module

A.5.1.2 RT Ion Plan

The following Standard Attributes are added to the RT Ion Beams Module:

Attribute Name Tag Type Attribute Description

Planned Verification (300A,00CA) 3 Introduces sequence of planned

Image Sequence verification images to be acquired during
current beam. One or more items may be
included in this sequence. See C.8.8.14.2.

Table A-6: Standard Attributes added to RT Ion Beams Module

A.5.1.3 RT Beams Treatment Record

The following Standard Attributes are additional to the RT Beams Session Record Module in
Treatment Session Beams Sequence (3008,0020):

Attribute Name Tag Type Attribute Description

> Primary Fluence Mode (3002,0050) 3 Sequence defining whether the primary
Sequence fluence of the treatment beam uses a non-
standard fluence-shaping. Only a single
Item shall be permitted in this sequence.

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Attribute Name Tag Type Attribute Description

>> Fluence Mode (3002,0051) 1 Describes whether the fluence shaping is

the standard mode for the beam or an
alternate.
Enumerated Values:
STANDARD = Uses standard fluence-
shaping
NON_STANDARD = Uses a non-standard
fluence-shaping mode
>> Fluence Mode ID (3002,0052) 1C Identifier for the specific fluence-shaping
mode. Required if Fluence Mode
(3002,0051) has value NON_STANDARD.

Table A-7: Standard Attributes added to RT Beams Session Record Module

A.5.2 Standard Private SOP Classes

A.5.2.1 LTArchive RT Treatment Record Storage SOP Class

This LTArchive RT Treatment Record Storage SOP Class can only be created by the DB
Daemon Application Entity working in Archive Service mode. Furthermore, only in this mode is
this private SOP Class accepted.

LTArchive RT Treatment Record Storage 1.2.246.352.70.1.10

Table A-8: LTArchive RT Treatment Record Storage SOP Class

The LT Archive RT Treatment Record Storage SOP Class is composed of the same Attributes as
the standard RT Treatment Record Storage SOP Class. The only difference is that all elements
have Type 3 and therefore may be missing.

A.5.2.2 Motion Management Protocol SOP Class

The Motion Management Protocol IOD represents a request for motion management. Therefore,
it does not contain a waveform.

Motion Management Protocol Storage 1.2.246.352.70.1.40

Table A-9: Motion Management Protocol Storage SOP Class

A detailed description of the Motion Management Protocol IOD can be found in section C.1.17.

A.5.2.3 Motion Management Waveform SOP Class

The Motion Management Waveform IOD represents either a reference waveform or an acquired
waveform used for motion management.

Motion Management Waveform Storage 1.2.246.352.70.1.41

Table A-10: Motion Management Protocol Storage SOP Class

A detailed description of the Motion Management Waveform IOD can be found in section C.1.18.

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A.6 Private Transfer Syntaxes

No private Transfer Syntaxes are used.

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Object Matching Criteria

Appendix B Object Matching Criteria

This chapter is relevant for all Application Entities of the Varian System Server product family
that are importing Instances to the Varian System Database. The following sub-chapters
describe how imported Instances are matched against already existing objects in the Varian
System Database.

B.1 General Matching Criteria

The following Instance UIDs are always matched against those of instances already existing in
the Varian System Database:
(0020,000D) Study Instance UID
(0020,000E) Series Instance UID
(0008,0018) SOP Instance UID
Additionally, some Patient Attributes are used to search the related patient object in the Varian
System Database. What Patient Attributes are used and how they are handled is described in
the following sub-sections.
If at least one of the above mentioned Instance UIDs and/or a matching patient is already
present in the Varian System Database, then all instances in the path top-down from Patient –
Study – Series –Instance must be present up to the lowest level, where a match is found, and at
least the patient must be present. Otherwise importing of the Instance is rejected with a DICOM
Data Model consistency error message.
If Study Instance UID or Series Instance UID of the imported SOP Instance is already present in
the Varian System Database, the target patient is determined unambiguously. However, if the so
found patient does not match the patient found by applying the matching criteria as laid out in the
following sub-sections, a DICOM Data Model consistency error message is generated and
importing the Instance is not possible.

B.1.1 Manual Import using RadOnc Client Query/Retrieve SCU

The target patient is determined unambiguously if Study Instance UID or Series Instance UID of
the imported Instance is already present in the Varian System Database. In this case the patient
determined by the above-mentioned UIDs is automatically selected as target patient and it
cannot be changed by the user.
If no patient can be determined from Study Instance UID or Series Instance UID of the imported
Instance, the following algorithm is used to assist the user in selecting the right target patient.
The following table describes how a list of patients is being collected to which an Instance shall
finally be connected. Under certain circumstances the user will have the possibility to select
another patient that is not part of the offered list.

DICOM Attribute RadOnc Client Attributes Criteria 1 Criteria 2

(see Note 1) (see Note 2)

Patient ID Patient ID 1 X
(0010,0020)
Patient's Name Patient Last Name X
(0010,0010)
Patient First Name X

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DICOM Attribute RadOnc Client Attributes Criteria 1 Criteria 2

(see Note 1) (see Note 2)

Patient's Birth Date Patient Birth Date X

(0010,0030)

Table B-1: Patient Matching Criteria for Storage SCP of RadOnc Client Q/R SCU

Note 1 These are the default matching criteria for finding possible target patients.
Note 2 If no patient was found by applying Matching Criteria 1, then the matching criteria of
this column are used to look for possible target patients.
Patient First Name and Patient Birth Date will match any value in the Varian System Database if
they are empty in the DICOM Instance.

B.1.2 Manual Import of DICOM Media Files

The same matching criteria apply as for manual import using RadOnc Client Query/Retrieve
SCU, see B.1.1.

B.1.3 Automatic Import using DB Daemon Storage SCP

DB Daemon can be configured to use all, some or none of the matching criteria shown in the
following table for searching the target Patient object. Importing the Instance will not be possible
if multiple possible target Patient objects are found.

DICOM Attribute RadOnc Client Attributes Matching

Criteria

Patient ID Patient ID 1 Configurable

(0010,0020)
Other Patient IDs Patient ID 2 Configurable
(0010,1000)
Patient's Name Patient Last Name Configurable
(0010,0010)
Patient First Name Configurable
Patient's Birth Date Patient Birth Date Configurable
(0010,0030)

Table B-2: Patient Matching Criteria for DB Daemon Storage SCP

Patient ID 2, Patient First Name and Patient Birth Date will match any value in the Varian System
Database if they are empty in the DICOM Instance.

B.2 IOD Specific Matching Criteria

B.2.1 RT Plan and RT Ion Plan
B.2.1.1 Treatment Machine and Add-ons

The table below specifies the matching criteria used to associate various items of a plan to a
corresponding item in the Varian System Database.

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Object Matching Criteria

Item DICOM Attribute Matching Criteria Remarks

on Database

Machine Treatment Machine Name Machine ID See Note 1

(300A,00B2)
Manufacturer These three attributes
(0008,0070) have to match if
Treatment Machine
Manufacturer’s Model Name was not found in
Name the database.
(0018,1090)
Device Serial Number
(0018,1000)
Applicator Applicator ID Applicator ID
(300A,0108)
Bolus Various Not applicable Is created from DICOM
data during Import.
Compensator Various Not applicable Is created from DICOM
data during Import.
MLC RT Beam Limiting Device MLC Rotation MLCX = Rotation 0 deg
Type MLCY = Rotation 90 deg
(300A,00B8)
Number of Leaf/Jaw Pairs Number of Leafs per
(300A,00BC) bank
Leaf Position Boundaries Leaf Width
(300A,00BE)
Wedge Wedge Type Wedge Type, Wedge Type to
(300A,00D3) Motorized Flag distinguish between
STANDARD or
DYNAMIC, Motorized
Flag for MOTORIZED
Wedge Angle Wedge Angle
(300A,00D5)
Wedge Orientation Wedge Direction
(300A,00D8)
Wedge ID Wedge ID This attribute is only
(300A,00D4) used if more than one
wedge is found where
all other attributes
match.
Range Range Shifter ID Range Shifter ID See Note 2
Shifter (300A,0318)
Range Shifter Type Range Shifter Type
(300A,0320)

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Item DICOM Attribute Matching Criteria Remarks

on Database

Lateral Lateral Spreading Device Lateral Spreader ID See Note 2

Spreading ID (300A,0336)
Device
Lateral Spreading Device Lateral Spreader
Type (300A,0338) Type
Range Range Modulator ID Range Modulator ID See Note 2
Modulator
Range Modulator Type Range Modulator
Type
Snout Snout ID (300A,030F) Snout ID See Note 2

Table B-3: RT Plan and RT Ion Plan Component Matching

Note 1 Optional mapping of Treatment Machine Name (DICOM) to a different internal

Machine ID may apply.
Note 2 Mapping of external (DICOM) to internal ID of this beam line modifier may apply
(configured in file DicomIonPlanIdMapping.xml).

B.2.1.2 Reference Points

RT Prescription and RT Fraction Scheme Modules define primarily different reference points.
During import they are converter to a RefPoint and must finally be connected to a Volume. Under
some conditions, a Dose Reference Point (RT Prescription Module) and a Beam Dose
Specification Point (RT Fraction Scheme Module) can be merged into one RefPoint.
The matching algorithm is outlined below:
1. If “Referenced Primary Dose Reference UID” (3249,1010) is defined for all beams in
“Referenced Beam Sequence” (300C,0004) (RT Fraction Scheme Module), and is equal in
all beams as well as “Dose Reference UID” (300A,0013) (RT Prescription Module), then this
Reference Point shall be used.
2. If “Referenced Dose Reference Number” (300C,0051) (RT Fraction Scheme Module) and the
predecessor of the RT Plan can be determined, “Dose Reference Number” (300A,0012) (RT
Prescription Module) is used to match against the DICOM sequence number of the primary
reference point of the predecessor plan.
3. If “Dose Reference Structure Type” (300A,0014) (RT Prescription Module) has the value
“COORDINATES”, those coordinates will be compared with those in “Beam Dose
Specification Point” (300A,0082) (RT Fraction Scheme). If they are the same, these
Reference Points can be merged.
4. If “Dose Reference Structure Type” (300A,0014) (RT Prescription Module) has the value
“SITE” (no coordinates given), “Dose Reference Type” (300A,0020) shall be “TARGET” . If
the dose for the last “Control Point” calculated by “Cumulative Dose Reference Coefficient”
(300A,010C) (RT Beams Module) is the same as “Beam Dose” (300A,0084) (RT Fraction
Scheme Module), then affected reference points can be merged.
5. If “Beam Dose Specification Point” (300A,0082) and “Beam Dose” (300A,0084) (RT Fraction
Scheme Module) are either not given or empty (i.e. only “Beam Meterset” (300A,0086) is
given), then this “Beam Dose Specification Point” can be merged with a “Dose Reference
Point” that has “Dose Reference Type” (300A,0020) (RT Prescription Module) with value
“TARGET”. If there exist more than one such “Dose Reference Point” the first one found will

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Object Matching Criteria

be taken.

B.2.2 RT Beams Treatment Record and RT Ion Beams Treatment

Record
B.2.2.1 Treatment Machine and Add-ons

The table below specifies the matching criteria used to associate various items of a beam record
to a corresponding item in the Varian System Database.

Item DICOM Attribute Matching Criteria Remarks

on Database

Machine Treatment Machine Name Machine ID

(300A,00B2)
Manufacturer These three attributes
(0008,0070) have to match if
Treatment Machine
Manufacturer’s Model
Name was not found in
Name
the database.
(0018,1090)
Device Serial Number
(0018,1000)
Wedge Wedge Type Wedge Type, Wedge Type to
(300A,00D3) Motorized Flag distinguish between
STANDARD or
DYNAMIC, Motorized
Flag for MOTORIZED
Wedge Angle Wedge Angle
(300A,00D5)
Wedge Orientation Wedge Direction
(300A,00D8)
Wedge Number Wedge identification This attribute is used if
(300A,00D2) number on wedge can not be found
associated plan. using above attributes.
Wedge ID Wedge ID This attribute is only
(300A,00D4) used if more than one
wedge is found where
all other attributes
match.

Table B-4: RT Plan and RT Ion Plan Component Matching

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Appendix C IOD Details

C.1 Supported IODs

For better reference with DICOM Standard [1], section titles of the following sub-sections are
decorated with section number of DICOM Standard Part 3 where the corresponding IOD Module
table can be found.
Column “Support” indicates whether and how a module is supported for a given IOD. The
following list enumerates possible values that may appear in this column and describes their
meaning:
<empty> Roundtrip for standard Type 1 attributes of module is supported. If
original DICOM stream of whole IOD is stored on the Varian System
Database roundtrip is supported for all attributes, including private
ones. For details consult related attribute table in section C.2 Modules
and Attributes.
Not supported Import of module is not supported or it is discarded on import of this
IOD and will never appear in exported IOD.
Import only Module is read on import and attributes are stored on the Varian
System Database as indicated by related attribute table in section C.2.
Module will never appear in exported IOD.
Export only Import of module is not supported or it is discarded on import of this
IOD. Module will be added to exported IOD according to detailed
specification in related attribute table in section C.2.
DICOM file Not all Type 1 attributes of module are stored on the Varian System
Database but all attributes, including private ones, are preserved
because original DICOM stream of whole IOD is saved on the
database.
DICOM file only No content of module is stored directly on the Varian System Database
but all attributes, including private ones, are preserved because original
DICOM stream of whole IOD is saved on the database.

C.1.1 Computed Radiography Image – A.2.3

IE Module Reference Usage Support

Patient Patient C.7.1.1 M

Clinical Trial Subject C.7.1.3 U Not supported
Study General Study C.7.2.1 M
Patient Study C.7.2.2 U Not supported
Clinical Trial Study C.7.2.3 U Not supported
Series General Series C.7.3.1 M
CR Series C.8.1.1 M Export only
Clinical Trial Series C.7.3.2 U Not supported
Equipment General Equipment C.7.5.1 M

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IOD Details

IE Module Reference Usage Support

Image General Image C.7.6.1 M

Image Pixel C.7.6.3 M
Contrast/Bolus C.7.6.4 C Not supported
Device C.7.6.12 U Not supported
CR Image C.8.1.2 M
Overlay Plane C.9.2 U Not supported
Curve (Retired) C.10.2 U
Modality Lut C.11.1 U Import only
VOI LUT C.11.2 U
SOP Common C.12.1 M

Table C-1: Computed Radiography Image IOD Modules Support

C.1.2 Computed Tomography Image – A.3.3

IE Module Reference Usage Support

Patient Patient C.7.1.1 M

Clinical Trial Subject C.7.1.3 U Not supported
Study General Study C.7.2.1 M
Patient Study C.7.2.2 U Not supported
Clinical Trial Study C.7.2.3 U Not supported
Series General Series C.7.3.1 M
Clinical Trial Series C.7.3.2 U Not supported
Frame of Reference Frame of Reference C.7.4.1 M
Equipment General Equipment C.7.5.1 M
Image General Image C.7.6.1 M
Image Plane C.7.6.2 M
Image Pixel C.7.6.3 M
Contrast/Bolus C.7.6.4 C Not supported
CT Image C.8.2.1 M
Overlay Plane C.9.2 U Not supported
VOI LUT C.11.2 U
SOP Common C.12.1 M

Table C-2: Computed Tomography Image IOD Modules Support

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C.1.3 Magnetic Resonance Image – A.4.3

IE Module Reference Usage Support

Patient Patient C.7.1.1 M

Clinical Trial Subject C.7.1.3 U Not supported
Study General Study C.7.2.1 M
Patient Study C.7.2.2 U Not supported
Clinical Trial Study C.7.2.3 U Not supported
Series General Series C.7.3.1 M
Clinical Trial Series C.7.3.2 U Not supported
Frame of Reference Frame of Reference C.7.4.1 M
Equipment General Equipment C.7.5.1 M
Image General Image C.7.6.1 M
Image Plane C.7.6.2 M
Image Pixel C.7.6.3 M
Contrast/Bolus C.7.6.4 C Not supported
MR Image C.8.3.1 M
Overlay Plane C.9.2 U Not supported
VOI LUT C.11.2 U
SOP Common C.12.1 M

Table C-3: Magnetic Resonance Image IOD Modules Support

C.1.4 Ultrasound Image – A.6.4

IE Module Reference Usage Support

Patient Patient C.7.1.1 M

Clinical Trial Subject C.7.1.3 U Not supported
Study General Study C.7.2.1 M
Patient Study C.7.2.2 U Not supported
Clinical Trial Study C.7.2.3 U Not supported
Series General Series C.7.3.1 M
Clinical Trial Series C.7.3.2 U Not supported
Frame of Reference Frame of Reference C.7.4.1 M
US Frame of C.8.5.4 C Not supported
Reference
Synchronization C.7.4.2 U Not supported
Equipment General Equipment C.7.5.1 M

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IE Module Reference Usage Support

Image General Image C.7.6.1 M

Image Pixel C.7.6.3 M
Contrast/Bolus C.7.6.4 C Not supported
Palette Color Lookup C.7.9 C Not supported
Table
US Region Calibration C.8.5.5 U Not supported
US Image C.8.5.6 M
Overlay Plane C.9.2 U Not supported
VOI LUT C.11.2 U
SOP Common C.12.1 M

Table C-4: Ultrasound Image IOD Modules Support

C.1.5 Secondary Capture Image – A.8.1.3

IE Module Reference Usage Support

Patient Patient C.7.1.1 M

Clinical Trial Subject C.7.1.3 U Not supported
Study General Study C.7.2.1 M
Patient Study C.7.2.2 U Not supported
Clinical Trial Study C.7.2.3 U Not supported
Series General Series C.7.3.1 M
Clinical Trial Series C.7.3.2 U Not supported
Equipment General Equipment C.7.5.1 M
SC Equipment C.8.6.1 M
Image General Image C.7.6.1 M
Image Pixel C.7.6.3 M
SC Image C.8.6.2 M
Overlay Plane C.9.2 U Not supported
Modality LUT C.11.1 U Import only
VOI LUT C.11.2 U
SOP Common C.12.1 M

Table C-5: Secondary Capture Image IOD Modules Support

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C.1.6 X-Ray Angiographic Image – A.14.3

IE Module Reference Usage Support

Patient Patient C.7.1.1 M

Clinical Trial Subject C.7.1.3 U Not supported
Study General Study C.7.2.1 M
Patient Study C.7.2.2 U Not supported
Clinical Trial Study C.7.2.3 U Not supported
Series General Series C.7.3.1 M
Clinical Trial Series C.7.3.2 U Not supported
Equipment General Equipment C.7.5.1 M
Image General Image C.7.6.1 M
Image Pixel C.7.6.3 M
Contrast/Bolus C.7.6.4 C Not supported
Cine C.7.6.5 C Not supported
Multi Frame C.7.6.6 C Not supported
Frame Pointers C.7.6.9 U Not supported
Mask C.7.6.10 C Not supported
Display Shutter C.7.6.11 U Not supported
Device C.7.6.12 U Not supported
Intervention C.7.6.13 U Not supported
X-Ray Image C.8.7.1 M
X-Ray Acquisition C.8.7.2 M Not supported
X-Ray Collimator C.8.7.3 U Not supported
X-Ray Table C.8.7.4 C Not supported
XA Positioner C.8.7.5 M Not supported
DX Detector C.8.11.4 U Not supported
Overlay Plane C.9.2 U Not supported
Multi Frame Overlay C.9.3 U Not supported
Curve (Retired) C.10.2 U
Modality LUT C.11.1 C/U
VOI LUT C.11.2 U
SOP Common C.12.1 M

Table C-6: X-Ray Angiographic Image IOD Modules Support

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IOD Details

C.1.7 RT Image – A.17.3

IE Module Reference Usage Support

Patient Patient C.7.1.1 M

Clinical Trial Subject C.7.1.3 U Not supported
Study General Study C.7.2.1 M
Patient Study C.7.2.2 U Not supported
Clinical Trial Study C.7.2.3 U Not supported
Series RT Series C.8.8.1 M
Clinical Trial Series C.7.3.2 U Not supported
Frame of Reference Frame of Reference C.7.4.1 M
Equipment General Equipment C.7.5.1 M
Image General Image C.7.6.1 M
Image Pixel C.7.6.3 M
Contrast/Bolus C.7.6.4 C Not supported
Cine C.7.6.5 C
Multi Frame C.7.6.6 C
RT Image C.8.8.2 M
Modality LUT C.11.1 U
VOI LUT C.11.2 U
Approval C.8.8.16 U
Curve (Retired) C.10.2 U
SOP Common C.12.1 M

Table C-7: RT Image IOD Modules Support

C.1.8 RT Dose – A.18.3

IE Module Reference Usage Support

Patient Patient C.7.1.1 M

Clinical Trial Subject C.7.1.3 U Not supported
Study General Study C.7.2.1 M
Patient Study C.7.2.2 U Not supported
Clinical Trial Study C.7.2.3 U Not supported
Series RT Series C.8.8.1 M
Clinical Trial Series C.7.3.2 U Not supported
Frame of Reference Frame of Reference C.7.4.1 M
Equipment General Equipment C.7.5.1 M

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IE Module Reference Usage Support

Dose General Image C.7.6.1 C Export only

Image Plane C.7.6.2 C
Image Pixel C.7.6.3 C
Multi-Frame C.7.6.6 C Export only
Overlay Plane C.9.2 U Not supported
Multi-Frame Overlay C.9.3 U Not supported
Modality LUT C.11.1 U Not supported
RT Dose C.8.8.3 M
RT DVH C.8.8.4 U Export only
Structure Set C.8.8.5 C Not supported
ROI Contour C.8.8.6 C Not supported
RT Dose ROI C.8.8.7 C Not supported
SOP Common C.12.1 M

Table C-8: RT Dose IOD Modules Support

C.1.9 RT Structure Set – A.19.3

IE Module Reference Usage Support

Patient Patient C.7.1.1 M

Clinical Trial Subject C.7.1.3 U Not supported
Study General Study C.7.2.1 M
Patient Study C.7.2.2 U Not supported
Clinical Trial Study C.7.2.3 U Not supported
Series RT Series C.8.8.1 M
Clinical Trial Series C.7.3.2 U Not supported
Equipment General Equipment C.7.5.1 M
Structure Set Structure Set C.8.8.5 M
ROI Contour C.8.8.6 M
RT ROI Observations C.8.8.8 M
Approval C.8.8.16 U Not supported
SOP Common C.12.1 M

Table C-9: RT Structure Set IOD Modules Support

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IOD Details

C.1.10 RT Plan – A.20.3

IE Module Reference Usage Support

Patient Patient C.7.1.1 M

Clinical Trial Subject C.7.1.3 U Not supported
Study General Study C.7.2.1 M
Patient Study C.7.2.2 U Not supported
Clinical Trial Study C.7.2.3 U Not supported
Series RT Series C.8.8.1 M
Clinical Trial Series C.7.3.2 U Not supported
Frame of Reference Frame of Reference C.7.4.1 M
Equipment General Equipment C.7.5.1 M
Plan RT General Plan C.8.8.9 M
RT Prescription C.8.8.10 U
RT Tolerance Tables C.8.8.11 U
RT Patient Setup C.8.8.12 U
RT Fraction Scheme C.8.8.13 U
RT Beams C.8.8.14 C
RT Brachy Application C.8.8.15 C
Setups
Approval C.8.8.16 U
SOP Common C.12.1 M
Extended Interface Extended Interface Private U

Table C-10: RT Plan IOD Modules Support

C.1.11 Positron Emission Tomography Image – A.21.3

When importing a Positron Emission Tomography Image IOD the complete DICOM stream will
be stored. Thus, all attributes, including private ones, are preserved. However, not all attributes
are accessible via Varian System Database tables.

IE Module Reference Usage Support

Patient Patient C.7.1.1 M

Clinical Trial Subject C.7.1.3 U DICOM file only
Study General Study C.7.2.1 M
Patient Study C.7.2.2 U DICOM file only
Clinical Trial Study C.7.2.3 U DICOM file only
Series General Series C.7.3.1 M
Clinical Trial Series C.7.3.2 U DICOM file only

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IE Module Reference Usage Support

PET Series C.8.9.1 M DICOM file

PET Isotope C.8.9.2 M DICOM file only
PET Multi-gated C.8.9.3 C DICOM file only
Acquisition
NM/PET Patient C.8.4.6 M DICOM file only
Orientation
Frame of Reference Frame of Reference C.7.4.1 M
Equipment General Equipment C.7.5.1 M
Image General Image C.7.6.1 M
Image Plane C.7.6.2 M
Image Pixel C.7.6.3 M
PET Image C.8.9.4 M DICOM file
Overlay Plane C.9.2 U DICOM file only
VOI LUT C.11.2 U
Acquisition Context C.7.6.14 U DICOM file only
SOP Common C.12.1 M

Table C-11: Positron Emission Tomography Image IOD Modules Support

C.1.12 RT Beams Treatment Record – A.29.3

When importing an RT Beams Treatment Record IOD the complete DICOM stream will be
stored. Thus, all attributes, including private ones, are preserved. However, not all attributes are
accessible via Varian System Database tables.

IE Module Reference Usage Support

Patient Patient C.7.1.1 M

Clinical Trial Subject C.7.1.3 U DICOM file only
Study General Study C.7.2.1 M
Patient Study C.7.2.2 U DICOM file only
Clinical Trial Study C.7.2.3 U DICOM file only
Series RT Series C.8.8.1 M
Clinical Trial Series C.7.3.2 U DICOM file only
Equipment General Equipment C.7.5.1 M
Treatment Record RT General Treatment C.8.8.17 M
Record
RT Patient Setup C.8.8.12 U DICOM file only
RT Treatment Machine C.8.8.18 M
Record

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IOD Details

IE Module Reference Usage Support

Measured Dose C.8.8.19 U DICOM file only

Reference Record
Calculated Dose C.8.8.20 U DICOM file only
Reference Record
RT Beams Session C.8.8.21 M
Record
RT Treatment C.8.8.23 U DICOM file only
Summary Record
SOP Common C.12.1 M

Table C-12: RT Beams Treatment Record IOD Modules Support

C.1.13 RT Treatment Summary Record – A.31.3

RT Treatment Summary Record IODs are supported only by Query/Retrieve SCP and are
created dynamically on request.

IE Module Reference Usage Support

Patient Patient C.7.1.1 M Export only

Clinical Trial Subject C.7.1.3 U Not supported
Study General Study C.7.2.1 M Export only
Patient Study C.7.2.2 U Not supported
Clinical Trial Study C.7.2.3 U Not supported
Series RT Series C.8.8.1 M Export only
Clinical Trial Series C.7.3.2 U Not supported
Equipment General Equipment C.7.5.1 M Export only
Treatment Record RT General Treatment C.8.8.17 M Export only
Record
RT Treatment C.8.8.23 M Export only
Summary Record
SOP Common C.12.1 M Export only

Table C-13: RT Treatment Summary Record IOD Modules Support

C.1.14 Spatial Registration – A.39.3

IE Module Reference Usage Support

Patient Patient C.7.1.1 M

Clinical Trial Subject C.7.1.3 U Not supported
Study General Study C.7.2.1 M
Patient Study C.7.2.2 U Not supported

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IE Module Reference Usage Support

Clinical Trial Study C.7.2.3 U Not supported

Series General Series C.7.3.1 M
Clinical Trial Series C.7.3.2 U Not supported
Spatial Registration C.20.1 M
Series
Frame of Reference Frame of Reference C.7.4.1 M
Equipment General Equipment C.7.5.1 M
Spatial Registration Spatial Registration C.20.2 M
Common Instance C.12.2 M
Reference
SOP Common C.12.1 M

Table C-14: Spatial Registration Image IOD Modules Support

C.1.15 RT Ion Plan – A.49.2

IE Module Reference Usage Support

Patient Patient C.7.1.1 M

Clinical Trial Subject C.7.1.3 U Not supported
Study General Study C.7.2.1 M
Patient Study C.7.2.2 U Not supported
Clinical Trial Study C.7.2.3 U Not supported
Series RT Series C.8.8.1 M
Clinical Trial Series C.7.3.2 U Not supported
Frame of Reference Frame of Reference C.7.4.1 M
Equipment General Equipment C.7.5.1 M
Plan RT General Plan C.8.8.9 M
RT Prescription C.8.8.10 U
RT Ion Tolerance C.8.8.24 U
Tables
RT Patient Setup C.8.8.12 U
RT Fraction Scheme C.8.8.13 U
RT Ion Beams C.8.8.25 C
Approval C.8.8.16 U
SOP Common C.12.1 M
Extended Interface Extended Interface Private U

Table C-15: RT Ion Plan IOD Modules Support

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IOD Details

C.1.16 RT Ion Beams Treatment Record – A.50.2

When importing an RT Ion Beams Treatment Record IOD the complete DICOM stream will be
stored. Thus, all attributes, including private ones, are preserved. However, not all attributes are
accessible via Varian System Database tables.

IE Module Reference Usage Support

Patient Patient C.7.1.1 M

Clinical Trial Subject C.7.1.3 U DICOM file only
Study General Study C.7.2.1 M
Patient Study C.7.2.2 U DICOM file only
Clinical Trial Study C.7.2.3 U DICOM file only
Series RT Series C.8.8.1 M
Clinical Trial Series C.7.3.2 U DICOM file only
Equipment General Equipment C.7.5.1 M
Treatment Record RT General Treatment C.8.8.17 M
Record
RT Patient Setup C.8.8.12 U DICOM file only
RT Treatment Machine C.8.8.18 M
Record
Measured Dose C.8.8.19 U DICOM file only
Reference Record
Calculated Dose C.8.8.20 U DICOM file only
Reference Record
RT Ion Beams Session C.8.8.26 M
Record
RT Treatment C.8.8.23 U DICOM file only
Summary Record
SOP Common C.12.1 M

Table C-16: RT Ion Beams Treatment Record IOD Modules Support

C.1.17 Motion Management Protocol (Private)

When importing a Motion Management Protocol IOD the complete DICOM stream will be stored.
Thus, all attributes, including private ones, are preserved. However, not all attributes are
accessible via Varian System Database tables.

IE Module Reference Usage Support

Patient Patient C.7.1.1 M

Clinical Trial Subject C.7.1.3 U DICOM file only
Study General Study C.7.2.1 M
Patient Study C.7.2.2 U DICOM file only

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IE Module Reference Usage Support

Clinical Trial Study C.7.2.3 U DICOM file only

Series General Series C.7.3.1 M
Motion Management Private M
Protocol Series
Clinical Trial Series C.7.3.2 U DICOM file only
Frame of Reference Frame of Reference C.7.4.1 U
Synchronization C.7.4.2 U DICOM file only
Equipment General Equipment C.7.5.1 M
Motion Management Waveform C.10.8 M
Protocol Identification
Tolerance Private U DICOM file only
Motion Management Private M DICOM file only
Protocol
SOP Common C.12.1 M

Table C-17: Motion Management Protocol IOD Modules Support

C.1.18 Motion Management Waveform (Private)

When importing a Motion Management Waveform IOD the complete DICOM stream will be
stored. Thus, all attributes, including private ones, are preserved. However, not all attributes are
accessible via Varian System Database tables.

IE Module Reference Usage Support

Patient Patient C.7.1.1 M

Clinical Trial Subject C.7.1.3 U DICOM file only
Study General Study C.7.2.1 M
Patient Study C.7.2.2 U DICOM file only
Clinical Trial Study C.7.2.3 U DICOM file only
Series General Series C.7.3.1 M
Motion Management Private M
Waveform Series
Clinical Trial Series C.7.3.2 U DICOM file only
Frame of Reference Frame of Reference C.7.4.1 U
Synchronization C.7.4.2 U DICOM file only
Equipment General Equipment C.7.5.1 M
Waveform Waveform C.10.8 M
Identification
Waveform C.10.9 M DICOM file only
Acquisition Context C.7.6,14 M DICOM file only

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IOD Details

IE Module Reference Usage Support

Waveform Annotation C.10.10 U DICOM file only

Tolerance Private U DICOM file only
Motion Management Private M DICOM file only
Protocol
SOP Common C.12.1 M

Table C-18: Motion Management Waveform IOD Modules Support

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 IOD Details, Patient – C.7.1.1

C.2 Modules and Attributes

For better reference with DICOM Standard [1], section titles of the following sub-sections are decorated with section number of DICOM Standard
Part 3 where the corresponding Module Attribute table can be found. The first four columns in the following tables contain definitions from the
DICOM standard. Any kind of references in those columns refer to the DICOM standard and not to this document.
Column Varian System Database describes for each attribute whether it is supported, to which extent it is supported and optionally to which value
in the ARIA system it maps. Used terminology is as follows:

Value in Varian System Database Column Description

*** not supported *** Attribute is unknown and therefore ignored by the application
*** DICOM validation only *** Attribute is validated only on import, but it’s value is not saved on the Varian System Database nor
is a value for this attribute ever exported.
Roundtrip supported. Complete roundtrip is guaranteed. On import, value is saved unchanged with original DICOM
stream. On export, value is exported unmodified with previously saved DICOM stream.
Import/Export supported. Value might be mapped to a different value domain on the Varian System Database and therefore
might change under some circumstances. See detailed description of mapping in Varian System
Database column.
Import/Export supported using lookup. Similar to “Import/Export supported” but value is never stored directly on the Varian System
Database. Instead, it is used to search for a predefined object, like e.g. a treatment machine
accessory, matching one or multiple attribute values.

C.2.1 Patient – C.7.1.1

Complete roundtrip, covering all attributes of this module, is guaranteed for IODs listed below. Other IODs have roundtrip capabilities as specified
on attribute level.
• Positron Emission Tomography Image
• RT Image (multi frame only)
• RT Beams Treatment Record (except manually recorded treatments)
• RT Ion Beams Treatment Record (except manually recorded treatments)
• Motion Management Protocol

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IOD Details, Patient – C.7.1.1

• Motion Management Waveform

Attribute Name Tag T Attribute Description Varian System Database

Patient’s Name (0010,0010) 2 Patient's full name. Import/Export supported.

Elements of the patient name are
stored in separate attributes.
Patient ID (0010,0020) 2 Primary hospital identification number or code for the Import/Export supported.
patient. Used as the primary patient
identification on the user interface.
Matched against Patient ID1. Case-
insensitive searches are performed if
user selects a patient by ID.
Issuer of Patient ID (0010,0021) 3 Identifier of the Assigning Authority that issued the *** not supported ***
Patient ID.
Patient's Birth Date (0010,0030) 2 Birth date of the patient. Import/Export supported.
Patient's Sex (0010,0040) 2 Sex of the named patient. Import/Export supported.
Enumerated Values: Import:
M = male F: ‘Female’, M: ‘Male’, O: ‘Other’
F = female Export:
O = other ‘Female’: F, ‘Male’: M, anything else: O
Referenced Patient (0008,1120) 3 A sequence that provides reference to a Patient SOP *** not supported ***
Sequence Class/Instance pair. Only a single Item shall be permitted
in this Sequence.
> Referenced SOP (0008,1150) 1C Uniquely identifies the referenced SOP Class. Required if *** not supported ***
Class UID Referenced Patient Sequence (0008,1120) is sent.
> Referenced SOP (0008,1155) 1C Uniquely identifies the referenced SOP Instance. *** not supported ***
Instance UID Required if Referenced Patient Sequence (0008,1120) is
sent.
Patient's Birth Time (0010,0032) 3 Birth time of the Patient. Import/Export supported.

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Attribute Name Tag T Attribute Description Varian System Database

Other Patient IDs (0010,1000) 3 Other identification numbers or codes used to identify the Import/Export supported.
patient. Import: Only the first item of the multi-
valued tag is imported.
Matched against Patient ID2.
Other Patient (0010,1001) 3 Other names used to identify the patient. *** not supported ***
Names
Ethnic Group (0010,2160) 3 Ethnic group or race of the patient. Import/Export supported.
Patient Comments (0010,4000) 3 User-defined additional information about the patient. Import/Export supported.
Patient Identify (0012,0062) 3 The true identity of the patient has been removed from *** not supported ***
Removed the Attributes and the Pixel Data
Enumerated Values:
YES
NO
De-identification (0012,0063) 1C A description or label of the mechanism or method use to *** not supported ***
Method remove the patient's identity. May be multi-valued if
successive de-identification steps have been performed.
Note:
This may be used to describe the extent or thoroughness
of the de- identification, for example whether or not the
de-identification is for a "Limited Data Set" (as per HIPAA
Privacy Rule).
Required if Patient Identity Removed (0012,0062) is
present and has a value of YES and De-identification
Method Code Sequence (0012,0064) is not present.
De-identification (0012,0064) 1C A code describing the mechanism or method use to *** not supported ***
Method Code remove the patient's identity. One or more Items shall be
Sequence present. Multiple items are used if successive de-
identification steps have been performed
Required if Patient Identity Removed (0012,0062) is
present and has a value of YES and De-identification
Method (0012,0063) is not present.

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IOD Details, General Study - C.7.2.1

Attribute Name Tag T Attribute Description Varian System Database

> Code Value (0008,0100) 1C See Section 8.1. Required if a sequence item is present. *** not supported ***
> Coding Scheme (0008,0102) 1C See Section 8.2. Required if a sequence item is present. *** not supported ***
Designator
> Coding Scheme (0008,0103) 1C See Section 8.2. Required if a sequence item is present *** not supported ***
Version and the value of Coding Scheme Designator (0008,0102)
is not sufficient to identify the Code Value (0008,0100)
unambiguously.
> Code Meaning (0008,0104) 1C See Section 8.3. Required if a sequence item is present. *** not supported ***

C.2.2 General Study - C.7.2.1

Complete roundtrip, covering all attributes of this module, is guaranteed for IODs listed below. Other IODs have roundtrip capabilities as specified
on attribute level.
• Positron Emission Tomography Image
• RT Image (multi frame only)
• RT Beams Treatment Record (except manually recorded treatments)
• RT Ion Beams Treatment Record (except manually recorded treatments)
• Motion Management Protocol
• Motion Management Waveform

Attribute Name Tag T Attribute Description Varian System Database

Study Instance UID (0020,000D) 1 Unique identifier for the Study. Import/Export supported.
Study Date (0008,0020) 2 Date the Study started. Import/Export supported.
Study Time (0008,0030) 2 Time the Study started. Import/Export supported.
Referring (0008,0090) 2 Name of the patient's referring physician Import/Export supported.
Physician’s Name

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Attribute Name Tag T Attribute Description Varian System Database

Referring Physician (0008,0096) 3 Identification of the patient's referring physician. Only a *** not supported ***
Identification single item shall be permitted in this sequence.
Sequence
> Person (0040,1101) 1 A coded entry which identifies a person. The Code *** not supported ***
Identification Code Meaning attribute, though it will be encoded with a VR of
Sequence LO, may be encoded according to the rules of the PN VR
(e.g. caret '^' delimiters shall separate name
components), except that a single component (i.e. the
whole name unseparated by caret delimiters) is not
permitted. Name component groups for use with multi-
byte character sets are permitted, as long as they fit
within the 64 characters (the length of the LO VR). One
or more Items may be permitted in this Sequence.
>> Code Value (0008,0100) 1C See Section 8.1. Required if a sequence item is present. *** not supported ***
>> Coding Scheme (0008,0102) 1C See Section 8.2. Required if a sequence item is present. *** not supported ***
Designator
>> Coding Scheme (0008,0103) 1C See Section 8.2. Required if a sequence item is present *** not supported ***
Version and the value of Coding Scheme Designator (0008,0102)
is not sufficient to identify the Code Value (0008,0100)
unambiguously.
>> Code Meaning (0008,0104) 1C See Section 8.3. Required if a sequence item is present. *** not supported ***
> Person’s Address (0040,1102) 3 Person's mailing address *** not supported ***
> Person’s (0040,1103) 3 Person's telephone number(s) *** not supported ***
Telephone Numbers
> Institution Name (0008,0080) 1C Institution or organization to which the identified individual *** not supported ***
is responsible or accountable. Shall not be present if
Institution Code Sequence (0008,0082) is present.
> Institution Address (0008,0081) 3 Mailing address of the institution or organization to which *** not supported ***
the identified individual is responsible or accountable.

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IOD Details, General Study - C.7.2.1

Attribute Name Tag T Attribute Description Varian System Database

> Institution Code (0008,0082) 1C Institution or organization to which the identified individual *** not supported ***
Sequence is responsible or accountable. Shall not be present if
Institution Name (0008,0080) is present. Only a single
Item shall be permitted in this Sequence.
>> Code Value (0008,0100) 1C See Section 8.1. Required if a sequence item is present. *** not supported ***
>> Coding Scheme (0008,0102) 1C See Section 8.2. Required if a sequence item is present. *** not supported ***
Designator
>> Coding Scheme (0008,0103) 1C See Section 8.2. Required if a sequence item is present *** not supported ***
Version and the value of Coding Scheme Designator (0008,0102)
is not sufficient to identify the Code Value (0008,0100)
unambiguously.
>> Code Meaning (0008,0104) 1C See Section 8.3. Required if a sequence item is present. *** not supported ***
Study ID (0020,0010) 2 User or equipment generated Study identifier. Import/Export supported.
Accession Number (0008,0050) 2 A RIS generated number that identifies the order for the Import/Export supported.
Study.
Study Description (0008,1030) 3 Institution-generated description or classification of the Import/Export supported.
Study (component) performed.
Physician(s) of (0008,1048) 3 Names of the physician(s) who are responsible for overall Import: Ignored
Record patient care at time of Study (see Section C.7.3.1 for Export: Names of all Doctors who are
Performing Physician) the patient's primary oncologists.
Physician(s) of (0008,1049) 3 Identification of the physician(s) who are responsible for *** not supported ***
Record Identification overall patient care at time of Study. One or more items
Sequence shall be included in this sequence. If more than one Item,
the number and order shall correspond to the value of
Physician(s) of Record (0008,1048), if present.

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Attribute Name Tag T Attribute Description Varian System Database

> Person (0040,1101) 1 A coded entry which identifies a person. The Code *** not supported ***
Identification Code Meaning attribute, though it will be encoded with a VR of
Sequence LO, may be encoded according to the rules of the PN VR
(e.g. caret '^' delimiters shall separate name
components), except that a single component (i.e. the
whole name unseparated by caret delimiters) is not
permitted. Name component groups for use with multi-
byte character sets are permitted, as long as they fit
within the 64 characters (the length of the LO VR). One
or more Items may be permitted in this Sequence.
>> Code Value (0008,0100) 1C See Section 8.1. Required if a sequence item is present. *** not supported ***
>> Coding Scheme (0008,0102) 1C See Section 8.2. Required if a sequence item is present. *** not supported ***
Designator
>> Coding Scheme (0008,0103) 1C See Section 8.2. Required if a sequence item is present *** not supported ***
Version and the value of Coding Scheme Designator (0008,0102)
is not sufficient to identify the Code Value (0008,0100)
unambiguously.
>> Code Meaning (0008,0104) 1C See Section 8.3. Required if a sequence item is present. *** not supported ***
> Person’s Address (0040,1102) 3 Person's mailing address *** not supported ***
> Person’s (0040,1103) 3 Person's telephone number(s) *** not supported ***
Telephone Numbers
> Institution Name (0008,0080) 1C Institution or organization to which the identified individual *** not supported ***
is responsible or accountable. Shall not be present if
Institution Code Sequence (0008,0082) is present.
> Institution Address (0008,0081) 3 Mailing address of the institution or organization to which *** not supported ***
the identified individual is responsible or accountable.
> Institution Code (0008,0082) 1C Institution or organization to which the identified individual *** not supported ***
Sequence is responsible or accountable. Shall not be present if
Institution Name (0008,0080) is present. Only a single
Item shall be permitted in this Sequence.
>> Code Value (0008,0100) 1C See Section 8.1. Required if a sequence item is present. *** not supported ***

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IOD Details, General Study - C.7.2.1

Attribute Name Tag T Attribute Description Varian System Database

>> Coding Scheme (0008,0102) 1C See Section 8.2. Required if a sequence item is present. *** not supported ***
Designator
>> Coding Scheme (0008,0103) 1C See Section 8.2. Required if a sequence item is present *** not supported ***
Version and the value of Coding Scheme Designator (0008,0102)
is not sufficient to identify the Code Value (0008,0100)
unambiguously.
>> Code Meaning (0008,0104) 1C See Section 8.3. Required if a sequence item is present. *** not supported ***
Name of (0008,1060) 3 Names of the physician(s) reading the Study. *** not supported ***
Physician(s)
Reading Study
Physician(s) (0008,1062) 3 Identification of the physician(s) reading the Study. One *** not supported ***
Reading Study or more items shall be included in this sequence. If more
Identification than one Item, the number and order shall correspond to
Sequence the value of Name of Physician(s) Reading Study
(0008,1060), if present.
> Person (0040,1101) 1 A coded entry which identifies a person. The Code *** not supported ***
Identification Code Meaning attribute, though it will be encoded with a VR of
Sequence LO, may be encoded according to the rules of the PN VR
(e.g. caret '^' delimiters shall separate name
components), except that a single component (i.e. the
whole name unseparated by caret delimiters) is not
permitted. Name component groups for use with multi-
byte character sets are permitted, as long as they fit
within the 64 characters (the length of the LO VR). One
or more Items may be permitted in this Sequence.
>> Code Value (0008,0100) 1C See Section 8.1. Required if a sequence item is present. *** not supported ***
>> Coding Scheme (0008,0102) 1C See Section 8.2. Required if a sequence item is present. *** not supported ***
Designator
>> Coding Scheme (0008,0103) 1C See Section 8.2. Required if a sequence item is present *** not supported ***
Version and the value of Coding Scheme Designator (0008,0102)
is not sufficient to identify the Code Value (0008,0100)
unambiguously.

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Attribute Name Tag T Attribute Description Varian System Database

>> Code Meaning (0008,0104) 1C See Section 8.3. Required if a sequence item is present. *** not supported ***
> Person’s Address (0040,1102) 3 Person's mailing address *** not supported ***
> Person’s (0040,1103) 3 Person's telephone number(s) *** not supported ***
Telephone Numbers
> Institution Name (0008,0080) 1C Institution or organization to which the identified individual *** not supported ***
is responsible or accountable. Shall not be present if
Institution Code Sequence (0008,0082) is present.
> Institution Address (0008,0081) 3 Mailing address of the institution or organization to which *** not supported ***
the identified individual is responsible or accountable.
> Institution Code (0008,0082) 1C Institution or organization to which the identified individual *** not supported ***
Sequence is responsible or accountable. Shall not be present if
Institution Name (0008,0080) is present. Only a single
Item shall be permitted in this Sequence.
>> Code Value (0008,0100) 1C See Section 8.1. Required if a sequence item is present. *** not supported ***
>> Coding Scheme (0008,0102) 1C See Section 8.2. Required if a sequence item is present. *** not supported ***
Designator
>> Coding Scheme (0008,0103) 1C See Section 8.2. Required if a sequence item is present *** not supported ***
Version and the value of Coding Scheme Designator (0008,0102)
is not sufficient to identify the Code Value (0008,0100)
unambiguously.
>> Code Meaning (0008,0104) 1C See Section 8.3. Required if a sequence item is present. *** not supported ***
Referenced Study (0008,1110) 3 A sequence that provides reference to a Study SOP *** not supported ***
Sequence Class/Instance pair. The sequence may have zero or
more Items.
> Referenced SOP (0008,1150) 1C Uniquely identifies the referenced SOP Class. Required if *** not supported ***
Class UID Referenced Study Sequence (0008,1110) is sent.
> Referenced SOP (0008,1155) 1C Uniquely identifies the referenced SOP Instance. *** not supported ***
Instance UID Required if Referenced Study Sequence (0008,1110) is
sent.

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IOD Details, General Series – C.7.3.1

Attribute Name Tag T Attribute Description Varian System Database

Procedure Code (0008,1032) 3 A Sequence that conveys the type of procedure *** not supported ***
Sequence performed. One or more Items may be included in this
Sequence.
> Code Value (0008,0100) 1C See Section 8.1. Required if a sequence item is present. *** not supported ***
> Coding Scheme (0008,0102) 1C See Section 8.2. Required if a sequence item is present. *** not supported ***
Designator
> Coding Scheme (0008,0103) 1C See Section 8.2. Required if a sequence item is present *** not supported ***
Version and the value of Coding Scheme Designator (0008,0102)
is not sufficient to identify the Code Value (0008,0100)
unambiguously.
> Code Meaning (0008,0104) 1C See Section 8.3. Required if a sequence item is present. *** not supported ***

C.2.3 General Series – C.7.3.1

Complete roundtrip, covering all attributes of this module, is guaranteed for IODs listed below. Other IODs have roundtrip capabilities as specified
on attribute level.
• Positron Emission Tomography Image
• RT Image (multi frame only)
• RT Beams Treatment Record (except manually recorded treatments)
• RT Ion Beams Treatment Record (except manually recorded treatments)
• Motion Management Protocol
• Motion Management Waveform

Attribute Name Tag T Attribute Description Varian System Database

Modality (0008,0060) 1 Type of equipment that originally acquired the data used Import/Export supported.
to create the images in this Series. See C.7.3.1.1.1 for Import: Modalities RF and XA will be
Defined Terms. mapped to OT

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Attribute Name Tag T Attribute Description Varian System Database

Series Instance UID (0020,000E) 1 Unique identifier of the Series. Import/Export supported.
Import: For objects where the modality
is mapped to OT, a new instance UID
is assigned.
Series Number (0020,0011) 2 A number that identifies this Series. Import/Export supported.
Import: Will also be used create the
name of the series as displayed in the
UI.
Laterality (0020,0060) 2C Laterality of (paired) body part examined. *** not supported ***
Required if the body part examined is a paired structure
and Image Laterality (0020,0062) or Frame Laterality
(0020,9072) are not sent.
Enumerated Values: R = right
L = left
Note:
Some IODs support Image Laterality (0020,0062) at the
Image level or Frame Laterality(0020,9072) at the Frame
level in the Frame Anatomy functional group macro,
which can provide a more comprehensive mechanism for
specifying the laterality of the body part(s) being
examined.
Series Date (0008,0021) 3 Date the Series started. Import/Export supported.
Series Time (0008,0031) 3 Time the Series started. Import/Export supported.
Performing (0008,1050) 3 Name of the physician(s) administering the Series. *** not supported ***
Physician’s Name
Performing (0008,1052) 3 Identification of the physician(s) administering the Series. *** not supported ***
Physician One or more items shall be included in this sequence. If
Identification more than one Item, the number and order shall
Sequence correspond to the value of Performing Physicians' Name
(0008,1050), if present.

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IOD Details, General Series – C.7.3.1

Attribute Name Tag T Attribute Description Varian System Database

> Person (0040,1101) 1 A coded entry which identifies a person. The Code *** not supported ***
Identification Code Meaning attribute, though it will be encoded with a VR of
Sequence LO, may be encoded according to the rules of the PN VR
(e.g. caret '^' delimiters shall separate name
components), except that a single component (i.e. the
whole name unseparated by caret delimiters) is not
permitted. Name component groups for use with multi-
byte character sets are permitted, as long as they fit
within the 64 characters (the length of the LO VR). One
or more Items may be permitted in this Sequence.
>> Code Value (0008,0100) 1C See Section 8.1. Required if a sequence item is present. *** not supported ***
>> Coding Scheme (0008,0102) 1C See Section 8.2. Required if a sequence item is present. *** not supported ***
Designator
>> Coding Scheme (0008,0103) 1C See Section 8.2. Required if a sequence item is present *** not supported ***
Version and the value of Coding Scheme Designator (0008,0102)
is not sufficient to identify the Code Value (0008,0100)
unambiguously.
>> Code Meaning (0008,0104) 1C See Section 8.3. Required if a sequence item is present. *** not supported ***
> Person’s Address (0040,1102) 3 Person's mailing address *** not supported ***
> Person’s (0040,1103) 3 Person's telephone number(s) *** not supported ***
Telephone Numbers
> Institution Name (0008,0080) 1C Institution or organization to which the identified individual *** not supported ***
is responsible or accountable. Shall not be present if
Institution Code Sequence (0008,0082) is present.
> Institution Address (0008,0081) 3 Mailing address of the institution or organization to which *** not supported ***
the identified individual is responsible or accountable.
> Institution Code (0008,0082) 1C Institution or organization to which the identified individual *** not supported ***
Sequence is responsible or accountable. Shall not be present if
Institution Name (0008,0080) is present. Only a single
Item shall be permitted in this Sequence.
>> Code Value (0008,0100) 1C See Section 8.1. Required if a sequence item is present. *** not supported ***

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Attribute Name Tag T Attribute Description Varian System Database

>> Coding Scheme (0008,0102) 1C See Section 8.2. Required if a sequence item is present. *** not supported ***
Designator
>> Coding Scheme (0008,0103) 1C See Section 8.2. Required if a sequence item is present *** not supported ***
Version and the value of Coding Scheme Designator (0008,0102)
is not sufficient to identify the Code Value (0008,0100)
unambiguously.
>> Code Meaning (0008,0104) 1C See Section 8.3. Required if a sequence item is present. *** not supported ***
Protocol Name (0018,1030) 3 User-defined description of the conditions under which *** not supported ***
the Series was performed.
Note:
This attribute conveys series-specific protocol
identification and may or may not be identical to the one
presented in the Performed Protocol Code Sequence
(0040,0260).
Series Description (0008,103E) 3 User provided description of the Series Import/Export supported.
Operators’ Name (0008,1070) 3 Name(s) of the operator(s) supporting the Series. *** not supported ***
Operator (0008,1072) 3 Identification of the operator(s) supporting the Series. *** not supported ***
Identification One or more items shall be included in this sequence. If
Sequence more than one Item, the number and order shall
correspond to the value of Operators' Name (0008,1070),
if present.
> Person (0040,1101) 1 A coded entry which identifies a person. The Code *** not supported ***
Identification Code Meaning attribute, though it will be encoded with a VR of
Sequence LO, may be encoded according to the rules of the PN VR
(e.g. caret '^' delimiters shall separate name
components), except that a single component (i.e. the
whole name unseparated by caret delimiters) is not
permitted. Name component groups for use with multi-
byte character sets are permitted, as long as they fit
within the 64 characters (the length of the LO VR). One
or more Items may be permitted in this Sequence.
>> Code Value (0008,0100) 1C See Section 8.1. Required if a sequence item is present. *** not supported ***

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IOD Details, General Series – C.7.3.1

Attribute Name Tag T Attribute Description Varian System Database

>> Coding Scheme (0008,0102) 1C See Section 8.2. Required if a sequence item is present. *** not supported ***
Designator
>> Coding Scheme (0008,0103) 1C See Section 8.2. Required if a sequence item is present *** not supported ***
Version and the value of Coding Scheme Designator (0008,0102)
is not sufficient to identify the Code Value (0008,0100)
unambiguously.
>> Code Meaning (0008,0104) 1C See Section 8.3. Required if a sequence item is present. *** not supported ***
> Person’s Address (0040,1102) 3 Person's mailing address *** not supported ***
> Person’s (0040,1103) 3 Person's telephone number(s) *** not supported ***
Telephone Numbers
> Institution Name (0008,0080) 1C Institution or organization to which the identified individual *** not supported ***
is responsible or accountable. Shall not be present if
Institution Code Sequence (0008,0082) is present.
> Institution Address (0008,0081) 3 Mailing address of the institution or organization to which *** not supported ***
the identified individual is responsible or accountable.
> Institution Code (0008,0082) 1C Institution or organization to which the identified individual *** not supported ***
Sequence is responsible or accountable. Shall not be present if
Institution Name (0008,0080) is present. Only a single
Item shall be permitted in this Sequence.
>> Code Value (0008,0100) 1C See Section 8.1. Required if a sequence item is present. *** not supported ***
>> Coding Scheme (0008,0102) 1C See Section 8.2. Required if a sequence item is present. *** not supported ***
Designator
>> Coding Scheme (0008,0103) 1C See Section 8.2. Required if a sequence item is present *** not supported ***
Version and the value of Coding Scheme Designator (0008,0102)
is not sufficient to identify the Code Value (0008,0100)
unambiguously.
>> Code Meaning (0008,0104) 1C See Section 8.3. Required if a sequence item is present. *** not supported ***
Referenced (0008,1111) 3 Uniquely identifies the Performed Procedure Step SOP *** not supported ***
Performed Instance to which the Series is related (e.g. a Modality or
Procedure Step General-Purpose Performed Procedure Step SOP
Sequence Instance). The Sequence shall have zero or one Item.

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Attribute Name Tag T Attribute Description Varian System Database

> Referenced SOP (0008,1150) 1C Uniquely identifies the referenced SOP Class. *** not supported ***
Class UID Required if Referenced Performed Procedure Step
Sequence (0008,1111) is sent.
> Referenced SOP (0008,1155) 1C Uniquely identifies the referenced SOP Instance. *** not supported ***
Instance UID Required if Referenced Performed Procedure Step
Sequence (0008,1111) is sent.
Related Series (0008,1250) 3 Identification of Series significantly related to this Series. *** not supported ***
Sequence Zero or more Items may be present.
Notes:
1. For example, for a combined CT and PET acquisition,
the CT images and PET images would be in separate
series that could cross- reference each other with
multiple purpose of reference codes meaning same
anatomy, simultaneously acquired and same indication.
2. The related series may have different Frames of
Reference and hence require some sort of registration
before spatial coordinates can be directly compared.
3. This attribute is not intended for conveying localizer
reference information, for which Referenced Image
Sequence (0008,1140) should be used.
> Study Instance (0020,000D) 1 Instance UID of Study to which the related Series *** not supported ***
UID belongs
> Series Instance (0020,000E) 1 Instance UID of Related Series *** not supported ***
UID
> Purpose of (0040,A170) 2 Describes the purpose for which the reference is made. *** not supported ***
Reference Code Zero or more Items may be present. When absent,
Sequence implies that the reason for the reference is unknown.
>> Code Value (0008,0100) 1C See Section 8.1. Required if a sequence item is present. *** not supported ***
>> Coding Scheme (0008,0102) 1C See Section 8.2. Required if a sequence item is present. *** not supported ***
Designator

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IOD Details, General Series – C.7.3.1

Attribute Name Tag T Attribute Description Varian System Database

>> Coding Scheme (0008,0103) 1C See Section 8.2. Required if a sequence item is present *** not supported ***
Version and the value of Coding Scheme Designator (0008,0102)
is not sufficient to identify the Code Value (0008,0100)
unambiguously.
>> Code Meaning (0008,0104) 1C See Section 8.3. Required if a sequence item is present. *** not supported ***
Body Part Examined (0018,0015) 3 Text description of the part of the body examined. Import/Export supported.
Defined Terms: Values HEAD, HEART, NECK, LEG,
SKULL, CSPINE, TSPINE, LSPINE, SSPINE, COCCYX, ARM, JAW are not fully supported.
CHEST, CLAVICLE, BREAST, ABDOMEN, PELVIS, HIP, Objects imported with these values will
SHOULDER, ELBOW, KNEE, ANKLE, HAND, FOOT, be displayed correctly. However,
EXTREMITY, HEAD, HEART, NECK, LEG, ARM, JAW creation of a new object having one of
those defined terms will not be
Note:
possible.
Some IODs support the Anatomic Region Sequence
(0008,2218), which can provide a more comprehensive
mechanism for specifying the body part being examined.
Patient Position (0018,5100) 2C Patient position descriptor relative to the equipment. Import/Export supported.
Required for CT and MR images; shall not be present if
Patient Orientation Code Sequence (0054,0410) is
present; may be present otherwise. See C.7.3.1.1.2 for
Defined Terms and further explanation.
Smallest Pixel Value (0028,0108) 3 The minimum value of all images in this Series. *** not supported ***
in Series
Largest Pixel Value (0028,0109) 3 The maximum value of all images in this Series. *** not supported ***
in Series
Request Attributes (0040,0275) 3 Sequence that contains attributes from the Imaging *** not supported ***
Sequence Service Request. The sequence may have one or more
Items.
> Requested (0040,1001) 1 Identifier that identifies the Requested Procedure in the *** not supported ***
Procedure ID Imaging Service Request.
> Reason for the (0040,1002) 3 Reason for requesting this procedure. *** not supported ***
Requested
Procedure

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Attribute Name Tag T Attribute Description Varian System Database

> Reason for (0040,100A) 3 Coded Reason for requesting this procedure. *** not supported ***
Requested
Procedure Code
Sequence
>> Code Value (0008,0100) 1C See Section 8.1. Required if a sequence item is present. *** not supported ***
>> Coding Scheme (0008,0102) 1C See Section 8.2. Required if a sequence item is present. *** not supported ***
Designator
>> Coding Scheme (0008,0103) 1C See Section 8.2. Required if a sequence item is present *** not supported ***
Version and the value of Coding Scheme Designator (0008,0102)
is not sufficient to identify the Code Value (0008,0100)
unambiguously.
>> Code Meaning (0008,0104) 1C See Section 8.3. Required if a sequence item is present. *** not supported ***
> Scheduled (0040,0009) 1 Identifier that identifies the Scheduled Procedure Step. *** not supported ***
Procedure Step ID
> Scheduled (0040,0007) 3 Institution-generated description or classification of the *** not supported ***
Procedure Step Scheduled Procedure Step to be performed.
Description
> Scheduled (0040,0008) 3 Sequence describing the Scheduled Protocol following a *** not supported ***
Protocol Code specific coding scheme. This sequence contains one or
Sequence more Items.
>> Code Value (0008,0100) 1C See Section 8.1. Required if a sequence item is present. *** not supported ***
>> Coding Scheme (0008,0102) 1C See Section 8.2. Required if a sequence item is present. *** not supported ***
Designator
>> Coding Scheme (0008,0103) 1C See Section 8.2. Required if a sequence item is present *** not supported ***
Version and the value of Coding Scheme Designator (0008,0102)
is not sufficient to identify the Code Value (0008,0100)
unambiguously.
>> Code Meaning (0008,0104) 1C See Section 8.3. Required if a sequence item is present. *** not supported ***
>> Protocol Context (0040,0440) 3 Sequence that specifies the context for the Scheduled *** not supported ***
Sequence Protocol Code Sequence Item. One or more items may
be included in this sequence.

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IOD Details, General Series – C.7.3.1

Attribute Name Tag T Attribute Description Varian System Database

>>> Code Value (0008,0100) 1C See Section 8.1. Required if a sequence item is present. *** not supported ***
>>> Coding (0008,0102) 1C See Section 8.2. Required if a sequence item is present. *** not supported ***
Scheme Designator
>>> Coding (0008,0103) 1C See Section 8.2. Required if a sequence item is present *** not supported ***
Scheme Version and the value of Coding Scheme Designator (0008,0102)
is not sufficient to identify the Code Value (0008,0100)
unambiguously.
>>> Code Meaning (0008,0104) 1C See Section 8.3. Required if a sequence item is present. *** not supported ***
>>> Content Item (0040,0441) 3 Sequence that specifies modifiers for a Protocol Context *** not supported ***
Modifier Sequence Content Item. One or more items may be included in this
sequence. See Section C.4.10.1.
>>>> Code Value (0008,0100) 1C See Section 8.1. Required if a sequence item is present. *** not supported ***
>>>> Coding (0008,0102) 1C See Section 8.2. Required if a sequence item is present. *** not supported ***
Scheme Designator
>>>> Coding (0008,0103) 1C See Section 8.2. Required if a sequence item is present *** not supported ***
Scheme Version and the value of Coding Scheme Designator (0008,0102)
is not sufficient to identify the Code Value (0008,0100)
unambiguously.
>>>> Code Meaning (0008,0104) 1C See Section 8.3. Required if a sequence item is present. *** not supported ***
Performed (0040,0253) 3 User or equipment generated identifier of that part of a *** not supported ***
Procedure Step ID Procedure that has been carried out within this step.
Performed (0040,0244) 3 Date on which the Performed Procedure Step started. *** not supported ***
Procedure Step
Start Date
Performed (0040,0245) 3 Time on which the Performed Procedure Step started. *** not supported ***
Procedure Step
Start Time
Performed (0040,0254) 3 Institution-generated description or classification of the *** not supported ***
Procedure Step Procedure Step that was performed.
Description

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 IOD Details, General Series – C.7.3.1

Attribute Name Tag T Attribute Description Varian System Database

Performed Protocol (0040,0260) 3 Sequence describing the Protocol performed for this *** not supported ***
Code Sequence Procedure Step. One or more Items may be included in
this Sequence.
> Code Value (0008,0100) 1C See Section 8.1. Required if a sequence item is present. *** not supported ***
> Coding Scheme (0008,0102) 1C See Section 8.2. Required if a sequence item is present. *** not supported ***
Designator
> Coding Scheme (0008,0103) 1C See Section 8.2. Required if a sequence item is present *** not supported ***
Version and the value of Coding Scheme Designator (0008,0102)
is not sufficient to identify the Code Value (0008,0100)
unambiguously.
> Code Meaning (0008,0104) 1C See Section 8.3. Required if a sequence item is present. *** not supported ***
> Protocol Context (0040,0440) 3 Sequence that specifies the context for the Performed *** not supported ***
Sequence Protocol Code Sequence Item. One or more items may
be included in this sequence.
>> Value Type (0040,A040) 1 The type of the value encoded in this name-value Item. *** not supported ***
Defined Terms:
DATETIME
DATE
TIME
PNAME
UIDREF
TEXT
CODE
NUMERIC.
>> Concept Name (0040,A043) 1 Coded concept name of this name-value Item. *** not supported ***
Code Sequence
>>> Code Value (0008,0100) 1C See Section 8.1. Required if a sequence item is present. *** not supported ***
>>> Coding (0008,0102) 1C See Section 8.2. Required if a sequence item is present. *** not supported ***
Scheme Designator

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IOD Details, General Series – C.7.3.1

Attribute Name Tag T Attribute Description Varian System Database

>>> Coding (0008,0103) 1C See Section 8.2. Required if a sequence item is present *** not supported ***
Scheme Version and the value of Coding Scheme Designator (0008,0102)
is not sufficient to identify the Code Value (0008,0100)
unambiguously.
>>> Code Meaning (0008,0104) 1C See Section 8.3. Required if a sequence item is present. *** not supported ***
>> DateTime (0040,A120) 1C Datetime value for this name-value Item. Required if *** not supported ***
Value Type (0040,A040) is DATETIME.
>> Date (0040,A121) 1C Date value for this name-value Item. Required if Value *** not supported ***
Type (0040,A040) is DATE.
>> Time (0040,A122) 1C Time value for this name-value Item. Required if Value *** not supported ***
Type (0040,A040) is TIME.
>> Person Name (0040,A123) 1C Person name value for this name-value Item. Required if *** not supported ***
Value Type (0040,A040) is PNAME.
>> UID (0040,A124) 1C UID value for this name-value Item. Required if Value *** not supported ***
Type (0040,A040) is UIDREF.
>> Text Value (0040,A160) 1C Text value for this name-value Item. Required if Value *** not supported ***
Type (0040,A040) is TEXT.
>> Concept Code (0040,A168) 1C Coded concept value of this name-value Item. Required if *** not supported ***
Sequence Value Type (0040,A040) is CODE.
>>> Code Value (0008,0100) 1C See Section 8.1. Required if a sequence item is present. *** not supported ***
>>> Coding (0008,0102) 1C See Section 8.2. Required if a sequence item is present. *** not supported ***
Scheme Designator
>>> Coding (0008,0103) 1C See Section 8.2. Required if a sequence item is present *** not supported ***
Scheme Version and the value of Coding Scheme Designator (0008,0102)
is not sufficient to identify the Code Value (0008,0100)
unambiguously.
>>> Code Meaning (0008,0104) 1C See Section 8.3. Required if a sequence item is present. *** not supported ***
>> Numeric Value (0040,A30A) 1C Numeric value for this name-value Item. Required if *** not supported ***
Value Type (0040,A040) is NUMERIC.

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Attribute Name Tag T Attribute Description Varian System Database

>> Measurement (0040,08EA) 1C Units of measurement for a numeric value in this *** not supported ***
Units Code namevalue Item. Required if Value Type (0040,A040) is
Sequence NUMERIC.
>>> Code Value (0008,0100) 1C See Section 8.1. Required if a sequence item is present. *** not supported ***
>>> Coding (0008,0102) 1C See Section 8.2. Required if a sequence item is present. *** not supported ***
Scheme Designator
>>> Coding (0008,0103) 1C See Section 8.2. Required if a sequence item is present *** not supported ***
Scheme Version and the value of Coding Scheme Designator (0008,0102)
is not sufficient to identify the Code Value (0008,0100)
unambiguously.
>>> Code Meaning (0008,0104) 1C See Section 8.3. Required if a sequence item is present. *** not supported ***
>> Content Item (0040,0441) 3 Sequence that specifies modifiers for a Protocol Context *** not supported ***
Modifier Sequence Content Item. One or more items may be included in this
sequence. See Section C.4.10.1.
>>> Value Type (0040,A040) 1 The type of the value encoded in this name-value Item. *** not supported ***
Defined Terms:
DATETIME
DATE
TIME
PNAME
UIDREF
TEXT
CODE
NUMERIC.
>>> Concept Name (0040,A043) 1 Coded concept name of this name-value Item. *** not supported ***
Code Sequence
>>>> Code Value (0008,0100) 1C See Section 8.1. Required if a sequence item is present. *** not supported ***
>>>> Coding (0008,0102) 1C See Section 8.2. Required if a sequence item is present. *** not supported ***
Scheme Designator

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IOD Details, General Series – C.7.3.1

Attribute Name Tag T Attribute Description Varian System Database

>>>> Coding (0008,0103) 1C See Section 8.2. Required if a sequence item is present *** not supported ***
Scheme Version and the value of Coding Scheme Designator (0008,0102)
is not sufficient to identify the Code Value (0008,0100)
unambiguously.
>>>> Code Meaning (0008,0104) 1C See Section 8.3. Required if a sequence item is present. *** not supported ***
>>> DateTime (0040,A120) 1C Datetime value for this name-value Item. Required if *** not supported ***
Value Type (0040,A040) is DATETIME.
>>> Date (0040,A121) 1C Date value for this name-value Item. Required if Value *** not supported ***
Type (0040,A040) is DATE.
>>> Time (0040,A122) 1C Time value for this name-value Item. Required if Value *** not supported ***
Type (0040,A040) is TIME.
>>> Person Name (0040,A123) 1C Person name value for this name-value Item. Required if *** not supported ***
Value Type (0040,A040) is PNAME.
>>> UID (0040,A124) 1C UID value for this name-value Item. Required if Value *** not supported ***
Type (0040,A040) is UIDREF.
>>> Text Value (0040,A160) 1C Text value for this name-value Item. Required if Value *** not supported ***
Type (0040,A040) is TEXT.
>>> Concept Code (0040,A168) 1C Coded concept value of this name-value Item. Required if *** not supported ***
Sequence Value Type (0040,A040) is CODE.
>>>> Code Value (0008,0100) 1C See Section 8.1. Required if a sequence item is present. *** not supported ***
>>>> Coding (0008,0102) 1C See Section 8.2. Required if a sequence item is present. *** not supported ***
Scheme Designator
>>>> Coding (0008,0103) 1C See Section 8.2. Required if a sequence item is present *** not supported ***
Scheme Version and the value of Coding Scheme Designator (0008,0102)
is not sufficient to identify the Code Value (0008,0100)
unambiguously.
>>>> Code Meaning (0008,0104) 1C See Section 8.3. Required if a sequence item is present. *** not supported ***
>>> Numeric Value (0040,A30A) 1C Numeric value for this name-value Item. Required if *** not supported ***
Value Type (0040,A040) is NUMERIC.

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 IOD Details, Frame of Reference – C.7.4.1

Attribute Name Tag T Attribute Description Varian System Database

>>> Measurement (0040,08EA) 1C Units of measurement for a numeric value in this *** not supported ***
Units Code namevalue Item. Required if Value Type (0040,A040) is
Sequence NUMERIC.
>>>> Code Value (0008,0100) 1C See Section 8.1. Required if a sequence item is present. *** not supported ***
>>>> Coding (0008,0102) 1C See Section 8.2. Required if a sequence item is present. *** not supported ***
Scheme Designator
>>>> Coding (0008,0103) 1C See Section 8.2. Required if a sequence item is present *** not supported ***
Scheme Version and the value of Coding Scheme Designator (0008,0102)
is not sufficient to identify the Code Value (0008,0100)
unambiguously.
>>>> Code Meaning (0008,0104) 1C See Section 8.3. Required if a sequence item is present. *** not supported ***
Comments on the (0040,0280) 3 User-defined comments on the Performed Procedure *** not supported ***
Performed Step.
Procedure Step

C.2.4 Frame of Reference – C.7.4.1

Complete roundtrip, covering all attributes of this module, is guaranteed for IODs listed below. Other IODs have roundtrip capabilities as specified
on attribute level.
• Positron Emission Tomography Image
• Motion Management Protocol
• Motion Management Waveform

Attribute Name Tag T Attribute Description Varian System Database

Frame of Reference (0020,0052) 1 Uniquely identifies the frame of reference for a Series. Import/Export supported.
UID See C.7.4.1.1.1 for further explanation.
Position Reference (0020,1040) 2 Part of the patient's anatomy used as a reference, such Import/Export supported.
Indicator as the iliac crest, orbital- medial, sternal notch, symphysis
pubis, xiphoid, lower coastal margin, external auditory
meatus. See C.7.4.1.1.2 for further explanation.

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IOD Details, General Equipment – C.7.5.1

C.2.5 General Equipment – C.7.5.1

Complete roundtrip, covering all attributes of this module, is guaranteed for IODs listed below. Other IODs have roundtrip capabilities as specified
on attribute level.
• Positron Emission Tomography Image
• RT Image (multi frame only)
• RT Beams Treatment Record (except manually recorded treatments)
• RT Ion Beams Treatment Record (except manually recorded treatments)
• Motion Management Protocol
• Motion Management Waveform

Attribute Name Tag T Attribute Description Varian System Database

Manufacturer (0008,0070) 2 Manufacturer of the equipment that produced the Import/Export supported.
composite instances. Export of RT Beams Treatment Record
IOD of manually recorded treatments
and RT Treatment Summary Record
IOD: Value "VARIAN Medical
Systems".
Institution Name (0008,0080) 3 Institution where the equipment that produced the Import/Export supported.
composite instances is located. Export of RT Treatment Summary
Record IOD: Value read from hospital
associated to treatment machine.
No value exported for RT Beams
Treatment Record IOD of manually
recorded treatments.
Institution Address (0008,0081) 3 Mailing address of the institution where the equipment *** DICOM validation only ***
that produced the composite instances is located.

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Attribute Name Tag T Attribute Description Varian System Database

Station Name (0008,1010) 3 User defined name identifying the machine that produced Import/Export supported.
the composite instances. Export of RT Beams Treatment Record
IOD of manually recorded treatments
and RT Treatment Summary Record
IOD: Computer name of current
workstation.
Institutional (0008,1040) 3 Department in the institution where the equipment that Import/Export supported.
Department Name produced the composite instances is located. Export of RT Treatment Summary
Record IOD: Value read from hospital
associated to treatment machine.
No value exported for RT Beams
Treatment Record IOD of manually
recorded treatments.
Manufacturer’s (0008,1090) 3 Manufacturer's model name of the equipment that Import/Export supported.
Model Name produced the composite instances. Export of RT Beams Treatment Record
IOD of manually recorded treatments
and RT Treatment Summary Record
IOD: Value "ARIA " + application name
+ " - " + task name.
Device Serial (0018,1000) 3 Manufacturer's serial number of the equipment that Import/Export supported.
Number produced the composite instances.
Software Version(s) (0018,1020) 3 Manufacturer's designation of software version of the Import/Export supported.
equipment that produced the composite instances. Export of RT Beams Treatment Record
IOD of manually recorded treatments
and RT Treatment Summary Record
IOD: Value "OS " + application version
number.
Spatial Resolution (0018,1050) 3 The inherent limiting resolution in mm of the acquisition *** DICOM validation only ***
equipment for high contrast objects for the data gathering
and reconstruction technique chosen. If variable across
the images of the series, the value at the image center.

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IOD Details, General Image – C.7.6.1

Attribute Name Tag T Attribute Description Varian System Database

Date of Last (0018,1200) 3 Date when the image acquisition device calibration was *** DICOM validation only ***
Calibration last changed in any way. Multiple entries may be used for
additional calibrations at other times. See C.7.5.1.1.1 for
further explanation.
Time of Last (0018,1201) 3 Time when the image acquisition device calibration was *** DICOM validation only ***
Calibration last changed in any way. Multiple entries may be used.
See C.7.5.1.1.1 for further explanation.
Pixel Padding Value (0028,0120) 3 Value of pixels not present in the native image added to Import only.
an image to pad to rectangular format. See C.7.5.1.1.2
for further explanation.
Note:
The Value Representation of this Attribute is determined
by the value of Pixel Representation (0028,0103).

C.2.6 General Image – C.7.6.1

Complete roundtrip, covering all attributes of this module, is guaranteed for IODs listed below. Other IODs have roundtrip capabilities as specified
on attribute level.
• Positron Emission Tomography Image
• RT Image (multi frame only)

Attribute Name Tag T Attribute Description Varian System Database

Instance Number (0020,0013) 2 A number that identifies this image. Import/Export supported.
Note: Import: Used as Image ID for non-RT
This Attribute was named Image Number in earlier Images.
versions of this Standard.

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Attribute Name Tag T Attribute Description Varian System Database

Patient Orientation (0020,0020) 2C Patient direction of the rows and columns of the image. Import/Export supported.
Required if image does not require Image Orientation Used for Image and Acquired Dose.
(Patient) (0020,0037) and Image Position (Patient)
Not used for Calculated Dose.
(0020,0032). See C.7.6.1.1.1 for further explanation.
Note:
IOD's may have attributes other than Patient Orientation,
Image Orientation, or Image Position (Patient) to describe
orientation in which case this attribute will be zero length.
Content Date (0008,0023) 2C The date the image pixel data creation started. Required Import/Export supported.
if image is part of a series in which the images are
temporally related.
Note:
This Attribute was formerly known as Image Date.
Content Time (0008,0033) 2C The time the image pixel data creation started. Required Import/Export supported.
if image is part of a series in which the images are
temporally related.
Image Type (0008,0008) 3 Image identification characteristics. See C.7.6.1.1.2 for Import/Export supported.
Defined Terms and further explanation.
Acquisition Number (0020,0012) 3 A number identifying the single continuous gathering of Import/Export supported.
data over a period of time that resulted in this image. Used only for CT Images
Acquisition Date (0008,0022) 3 The date the acquisition of data that resulted in this *** not supported ***
image started
Acquisition Time (0008,0032) 3 The time the acquisition of data that resulted in this *** not supported ***
image started
Acquisition Datetime (0008,002A) 3 The date and time that the acquisition of data that *** not supported ***
resulted in this image started.
Note:
The synchronization of this time with an external clock is
specified in the Synchronization Module in Acquisition
Time Synchronized (0018,1800).

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IOD Details, General Image – C.7.6.1

Attribute Name Tag T Attribute Description Varian System Database

Referenced Image (0008,1140) 3 A sequence that references other images significantly *** not supported ***
Sequence related to this image (e.g. post-localizer CT image or
Mammographic biopsy or partial view images). One or
more Items may be included in this sequence.
> Referenced SOP (0008,1150) 1 Uniquely identifies the referenced SOP Class. *** not supported ***
Class UID
> Referenced SOP (0008,1155) 1 Uniquely identifies the referenced SOP Instance. *** not supported ***
Instance UID
> Referenced (0008,1160) 1 Identifies the frame numbers within the Referenced SOP *** not supported ***
Frame Number Instance to which the reference applies. The first frame
shall be denoted as frame number 1.
Note: This Attribute may be multi-valued.
Required if the Referenced SOP Instance is a multi-frame
image and the reference does not apply to all frames.
> Purpose of (0040,A170) 3 Describes the purpose for which the reference is made. *** not supported ***
Reference Code Only a single Item shall be permitted in this sequence.
Sequence
>> Code Value (0008,0100) 1C See Section 8.1. Required if a sequence item is present. *** not supported ***
>> Coding Scheme (0008,0102) 1C See Section 8.2. Required if a sequence item is present. *** not supported ***
Designator
>> Coding Scheme (0008,0103) 1C See Section 8.2. Required if a sequence item is present *** not supported ***
Version and the value of Coding Scheme Designator (0008,0102)
is not sufficient to identify the Code Value (0008,0100)
unambiguously.
>> Code Meaning (0008,0104) 1C See Section 8.3. Required if a sequence item is present. *** not supported ***
Derivation (0008,2111) 3 A text description of how this image was derived. See *** not supported ***
Description C.7.6.1.1.3 for further explanation.

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 IOD Details, General Image – C.7.6.1

Attribute Name Tag T Attribute Description Varian System Database

Derivation Code (0008,9215) 3 A coded description of how this image was derived. See *** not supported ***
Sequence C.7.6.1.1.3 for further explanation. One or more Items
may be included in this Sequence. More than one Item
indicates that successive derivation steps have been
applied.
> Code Value (0008,0100) 1C See Section 8.1. Required if a sequence item is present. *** not supported ***
> Coding Scheme (0008,0102) 1C See Section 8.2. Required if a sequence item is present. *** not supported ***
Designator
> Coding Scheme (0008,0103) 1C See Section 8.2. Required if a sequence item is present *** not supported ***
Version and the value of Coding Scheme Designator (0008,0102)
is not sufficient to identify the Code Value (0008,0100)
unambiguously.
> Code Meaning (0008,0104) 1C See Section 8.3. Required if a sequence item is present. *** not supported ***
Source Image (0008,2112) 3 A Sequence that identifies the set of Image SOP *** not supported ***
Sequence Class/Instance pairs of the Images that were used to
derive this Image. Zero or more Items may be included in
this Sequence. See C.7.6.1.1.4 for further explanation.
> Referenced SOP (0008,1150) 1 Uniquely identifies the referenced SOP Class. *** not supported ***
Class UID
> Referenced SOP (0008,1155) 1 Uniquely identifies the referenced SOP Instance. *** not supported ***
Instance UID
> Referenced (0008,1160) 1 Identifies the frame numbers within the Referenced SOP *** not supported ***
Frame Number Instance to which the reference applies. The first frame
shall be denoted as frame number 1.
Note: This Attribute may be multi-valued.
Required if the Referenced SOP Instance is a multi-frame
image and the reference does not apply to all frames.
> Purpose of (0040,A170) 3 Describes the purpose for which the reference is made, *** not supported ***
Reference Code that is what role the source image or frame(s) played in
Sequence the derivation of this image. Only a single Item shall be
permitted in this sequence.

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IOD Details, General Image – C.7.6.1

Attribute Name Tag T Attribute Description Varian System Database

>> Code Value (0008,0100) 1C See Section 8.1. Required if a sequence item is present. *** not supported ***
>> Coding Scheme (0008,0102) 1C See Section 8.2. Required if a sequence item is present. *** not supported ***
Designator
>> Coding Scheme (0008,0103) 1C See Section 8.2. Required if a sequence item is present *** not supported ***
Version and the value of Coding Scheme Designator (0008,0102)
is not sufficient to identify the Code Value (0008,0100)
unambiguously.
>> Code Meaning (0008,0104) 1C See Section 8.3. Required if a sequence item is present. *** not supported ***
> Spatial Locations (0028,135A) 3 Whether or not the spatial locations of all pixels are *** not supported ***
Preserved preserved during the processing of the source image that
resulted in the current image
Enumerated Values:
YES
NO
Note:
This applies not only to images with a known relationship
to a 3D space, but also to projection images. For
example, a projection radiograph such as a mammogram
that is processed by a point image processing operation
such as contrast enhancement, or a smoothing or edge
enhancing convolution, would have a value of YES for
this attribute. A projection radiograph that had been
magnified or warped geometrically would have a value of
NO for this attribute. This attribute is typically of
importance in relating images with Presentation Intent
Type (0008,0068) values of FOR PROCESSING and
FOR PRESENTATION.
Referenced (0008,114A) 3 A sequence which provides reference to a set of non- *** not supported ***
Instance Sequence image SOP Class/Instance pairs significantly related to
this Image, including waveforms that may or may not be
temporally synchronized with this image . One or more
Items may be included in this sequence.

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 IOD Details, General Image – C.7.6.1

Attribute Name Tag T Attribute Description Varian System Database

> Referenced SOP (0008,1150) 1 Uniquely identifies the referenced SOP Class. *** not supported ***
Class UID
> Referenced SOP (0008,1155) 1 Uniquely identifies the referenced SOP Instance. *** not supported ***
Instance UID
> Purpose of (0040,A170) 1 Code describing the purpose of the reference to the *** not supported ***
Reference Code Instance(s). Only a single Item shall be permitted in this
Sequence sequence.
>> Code Value (0008,0100) 1C See Section 8.1. Required if a sequence item is present. *** not supported ***
>> Coding Scheme (0008,0102) 1C See Section 8.2. Required if a sequence item is present. *** not supported ***
Designator
>> Coding Scheme (0008,0103) 1C See Section 8.2. Required if a sequence item is present *** not supported ***
Version and the value of Coding Scheme Designator (0008,0102)
is not sufficient to identify the Code Value (0008,0100)
unambiguously.
>> Code Meaning (0008,0104) 1C See Section 8.3. Required if a sequence item is present. *** not supported ***
Images in (0020,1002) 3 Number of images that resulted from this acquisition of *** not supported ***
Acquisition data
Image Comments (0020,4000) 3 User-defined comments about the image Import/Export supported.
Quality Control (0028,0300) 3 Indicates whether or not this image is a quality control or *** not supported ***
Image phantom image.
Enumerated Values:
YES
NO If this Attribute is absent, then the image may or may
not be a quality control or phantom image.

Varian System Server DICOM Conformance Statement, VA8804D3CS 129 of 410

IOD Details, General Image – C.7.6.1

Attribute Name Tag T Attribute Description Varian System Database

Burned In (0028,0301) 3 Indicates whether or not image contains sufficient burned *** not supported ***
Annotation in annotation to identify the patient and date the image
was acquired.
Enumerated Values:
YES
NO If this Attribute is absent, then the image may or may
not contain burned in annotation.
Lossy Image (0028,2110) 3 Specifies whether an Image has undergone lossy *** not supported ***
Compression compression.
Enumerated Values:
00 = Image has NOT been subjected to lossy
compression.
01 = Image has been subjected to lossy compression.
See C.7.6.1.1.5
Lossy Image (0028,2112) 3 Describes the approximate lossy compression ratio(s) *** not supported ***
Compression Ratio that have been applied to this image. See C.7.6.1.1.5 for
further explanation. May be multivalued if successive
lossy compression steps have been applied.
Notes:
1. For example, a compression ratio of 30:1 would be
described in this Attribute with a single value of 30.
2. For historical reasons, the lossy compression ratio may
also be described in Derivation Description (0008,2111).
Lossy Image (0028,2114) 3 A label for the lossy compression method(s) that have *** not supported ***
Compression been applied to this image. See C.7.6.1.1.5 for further
Method explanation. May be multivalued if successive lossy
compression steps have been applied; the value order
shall correspond to the values of Lossy Image
Compression Ratio (0028,2112).
Note:
For historical reasons, the lossy compression method
may also be described in Derivation Description
(0008,2111).

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 IOD Details, General Image – C.7.6.1

Attribute Name Tag T Attribute Description Varian System Database

Icon Image (0088,0200) 3 This icon image is representative of the Image. *** not supported ***
Sequence
> Samples per Pixel (0028,0002) 1 Number of samples (planes) in this image. See *** not supported ***
C.7.6.3.1.1 for further explanation.
> Photometric (0028,0004) 1 Specifies the intended interpretation of the pixel data. *** not supported ***
Interpretation See C.7.6.3.1.2 for further explanation.
> Rows (0028,0010) 1 Number of rows in the image. *** not supported ***
> Columns (0028,0011) 1 Number of columns in the image. *** not supported ***
> Bits Allocated (0028,0100) 1 Number of bits allocated for each pixel sample. Each *** not supported ***
sample shall have the same number of bits allocated.
See PS 3.5 for further explanation.
> Bits Stored (0028,0101) 1 Number of bits stored for each pixel sample. Each *** not supported ***
sample shall have the same number of bits stored. See
PS 3.5 for further explanation.
> High Bit (0028,0102) 1 Most significant bit for pixel sample data. Each sample *** not supported ***
shall have the same high bit. See PS 3.5 for further
explanation.
> Pixel (0028,0103) 1 Data representation of the pixel samples. Each sample *** not supported ***
Representation shall have the same pixel representation. Enumerated
Values:
0000H = unsigned integer.
0001H = 2's complement
> Pixel Data (7FE0,0010) 1C A data stream of the pixel samples that comprise the *** not supported ***
Image. See C.7.6.3.1.4 for further explanation. Required
if Pixel Data Provider URL (0028,7FE0) is not present.
> Planar (0028,0006) 1C Indicates whether the pixel data are sent color-by-plane *** not supported ***
Configuration or color-by-pixel. Required if Samples per Pixel
(0028,0002) has a value greater than 1. See C.7.6.3.1.3
for further explanation.

Varian System Server DICOM Conformance Statement, VA8804D3CS 131 of 410

IOD Details, General Image – C.7.6.1

Attribute Name Tag T Attribute Description Varian System Database

> Pixel Aspect Ratio (0028,0034) 1C Ratio of the vertical size and horizontal size of the pixels *** not supported ***
in the image specified by a pair of integer values where
the first value is the vertical pixel size, and the second
value is the horizontal pixel size. Required if the aspect
ratio is not 1 and the Image Plane Module or the Pixel
Measures Macro is not applicable to this Image. See
C.7.6.3.1.7.
> Smallest Image (0028,0106) 3 The minimum actual pixel value encountered in this *** not supported ***
Pixel Value image.
> Largest Image (0028,0107) 3 The maximum actual pixel value encountered in this *** not supported ***
Pixel Value image.
> Red Palette Color (0028,1101) 1C Specifies the format of the Red Palette Color Lookup *** not supported ***
Lookup Table Table Data (0028,1201) Required if Photometric
Descriptor US or Interpretation (0028,0004) has a value of PALETTE
COLOR or Pixel Presentation (0008,9205) at the image
level equals COLOR or MIXED. See C.7.6.3.1.5 for
further explanation.
> Green Palette (0028,1102) 1C Specifies the format of the Green Palette Color Lookup *** not supported ***
Color Lookup Table Table Data (0028,1202) Required if Photometric
Descriptor US or Interpretation (0028,0004) has a value of PALETTE
COLOR or Pixel Presentation (0008,9205) at the image
level equals COLOR or MIXED. See C.7.6.3.1.5 for
further explanation.
> Blue Palette Color (0028,1103) 1C Specifies the format of the Blue Palette Color Lookup *** not supported ***
Lookup Table Table Data (0028,1203) Required if Photometric
Descriptor US or Interpretation (0028,0004) has a value of PALETTE
COLOR or Pixel Presentation (0008,9205) at the image
level equals COLOR or MIXED. See C.7.6.3.1.5 for
further explanation.
> Red Palette Color (0028,1201) 1C Red Palette Color Lookup Table Data. Required if *** not supported ***
Lookup Table Data Photometric Interpretation (0028,0004) has a value of
PALETTE COLOR or Pixel Presentation (0008,9205) at
the image level equals COLOR or MIXED. See
C.7.6.3.1.6 for further explanation.

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 IOD Details, General Image – C.7.6.1

Attribute Name Tag T Attribute Description Varian System Database

> Green Palette (0028,1202) 1C Green Palette Color Lookup Table Data. Required if *** not supported ***
Color Lookup Table Photometric Interpretation (0028,0004) has a value of
Data PALETTE COLOR or Pixel Presentation (0008,9205) at
the image level equals COLOR or MIXED. See
C.7.6.3.1.6 for further explanation.
> Blue Palette Color (0028,1203) 1C Blue Palette Color Lookup Table Data. Required if *** not supported ***
Lookup Table Data Photometric Interpretation (0028,0004) has a value of
PALETTE COLOR or Pixel Presentation (0008,9205) at
the image level equals COLOR or MIXED. See
C.7.6.3.1.6 for further explanation.
> ICC Profile (0028,2000) 3 An ICC Profile encoding the transformation of device- *** not supported ***
dependent color stored pixel values into PCS-Values.
See Section C.11.15.1.1.1. When present, defines the
color space of color Pixel Data (7FE0,0010) values, and
the output of Palette Color Lookup Table. Data
(0028,1201-1203). Note: The profile applies only to the
Pixel Data (7FE0,0010) attribute at the same level of the
dataset and not to any icons nested within sequences,
which may or may not have their own ICC profile
specified.
Presentation LUT (2050,0020) 3 When present, specifies an identity transformation for the *** not supported ***
Shape Presentation LUT such that the output of all grayscale
transformations, if any, are defined to be in P-Values.
Enumerated Values are:
IDENTITY = output is in P-Values - shall be used if
Photometric Interpretation (0028,0004) is
MONOCHROME2 or any color photometric interpretation.
INVERSE = output after inversion is in P- Values - shall
be used if Photometric Interpretation (0028,0004) is
MONOCHROME1. When this attribute is used with a
color photometric interpretation then the luminance
component is in P-Values.
Irradiation Event (0008,3010) 3 Unique identification of the irradiation event(s) associated *** not supported ***
UID with the acquisition of this image. See C.7.6.1.1.7.

Varian System Server DICOM Conformance Statement, VA8804D3CS 133 of 410

IOD Details, Image Plane – C.7.6.2

Attribute Name Tag T Attribute Description Varian System Database

Image Remarks (3281,XX00) 3

C.2.7 Image Plane – C.7.6.2

Complete roundtrip, covering all attributes of this module, is guaranteed for IODs listed below. Other IODs have roundtrip capabilities as specified
on attribute level.
• Positron Emission Tomography Image

Attribute Name Tag T Attribute Description Varian System Database

Pixel Spacing (0028,0030) 1 Physical distance in the patient between the center of Import/Export supported.
each pixel, specified by a numeric pair - adjacent row
spacing (delimiter) adjacent column spacing in mm.
Image Orientation (0020,0037) 1 The direction cosines of the first row and the first column Import/Export supported.
(Patient) with respect to the patient. See C.7.6.2.1.1 for further
explanation.
Image Position (0020,0032) 1 The x, y, and z coordinates of the upper left hand corner Import/Export supported.
(Patient) (center of the first voxel transmitted) of the image, in mm.
See C.7.6.2.1.1 for further explanation.
Slice Thickness (0018,0050) 2 Nominal slice thickness, in mm. Import/Export supported.
Used for CT Images only.
Slice Location (0020,1041) 3 Relative position of exposure expressed in mm. Import/Export supported.
C.7.6.2.1.2 for further explanation. Is displayed as "Slice-Position (z-
value)" in Technical tab of properties
page. Does not affect any other
coordinate values.

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 IOD Details, Image Pixel – C.7.6.3

C.2.8 Image Pixel – C.7.6.3

Complete roundtrip, covering all attributes of this module, is guaranteed for IODs listed below. Other IODs have roundtrip capabilities as specified
on attribute level.
• Positron Emission Tomography Image
• RT Image (multi frame only)

Attribute Name Tag T Attribute Description Varian System Database

Samples per Pixel (0028,0002) 1 Number of samples (planes) in this image. See Import/Export supported.
C.7.6.3.1.1 for further explanation. Import: Warning if value is not 1.
Export: 1
Photometric (0028,0004) 1 Specifies the intended interpretation of the pixel data. Import/Export supported.
Interpretation See C.7.6.3.1.2 for further explanation. Import: Warning if value is not
MONOCHROME2. Pixel data is
always imported as if it were
MONOCHROME2.
Export: MONOCHROME2
Rows (0028,0010) 1 Number of rows in the image. Import/Export supported.
Columns (0028,0011) 1 Number of columns in the image. Import/Export supported.
Bits Allocated (0028,0100) 1 Number of bits allocated for each pixel sample. Each Import/Export supported.
sample shall have the same number of bits allocated.
See PS 3.5 for further explanation.
Bits Stored (0028,0101) 1 Number of bits stored for each pixel sample. Each Import/Export supported.
sample shall have the same number of bits stored. See
PS 3.5 for further explanation.
High Bit (0028,0102) 1 Most significant bit for pixel sample data. Each sample Import/Export supported.
shall have the same high bit. See PS 3.5 for further
explanation.

Varian System Server DICOM Conformance Statement, VA8804D3CS 135 of 410

IOD Details, Image Pixel – C.7.6.3

Attribute Name Tag T Attribute Description Varian System Database

Pixel (0028,0103) 1 Data representation of the pixel samples. Each sample Import/Export supported.
Representation shall have the same pixel representation. Enumerated
Values:
0000H = unsigned integer.
0001H = 2's complement
Pixel Data (7FE0,0010) 1C A data stream of the pixel samples that comprise the Import/Export supported.
Image. See C.7.6.3.1.4 for further explanation. Required
if Pixel Data Provider URL (0028,7FE0) is not present.
Planar Configuration (0028,0006) 1C Indicates whether the pixel data are sent color-by-plane *** not supported ***
or color-by-pixel. Required if Samples per Pixel
(0028,0002) has a value greater than 1. See C.7.6.3.1.3
for further explanation.
Pixel Aspect Ratio (0028,0034) 1C Ratio of the vertical size and horizontal size of the pixels Import/Export supported.
in the image specified by a pair of integer values where
the first value is the vertical pixel size, and the second
value is the horizontal pixel size. Required if the aspect
ratio is not 1 and the Image Plane Module or the Pixel
Measures Macro is not applicable to this Image. See
C.7.6.3.1.7.
Smallest Image (0028,0106) 3 The minimum actual pixel value encountered in this *** not supported ***
Pixel Value image.
Largest Image Pixel (0028,0107) 3 The maximum actual pixel value encountered in this *** not supported ***
Value image.
Red Palette Color (0028,1101) 1C Specifies the format of the Red Palette Color Lookup *** not supported ***
Lookup Table Table Data (0028,1201) Required if Photometric
Descriptor US or Interpretation (0028,0004) has a value of PALETTE
COLOR or Pixel Presentation (0008,9205) at the image
level equals COLOR or MIXED. See C.7.6.3.1.5 for
further explanation.

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 IOD Details, Image Pixel – C.7.6.3

Attribute Name Tag T Attribute Description Varian System Database

Green Palette Color (0028,1102) 1C Specifies the format of the Green Palette Color Lookup *** not supported ***
Lookup Table Table Data (0028,1202) Required if Photometric
Descriptor US or Interpretation (0028,0004) has a value of PALETTE
COLOR or Pixel Presentation (0008,9205) at the image
level equals COLOR or MIXED. See C.7.6.3.1.5 for
further explanation.
Blue Palette Color (0028,1103) 1C Specifies the format of the Blue Palette Color Lookup *** not supported ***
Lookup Table Table Data (0028,1203) Required if Photometric
Descriptor US or Interpretation (0028,0004) has a value of PALETTE
COLOR or Pixel Presentation (0008,9205) at the image
level equals COLOR or MIXED. See C.7.6.3.1.5 for
further explanation.
Red Palette Color (0028,1201) 1C Red Palette Color Lookup Table Data. Required if *** not supported ***
Lookup Table Data Photometric Interpretation (0028,0004) has a value of
PALETTE COLOR or Pixel Presentation (0008,9205) at
the image level equals COLOR or MIXED. See
C.7.6.3.1.6 for further explanation.
Green Palette Color (0028,1202) 1C Green Palette Color Lookup Table Data. Required if *** not supported ***
Lookup Table Data Photometric Interpretation (0028,0004) has a value of
PALETTE COLOR or Pixel Presentation (0008,9205) at
the image level equals COLOR or MIXED. See
C.7.6.3.1.6 for further explanation.
Blue Palette Color (0028,1203) 1C Blue Palette Color Lookup Table Data. Required if *** not supported ***
Lookup Table Data Photometric Interpretation (0028,0004) has a value of
PALETTE COLOR or Pixel Presentation (0008,9205) at
the image level equals COLOR or MIXED. See
C.7.6.3.1.6 for further explanation.

Varian System Server DICOM Conformance Statement, VA8804D3CS 137 of 410

IOD Details, Contrast/Bolus – C.7.6.4

Attribute Name Tag T Attribute Description Varian System Database

ICC Profile (0028,2000) 3 An ICC Profile encoding the transformation of device- *** not supported ***
dependent color stored pixel values into PCS-Values.
See Section C.11.15.1.1.1. When present, defines the
color space of color Pixel Data (7FE0,0010) values, and
the output of Palette Color Lookup Table. Data
(0028,1201-1203). Note: The profile applies only to the
Pixel Data (7FE0,0010) attribute at the same level of the
dataset and not to any icons nested within sequences,
which may or may not have their own ICC profile
specified.
Pixel Data Provider (0028,7FE0) 1C A URL of a provider service that supplies the pixel data of *** not supported ***
URL the Image.
Required if the image is to be transferred in one of the
following presentation contexts identified by Transfer
Syntax UID: 1.2.840.10008.1.2.4.94 (DICOM JPIP
Referenced Transfer Syntax) 1.2.840.10008.1.2.4.95
(DICOM JPIP Referenced Deflate Transfer Syntax)

C.2.9 Contrast/Bolus – C.7.6.4

Attribute Name Tag T Attribute Description Varian System Database

Contrast/Bolus (0018,0010) 2 Contrast or bolus agent Import/Export supported.

Agent
Contrast/Bolus (0018,0012) 3 Sequence that identifies the contrast agent. One or more
Agent Sequence Items may be present.
> Code Value (0008,0100) 1C See Section 8.1. Required if a sequence item is present. Import/Export supported.
> Coding Scheme (0008,0102) 1C See Section 8.2. Required if a sequence item is present. Import/Export supported.
Designator

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 IOD Details, Contrast/Bolus – C.7.6.4

Attribute Name Tag T Attribute Description Varian System Database

> Coding Scheme (0008,0103) 1C See Section 8.2. Required if a sequence item is present Import/Export supported.
Version and the value of Coding Scheme Designator (0008,0102)
is not sufficient to identify the Code Value (0008,0100)
unambiguously.
> Code Meaning (0008,0104) 1C See Section 8.3. Required if a sequence item is present. Import/Export supported.
Contrast/Bolus (0018,1040) 3 Administration route of contrast agent Import/Export supported.
Route
Contrast/Bolus (0018,0014) 3 Sequence that identifies the route of administration of
Administration contrast agent. Only a single Item shall be permitted in
Route Sequence this sequence.
> Code Value (0008,0100) 1C See Section 8.1. Required if a sequence item is present. Import/Export supported.
> Coding Scheme (0008,0102) 1C See Section 8.2. Required if a sequence item is present. Import/Export supported.
Designator
> Coding Scheme (0008,0103) 1C See Section 8.2. Required if a sequence item is present Import/Export supported.
Version and the value of Coding Scheme Designator (0008,0102)
is not sufficient to identify the Code Value (0008,0100)
unambiguously.
> Code Meaning (0008,0104) 1C See Section 8.3. Required if a sequence item is present. Import/Export supported.
> Additional Drug (0018,002A) 3 Sequence that identifies any additional drug that is
Sequence administered with the contrast agent bolus. One or more
Items may be present.
>> Code Value (0008,0100) 1C See Section 8.1. Required if a sequence item is present.
>> Coding Scheme (0008,0102) 1C See Section 8.2. Required if a sequence item is present.
Designator
>> Coding Scheme (0008,0103) 1C See Section 8.2. Required if a sequence item is present
Version and the value of Coding Scheme Designator (0008,0102)
is not sufficient to identify the Code Value (0008,0100)
unambiguously.
>> Code Meaning (0008,0104) 1C See Section 8.3. Required if a sequence item is present.

Varian System Server DICOM Conformance Statement, VA8804D3CS 139 of 410

IOD Details, Cine – C.7.6.5

Attribute Name Tag T Attribute Description Varian System Database

Contrast/Bolus (0018,1041) 3 Volume injected in milliliters of diluted contrast agent Import/Export supported.
Volume
Contrast/Bolus Start (0018,1042) 3 Time of start of injection Import/Export supported.
Time
Contrast/Bolus Stop (0018,1043) 3 Time of end of contrast injection Import/Export supported.
Time
Contrast/Bolus Total (0018,1044) 3 Total amount in milliliters of the undiluted contrast agent Import/Export supported.
Dose
Contrast Flow Rate (0018,1046) 3 Rate(s) of injection(s) in milliliters/sec Import/Export supported.
Contrast Flow (0018,1047) 3 Duration(s) of injection(s) in seconds. Each Contrast Flow Import/Export supported.
Duration Duration value shall correspond to a value of Contrast
Flow Rate (0018,1046).
Contrast/Bolus (0018,1048) 3 Active ingredient of agent. Defined Terms: IODINE Import/Export supported.
Ingredient GADOLINIUM CARBON DIOXIDE BARIUM
Contrast/Bolus (0018,1049) 3 Milligrams of active ingredient per milliliter of (diluted) Import/Export supported.
Ingredient agent
Concentration

C.2.10 Cine – C.7.6.5

Complete roundtrip, covering all attributes of this module, is guaranteed for IODs listed below. Other IODs have roundtrip capabilities as specified
on attribute level.
• RT Image (multi frame only)

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 IOD Details, Cine – C.7.6.5

Attribute Name Tag T Attribute Description Varian System Database

Preferred Playback (0018,1244) 3 Describes the preferred playback sequencing for a multi- Roundtrip supported.
Sequencing frame image.
Enumerated Values:
0 = Looping (1,2...n,1,2,...n,1,2,....n,...)
1 = Sweeping (1,2,...n,n-1,...2,1,2,...n,...)
Frame Time (0018,1063) 1C Nominal time (in msec) per individual frame. See Roundtrip supported.
C.7.6.5.1.1 for further explanation. Required if Frame
Increment Pointer (0028,0009) points to Frame Time.
Frame Time Vector (0018,1065) 1C An array that contains the real time increments (in msec) Roundtrip supported.
between frames for a Multi-frame image. See C.7.6.5.1.2
for further explanation. Required if Frame Increment
Pointer (0028,0009) points to Frame Time Vector.
Note:
Frame Time Vector arrays may not be properly encoded
if Explicit-VR transfer syntax is used and the VL of this
attribute exceeds 65534 bytes.
Start Trim (0008,2142) 3 The frame number of the first frame of the Multi-frame Roundtrip supported.
image to be displayed.
Stop Trim (0008,2143) 3 The Frame Number of the last frame of a Multi-frame Roundtrip supported.
image to be displayed.
Recommended (0008,2144) 3 Recommended rate at which the frames of a Multi-frame Roundtrip supported.
Display Frame Rate image should be displayed in frames/second.
Cine Rate (0018,0040) 3 Number of frames per second. Roundtrip supported.
Frame Delay (0018,1066) 3 Time (in msec) from Content Time (0008,0033) to the Roundtrip supported.
start of the first frame in a Multi-frame image.
Image Trigger Delay (0018,1067) 3 Delay time in milliseconds from trigger (e.g., X-ray on Roundtrip supported.
pulse) to the first frame of a Multi-frame image.
Effective Duration (0018,0072) 3 Total time in seconds that data was actually taken for the Roundtrip supported.
entire Multi-frame image.

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IOD Details, Cine – C.7.6.5

Attribute Name Tag T Attribute Description Varian System Database

Actual Frame (0018,1242) 3 Elapsed time of data acquisition in msec per each frame. Roundtrip supported.
Duration
Multiplexed Audio (003A,0300) 2C Description of any multiplexed audio channels. See Roundtrip supported.
Channels Section C.7.6.5.1.3.
Description Code Required if the Transfer Syntax used to encode the multi-
Sequence frame image contains multiplexed (interleaved) audio
channels, such as is possible with MPEG2. Zero or more
items may be present in this sequence.
> Channel (003A,0301) 1 A reference to the audio channel as identified within Roundtrip supported.
Identification Code Transfer Syntax encoded bit stream (1 for the main
channel, 2 for the second channel and 3 to 9 to the
complementary channels).
> Channel Mode (003A,0302) 1 A coded descriptor qualifying the mode of the channel: Roundtrip supported.
Enumerated Values:
MONO = 1 signal
STEREO = 2 simultaneously acquired (left and right)
signals
> Channel Source (003A,0208) 1 A coded descriptor of the audio channel source. Only a Roundtrip supported.
Sequence single Item shall be permitted in this sequence.
>> Code Value (0008,0100) 1C See Section 8.1. Required if a sequence item is present. Roundtrip supported.
>> Coding Scheme (0008,0102) 1C See Section 8.2. Required if a sequence item is present. Roundtrip supported.
Designator
>> Coding Scheme (0008,0103) 1C See Section 8.2. Required if a sequence item is present Roundtrip supported.
Version and the value of Coding Scheme Designator (0008,0102)
is not sufficient to identify the Code Value (0008,0100)
unambiguously.
>> Code Meaning (0008,0104) 1C See Section 8.3. Required if a sequence item is present. Roundtrip supported.

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 IOD Details, Multi-Frame – C.7.6.6

C.2.11 Multi-Frame – C.7.6.6

Complete roundtrip, covering all attributes of this module, is guaranteed for IODs listed below. Other IODs have roundtrip capabilities as specified
on attribute level.
• RT Image (multi frame only)

Attribute Name Tag T Attribute Description Varian System Database

Number of Frames (0028,0008) 1 Number of frames in a Multi-frame Image. See Import/Export supported.
C.7.6.6.1.1 for further explanation.
Frame Increment (0028,0009) 1 Contains the Data Element Tag of the attribute that is RT Image: Roundtrip supported (value
Pointer used as the frame increment in Multi-frame pixel data. stored in DICOM file).
See C.7.6.6.1.1 for further explanation. RT Dose:
- Export: Grid Frame Offset Vector
(3004, 000C).
- Import: Value ignored.

Varian System Server DICOM Conformance Statement, VA8804D3CS 143 of 410

IOD Details, CR Series – C.8.1.1

C.2.12 CR Series – C.8.1.1

Attribute Name Tag T Attribute Description Varian System Database

Body Part Examined (0018,0015) 2 Text description of the part of the body examined. Import/Export supported.
Defined Terms: Values HEAD, HEART, NECK, LEG,
SKULL ARM, JAW are not fully supported.
Objects imported with these values will
CSPINE
be displayed correctly. However,
TSPINE creation of a new object having one of
LSPINE those defined terms will not be
SSPINE possible.
COCCYX
CHEST
CLAVICLE
BREAST
ABDOMEN
PELVIS
HIP
SHOULDER
ELBOW
KNEE
ANKLE
HAND
FOOT
EXTREMITY
HEAD
HEART
NECK
LEG
ARM
JAW

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 IOD Details, CR Image – C.8.1.2

View Position (0018,5101) 2 Radiographic view associated with Patient Position *** not supported ***
(0018,5100).
Defined Terms:
AP = Anterior/Posterior
PA = Posterior/Anterior
LL = Left Lateral
RL = Right Lateral
RLD = Right Lateral Decubitus
LLD = Left Lateral Decubitus
RLO = Right Lateral Oblique
LLO = Left Lateral Oblique
Filter Type (0018,1160) 3 Label for the type of filter inserted into the x-ray beam *** not supported ***
Collimator/Grid (0018,1180) 3 Label describing any grid inserted. *** not supported ***
Name
Focal Spot(s) (0018,1190) 3 Size of the focal spot in mm. For devices with variable *** not supported ***
focal spot or multiple focal spots, small dimension
followed by large dimension.
Plate Type (0018,1260) 3 Label of the type of storage phosphor plates used in this *** not supported ***
series
Phosphor Type (0018,1261) 3 Label of type of phosphor on the plates *** not supported ***

C.2.13 CR Image – C.8.1.2

Attribute Name Tag T Attribute Description Varian System Database

Photometric (0028,0004) 1 Specifies the intended interpretation of the pixel data. Import/Export supported.
Interpretation Shall have one of the following Import: Warning if value is not
Enumerated Values: MONOCHROME2. Pixel data is
MONOCHROME1 always imported as if it were
MONOCHROME2.
MONOCHROME2
Export: MONOCHROME2

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IOD Details, CR Image – C.8.1.2

KVP (0018,0060) 3 Peak kilo voltage output of the x-ray generator used *** not supported ***
Plate ID (0018,1004) 3 The ID or serial number of the sensing plate upon which *** not supported ***
the image was acquired
Distance Source to (0018,1110) 3 Distance in mm from source to detector center. *** not supported ***
Detector Note:
This value is traditionally referred to as Source Image
Receptor Distance (SID).
Distance Source to (0018,1111) 3 Distance in mm from source to isocenter (center of field *** not supported ***
Patient of view) .
Note:
This value is traditionally referred to as Source Object
Distance (SOD).
Exposure Time (0018,1150) 3 Time of x-ray exposure in msec *** not supported ***
X-ray Tube Current (0018,1151) 3 X-ray Tube Current in mA. *** not supported ***
Exposure (0018,1152) 3 The exposure expressed in mAs, for example calculated *** not supported ***
from Exposure Time and X-ray Tube Current.
Exposure in uAs (0018,1153) 3 The exposure expressed in ╡As, for example calculated *** not supported ***
from Exposure Time and X-ray Tube Current.
Imager Pixel (0018,1164) 3 Physical distance measured at the front plane of the Import supported.
Spacing Image Receptor housing between the center of each Will be ignored if Pixel Spacing
pixel. Specified by a numeric pair - row spacing value (0028,0030) is defined.
(delimiter) column spacing value - in mm. In the case of
CR, the front plane is defined to be the external surface
of the CR plate closest to the patient and radiation
source.
Pixel Spacing (0028,0030) 1C Physical distance in the patient between the center of Import/Export supported.
each pixel, specified by a numeric pair - adjacent row
spacing (delimiter) adjacent column spacing in mm. See
10.7.1.1.
Pixel Spacing (0028,0402) 3 The type of correction for the effect of geometric *** not supported ***
Calibration Type magnification or calibration against an object of known
size, if any. See 10.7.1.2.

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 IOD Details, CR Image – C.8.1.2

Pixel Spacing (0028,0404) 1C A free text description of the type of correction or *** not supported ***
Calibration calibration performed.
Description Notes: 1. In the case of correction, the text might include
description of the assumptions made about the body part
and geometry and depth within the patient.
2. in the case of calibration, the text might include a
description of the fiducial and where it is located (e.g.,
"XYZ device applied to the skin over the greater
trochanter").
3. Though it is not required, the Device Module may be
used to describe the specific characteristics and size of
the calibration device. Required if Pixel Spacing
Calibration Type (0028,0402) is present.
Generator Power (0018,1170) 3 Power in kW to the x-ray generator. *** not supported ***
Acquisition Device (0018,1400) 3 Describes device-specific processing associated with the *** not supported ***
Processing image (e.g. Organ Description)
Description
Acquisition Device (0018,1401) 3 Code representing the device-specific processing *** not supported ***
Processing Code associated with the image (e.g. CR Organ Filtering code)
Cassette Orientation (0018,1402) 3 Orientation of cassette, used to properly position the *** not supported ***
image for display.
Enumerated Values:
LANDSCAPE
PORTRAIT
Cassette Size (0018,1403) 3 Size of cassette. Defined Terms: 18CMX24CM 8INX10IN *** not supported ***
24CMX30CM 10INX12IN 30CMX35CM 30CMX40CM
11INX14IN 35CMX35CM 14INX14IN 35CMX43CM
14INX17IN
Exposures on Plate (0018,1404) 3 Total number of x-ray exposures that have been made on *** not supported ***
the plate identified in Plate ID (0018,1004)
Relative X-ray (0018,1405) 3 Relative x-ray exposure on the plate. Meaning of values *** not supported ***
Exposure is implementation specific. May be used to adjust the
dynamic range of the plate digitizer (scanner).
Sensitivity (0018,6000) 3 Read out sensitivity. *** not supported ***

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IOD Details, CR Image – C.8.1.2

Anatomic Region (0008,2218) 3 Sequence that identifies the anatomic region of interest in *** not supported ***
Sequence this Instance (i.e. external anatomy, surface anatomy, or
general region of the body).
Only a single Item shall be permitted in this sequence.
> Code Value (0008,0100) 1C See Section 8.1. Required if a sequence item is present. *** not supported ***
> Coding Scheme (0008,0102) 1C See Section 8.2. Required if a sequence item is present. *** not supported ***
Designator
> Coding Scheme (0008,0103) 1C See Section 8.2. Required if a sequence item is present *** not supported ***
Version and the value of Coding Scheme Designator (0008,0102)
is not sufficient to identify the Code Value (0008,0100)
unambiguously.
> Code Meaning (0008,0104) 1C See Section 8.3. Required if a sequence item is present. *** not supported ***
> Anatomic Region (0008,2220) 3 Sequence of Items that modifies the anatomic region of *** not supported ***
Modifier Sequence interest of this Instance One or more Items may be
included in this Sequence.
>> Code Value (0008,0100) 1C See Section 8.1. Required if a sequence item is present. *** not supported ***
>> Coding Scheme (0008,0102) 1C See Section 8.2. Required if a sequence item is present. *** not supported ***
Designator
>> Coding Scheme (0008,0103) 1C See Section 8.2. Required if a sequence item is present *** not supported ***
Version and the value of Coding Scheme Designator (0008,0102)
is not sufficient to identify the Code Value (0008,0100)
unambiguously.
>> Code Meaning (0008,0104) 1C See Section 8.3. Required if a sequence item is present. *** not supported ***
Primary Anatomic (0008,2228) 3 Sequence of Items that identifies the primary anatomic *** not supported ***
Structure Sequence structure(s) of interest in this Instance.
One or more Items may be included in this Sequence.
> Code Value (0008,0100) 1C See Section 8.1. Required if a sequence item is present. *** not supported ***
> Coding Scheme (0008,0102) 1C See Section 8.2. Required if a sequence item is present. *** not supported ***
Designator

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 IOD Details, CT Image – C.8.2.1

> Coding Scheme (0008,0103) 1C See Section 8.2. Required if a sequence item is present *** not supported ***
Version and the value of Coding Scheme Designator (0008,0102)
is not sufficient to identify the Code Value (0008,0100)
unambiguously.
> Code Meaning (0008,0104) 1C See Section 8.3. Required if a sequence item is present. *** not supported ***
> Primary Anatomic (0008,2230) 3 Sequence of Items that modifies the primary anatomic *** not supported ***
Structure Modifier structure of interest in this Instance.
Sequence One or more Items may be included in this Sequence.
>> Code Value (0008,0100) 1C See Section 8.1. Required if a sequence item is present. *** not supported ***
>> Coding Scheme (0008,0102) 1C See Section 8.2. Required if a sequence item is present. *** not supported ***
Designator
>> Coding Scheme (0008,0103) 1C See Section 8.2. Required if a sequence item is present *** not supported ***
Version and the value of Coding Scheme Designator (0008,0102)
is not sufficient to identify the Code Value (0008,0100)
unambiguously.
>> Code Meaning (0008,0104) 1C See Section 8.3. Required if a sequence item is present. *** not supported ***

C.2.14 CT Image – C.8.2.1

Attribute Name Tag T Attribute Description Varian System Database

Image Type (0008,0008) 1 Image identification characteristics. See C.8.2.1.1.1 for Import/Export supported.
specialization.
Samples per Pixel (0028,0002) 1 Number of samples (planes) in this image. See Import/Export supported.
C.8.2.1.1.2 for specialization. Import: Warning if value is not 1.
Export: 1
Photometric (0028,0004) 1 Specifies the intended interpretation of the pixel data. Import/Export supported.
Interpretation See C.8.2.1.1.3 for specialization. Import: Warning if value is not
MONOCHROME2. Pixel data is
always imported as if it were
MONOCHROME2.
Export: MONOCHROME2

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IOD Details, CT Image – C.8.2.1

Attribute Name Tag T Attribute Description Varian System Database

Bits Allocated (0028,0100) 1 Number of bits allocated for each pixel sample. Each Import/Export supported.
sample shall have the same number of bits allocated.
See C.8.2.1.1.4 for specialization.
Bits Stored (0028,0101) 1 Number of bits stored for each pixel sample. Each Import/Export supported.
sample shall have the same number of bits stored. See
C.8.2.1.1.5 for specialization.
High Bit (0028,0102) 1 Most significant bit for pixel sample data. Each sample Import/Export supported.
shall have the same high bit. See C.8.2.1.1.6 for
specialization.
Rescale Intercept (0028,1052) 1 The value b in relationship between stored values (SV) Import/Export supported.
and Hounsfield (HU). HU = m*SV+b
Rescale Slope (0028,1053) 1 m in the equation specified in Rescale Intercept Import/Export supported.
(0028,1052).
KVP (0018,0060) 2 Peak kilo voltage output of the x-ray generator used Import/Export supported.
Acquisition Number (0020,0012) 2 A number identifying the single continuous gathering of Import/Export supported.
data over a period of time which resulted in this image
Scan Options (0018,0022) 3 Parameters of scanning sequence. Import/Export supported.
Data Collection (0018,0090) 3 The diameter in mm of the region over which data were Import/Export supported.
Diameter collected
Reconstruction (0018,1100) 3 Diameter in mm of the region from within which data were Import/Export supported.
Diameter used in creating the reconstruction of the image. Data
may exist outside this region and portions of the patient
may exist outside this region.
Distance Source to (0018,1110) 3 Distance in mm from source to detector center. Import/Export supported.
Detector Note:
This value is traditionally referred to as Source Image
Receptor Distance (SID).

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 IOD Details, CT Image – C.8.2.1

Attribute Name Tag T Attribute Description Varian System Database

Distance Source to (0018,1111) 3 Distance in mm from source to isocenter (center of field Import/Export supported.
Patient of view).
Note:
This value is traditionally referred to as Source Object
Distance (SOD).
Gantry/Detector Tilt (0018,1120) 3 Nominal angle of tilt in degrees of the scanning gantry. Import/Export supported.
Not intended for mathematical computations.
Table Height (0018,1130) 3 The distance in mm of the top of the patient table to the Import/Export supported.
center of rotation; below the center is positive.
Table Top (300A,0129) 3 Import/Export supported.
Longitudinal Extended Standard Attribute used to
Position track table position.
Table Top Lateral (300A,012A) 3 Import/Export supported.
Position Extended Standard Attribute used to
track table position.
Patient Support (300A,0122) 3 Import/Export supported.
Angle Extended Standard Attribute used to
track table position.
Rotation Direction (0018,1140) 3 Direction of rotation of the source when relevant, about Import/Export supported.
nearest principal axis of equipment.
Enumerated Values:
CW = clockwise
CC = counter clockwise
Exposure Time (0018,1150) 3 Time of x-ray exposure in msec Import/Export supported.
X-ray Tube Current (0018,1151) 3 X-ray Tube Current in mA. Import/Export supported.
Exposure (0018,1152) 3 The exposure expressed in mAs, for example calculated Import/Export supported.
from Exposure Time and X-ray Tube Current.
Exposure in uAs (0018,1153) 3 The exposure expressed in ╡As, for example calculated *** not supported ***
from Exposure Time and X-ray Tube Current.

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IOD Details, CT Image – C.8.2.1

Attribute Name Tag T Attribute Description Varian System Database

Filter Type (0018,1160) 3 Label for the type of filter inserted into the x-ray beam. Import/Export supported.
Generator Power (0018,1170) 3 Power in kW to the x-ray generator. Import/Export supported.
Focal Spot(s) (0018,1190) 3 Size of the focal spot in mm. For devices with variable Import/Export supported.
focal spot or multiple focal spots, small dimension
followed by large dimension.
Convolution Kernel (0018,1210) 3 A label describing the convolution kernel or algorithm Import/Export supported.
used to reconstruct the data
Revolution Time (0018,9305) 3 The time in seconds of a complete revolution of the *** not supported ***
source around the gantry orbit.
Single Collimation (0018,9306) 3 The width of a single row of acquired data (in mm). *** not supported ***
Width Note:
Adjacent physical detector rows may have been
combined to form a single effective acquisition row.
Total Collimation (0018,9307) 3 The width of the total collimation (in mm) over the area of *** not supported ***
Width active x-ray detection.
Note:
This will be equal the number of effective detector rows
multiplied by single collimation width.
Table Speed (0018,9309) 3 The distance in mm that the table moves in one second *** not supported ***
during the gathering of data that resulted in this image.
Table Feed per (0018,9310) 3 Motion of the table (in mm) during a complete revolution *** not supported ***
Rotation of the source around the gantry orbit.
Spiral Pitch Factor (0018,9311) 3 Ratio of the Table Feed per Rotation (0018,9310) to the *** not supported ***
Total Collimation Width (0018,9307).
Exposure (0018,9323) 3 A label describing the type of exposure modulation used *** not supported ***
Modulation Type for the purpose of limiting the dose.
Defined Terms:
NONE

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 IOD Details, CT Image – C.8.2.1

Attribute Name Tag T Attribute Description Varian System Database

Estimated Dose (0018,9324) 3 A percent value of dose saving due to the use of *** not supported ***
Saving Exposure Modulation Type (0018,9323). A negative
percent value of dose savings reflects an increase of
exposure.
CTDIvol (0018,9345) 3 Computed Tomography Dose Index (CTDIvol), im mGy *** not supported ***
according to IEC 60601-2-44, Ed.2.1 (Clause
29.1.103.4), The Volume CTDIvol. It describes the
average dose for this image for the selected CT
conditions of operation.
Anatomic Region (0008,2218) 3 Sequence that identifies the anatomic region of interest in *** not supported ***
Sequence this Instance (i.e. external anatomy, surface anatomy, or
general region of the body).
Only a single Item shall be permitted in this sequence.
> Code Value (0008,0100) 1C See Section 8.1. Required if a sequence item is present. *** not supported ***
> Coding Scheme (0008,0102) 1C See Section 8.2. Required if a sequence item is present. *** not supported ***
Designator
> Coding Scheme (0008,0103) 1C See Section 8.2. Required if a sequence item is present *** not supported ***
Version and the value of Coding Scheme Designator (0008,0102)
is not sufficient to identify the Code Value (0008,0100)
unambiguously.
> Code Meaning (0008,0104) 1C See Section 8.3. Required if a sequence item is present. *** not supported ***
> Anatomic Region (0008,2220) 3 Sequence of Items that modifies the anatomic region of *** not supported ***
Modifier Sequence interest of this Instance One or more Items may be
included in this Sequence.
>> Code Value (0008,0100) 1C See Section 8.1. Required if a sequence item is present. *** not supported ***
>> Coding Scheme (0008,0102) 1C See Section 8.2. Required if a sequence item is present. *** not supported ***
Designator
>> Coding Scheme (0008,0103) 1C See Section 8.2. Required if a sequence item is present *** not supported ***
Version and the value of Coding Scheme Designator (0008,0102)
is not sufficient to identify the Code Value (0008,0100)
unambiguously.

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IOD Details, CT Image – C.8.2.1

Attribute Name Tag T Attribute Description Varian System Database

>> Code Meaning (0008,0104) 1C See Section 8.3. Required if a sequence item is present. *** not supported ***
Primary Anatomic (0008,2228) 3 Sequence of Items that identifies the primary anatomic *** not supported ***
Structure Sequence structure(s) of interest in this Instance.
One or more Items may be included in this Sequence.
> Code Value (0008,0100) 1C See Section 8.1. Required if a sequence item is present. *** not supported ***
> Coding Scheme (0008,0102) 1C See Section 8.2. Required if a sequence item is present. *** not supported ***
Designator
> Coding Scheme (0008,0103) 1C See Section 8.2. Required if a sequence item is present *** not supported ***
Version and the value of Coding Scheme Designator (0008,0102)
is not sufficient to identify the Code Value (0008,0100)
unambiguously.
> Code Meaning (0008,0104) 1C See Section 8.3. Required if a sequence item is present. *** not supported ***
> Primary Anatomic (0008,2230) 3 Sequence of Items that modifies the primary anatomic *** not supported ***
Structure Modifier structure of interest in this Instance.
Sequence One or more Items may be included in this Sequence.
>> Code Value (0008,0100) 1C See Section 8.1. Required if a sequence item is present. *** not supported ***
>> Coding Scheme (0008,0102) 1C See Section 8.2. Required if a sequence item is present. *** not supported ***
Designator
>> Coding Scheme (0008,0103) 1C See Section 8.2. Required if a sequence item is present *** not supported ***
Version and the value of Coding Scheme Designator (0008,0102)
is not sufficient to identify the Code Value (0008,0100)
unambiguously.
>> Code Meaning (0008,0104) 1C See Section 8.3. Required if a sequence item is present. *** not supported ***

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 IOD Details, MR Image – C.8.3.1

C.2.15 MR Image – C.8.3.1

Attribute Name Tag T Attribute Description Varian System Database

Image Type (0008,0008) 1 Image identification characteristics. See C.8.3.1.1.1 for Import/Export supported.
specialization.
Samples per Pixel (0028,0002) 1 Number of samples (planes) in this image. See Import/Export supported.
C.8.3.1.1.2 for specialization. Import: Warning if value is not 1.
Export: 1
Photometric (0028,0004) 1 Specifies the intended interpretation of the pixel data. Import/Export supported.
Interpretation See C.8.3.1.1.3 for specialization. Import: Warning if value is not
MONOCHROME2. Pixel data is
always imported as if it were
MONOCHROME2.
Export: MONOCHROME2
Bits Allocated (0028,0100) 1 Number of bits allocated for each pixel sample. Each Import/Export supported.
sample shall have the same number of bits allocated.
See C.8.3.1.1.4 for specialization.
Scanning Sequence (0018,0020) 1 Description of the type of data taken. Import/Export supported.
Enumerated Values:
SE = Spin Echo
IR = Inversion Recovery
GR = Gradient Recalled
EP = Echo Planar
RM = Research Mode
Note:
Multi-valued, but not all combinations are valid (e.g.
SE/GR, etc.).

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IOD Details, MR Image – C.8.3.1

Attribute Name Tag T Attribute Description Varian System Database

Sequence Variant (0018,0021) 1 Variant of the Scanning Sequence. Import/Export supported.

Defined Terms:
SK = segmented k-space
MTC = magnetization transfer contrast
SS = steady state
TRSS = time reversed steady state
SP = spoiled
MP = MAG prepared
OSP = oversampling phase
NONE = no sequence variant
Scan Options (0018,0022) 2 Parameters of scanning sequence. *** DICOM validation only ***
Defined Terms:
PER = Phase Encode Reordering
RG = Respiratory Gating
CG = Cardiac Gating
PPG = Peripheral Pulse Gating
FC = Flow Compensation
PFF = Partial Fourier - Frequency
PFP = Partial Fourier - Phase
SP = Spatial Presaturation
FS = Fat Saturation
MR Acquisition (0018,0023) 2 Identification of data encoding scheme. *** DICOM validation only ***
Type Enumerated Values:
2D = frequency x phase
3D = frequency x phase x phase
Repetition Time (0018,0080) 2C The period of time in msec between the beginning of a *** DICOM validation only ***
pulse sequence and the beginning of the succeeding
(essentially identical) pulse sequence. Required except
when Scanning Sequence (0018,0020) is EP and
Sequence Variant (0018,0021) is not SK.

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 IOD Details, MR Image – C.8.3.1

Attribute Name Tag T Attribute Description Varian System Database

Echo Time (0018,0081) 2 Time in ms between the middle of the excitation pulse *** DICOM validation only ***
and the peak of the echo produced (kx=0). In the case of
segmented k-space, the TE(eff) is the time between the
middle of the excitation pulse to the peak of the echo that
is used to cover the center of k-space (i.e.-kx=0, ky=0).
Echo Train Length (0018,0091) 2 Number of lines in k-space acquired per excitation per *** DICOM validation only ***
image.
Inversion Time (0018,0082) 2C Time in msec after the middle of inverting RF pulse to *** DICOM validation only ***
middle of excitation pulse to detect the amount of
longitudinal magnetization. Required if Scanning
Sequence (0018,0020) has values of IR.
Trigger Time (0018,1060) 2C Time, in msec, between peak of the R wave and the peak *** DICOM validation only ***
of the echo produced. In the case of segmented k-space,
the TE(eff) is the time between the peak of the echo that
is used to cover the center of k- space. Required for Scan
Options (0018,0022) which include heart gating (e.g. CG,
PPG, etc.)
Sequence Name (0018,0024) 3 User defined name for the Scanning Sequence *** not supported ***
(0018,0020) and Sequence Variant (0018,0021)
combination.
Angio Flag (0018,0025) 3 Angio Image Indicator. Primary image for Angio *** not supported ***
processing.
Enumerated Values:
Y = Image is Angio
N = Image is not Angio
Number of (0018,0083) 3 Number of times a given pulse sequence is repeated *** not supported ***
Averages before any parameter is changed
Imaging Frequency (0018,0084) 3 Precession frequency in MHz of the nucleus being *** not supported ***
addressed
Imaged Nucleus (0018,0085) 3 Nucleus that is resonant at the imaging frequency. *** not supported ***
Examples: 31P, 1H

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IOD Details, MR Image – C.8.3.1

Attribute Name Tag T Attribute Description Varian System Database

Echo Number(s) (0018,0086) 3 The echo number used in generating this image. In the *** not supported ***
case of segmented k-space, it is the effective Echo
Number.
Magnetic Field (0018,0087) 3 Nominal field strength of MR magnet, in Tesla *** not supported ***
Strength
Spacing Between (0018,0088) 3 Spacing between slices, in mm. The spacing is measured *** not supported ***
Slices from the center-tocenter of each slice.
Number of Phase (0018,0089) 3 Total number of lines in k-space in the 'y' direction *** not supported ***
Encoding Steps collected during acquisition.
Percent Sampling (0018,0093) 3 Fraction of acquisition matrix lines acquired, expressed *** not supported ***
as a percent.
Percent Phase Field (0018,0094) 3 Ratio of field of view dimension in phase direction to field *** not supported ***
of View of view dimension in frequency direction, expressed as a
percent.
Pixel Bandwidth (0018,0095) 3 Reciprocal of the total sampling period, in hertz per pixel. *** not supported ***
Nominal Interval (0018,1062) 3 Average R-R interval used for the scans, in msec *** not supported ***
Beat Rejection Flag (0018,1080) 3 Beat length sorting has been applied. *** not supported ***
Enumerated Values:
Y = yes
N = No
Low R-R Value (0018,1081) 3 R-R interval low limit for beat rejection, in msec *** not supported ***
High R-R Value (0018,1082) 3 R-R interval high limit for beat rejection, in msec *** not supported ***
Intervals Acquired (0018,1083) 3 Number of R-R intervals acquired. *** not supported ***
Intervals Rejected (0018,1084) 3 Number of R-R intervals rejected. *** not supported ***
PVC Rejection (0018,1085) 3 Description of type of PVC rejection criteria used. *** not supported ***
Skip Beats (0018,1086) 3 Number of beats skipped after a detected arrhythmia. *** not supported ***
Heart Rate (0018,1088) 3 Beats per minute. *** not supported ***

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 IOD Details, MR Image – C.8.3.1

Attribute Name Tag T Attribute Description Varian System Database

Cardiac Number of (0018,1090) 3 Number of images per cardiac cycle. *** not supported ***
Images
Trigger Window (0018,1094) 3 Percent of R-R interval, based on Heart Rate *** not supported ***
(0018,1088), prescribed as a window for a valid/usable
trigger.
Reconstruction (0018,1100) 3 Diameter in mm. of the region from within which data *** not supported ***
Diameter were used in creating the reconstruction of the image.
Data may exist outside this region and portions of the
patient may exist outside this region.
Receive Coil Name (0018,1250) 3 Receive coil used. *** not supported ***
Transmit Coil Name (0018,1251) 3 Transmit coil used. *** not supported ***
Acquisition Matrix (0018,1310) 3 Dimensions of the acquired frequency /phase data before *** not supported ***
reconstruction. Multi-valued: frequency rows\frequency
columns\phase rows\phase columns.
In-plane Phase (0018,1312) 3 The axis of phase encoding with respect to the image. *** not supported ***
Encoding Direction Enumerated Values:
ROW = phase encoded in rows.
COL = phase encoded in columns.
Flip Angle (0018,1314) 3 Steady state angle in degrees to which the magnetic *** not supported ***
vector is flipped from the magnetic vector of the primary
field.
SAR (0018,1316) 3 Calculated whole body Specific Absorption Rate in *** not supported ***
watts/kilogram.
Variable Flip Angle (0018,1315) 3 Flip angle variation applied during image acquisition. *** not supported ***
Flag Enumerated Values:
Y = yes
N = no
dB/dt (0018,1318) 3 The rate of change of the gradient coil magnetic flux *** not supported ***
density with time (T/s).

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IOD Details, MR Image – C.8.3.1

Attribute Name Tag T Attribute Description Varian System Database

Temporal Position (0020,0100) 3 Temporal order of a dynamic or functional set of Images. *** not supported ***
Identifier
Number of (0020,0105) 3 Total number of temporal positions prescribed. *** not supported ***
Temporal Positions
Temporal (0020,0110) 3 Time delta between Images in a dynamic or functional set *** not supported ***
Resolution of Images.
Anatomic Region (0008,2218) 3 Sequence that identifies the anatomic region of interest in *** not supported ***
Sequence this Instance (i.e. external anatomy, surface anatomy, or
general region of the body).
Only a single Item shall be permitted in this sequence.
> Code Value (0008,0100) 1C See Section 8.1. Required if a sequence item is present. *** not supported ***
> Coding Scheme (0008,0102) 1C See Section 8.2. Required if a sequence item is present. *** not supported ***
Designator
> Coding Scheme (0008,0103) 1C See Section 8.2. Required if a sequence item is present *** not supported ***
Version and the value of Coding Scheme Designator (0008,0102)
is not sufficient to identify the Code Value (0008,0100)
unambiguously.
> Code Meaning (0008,0104) 1C See Section 8.3. Required if a sequence item is present. *** not supported ***
> Anatomic Region (0008,2220) 3 Sequence of Items that modifies the anatomic region of *** not supported ***
Modifier Sequence interest of this Instance One or more Items may be
included in this Sequence.
>> Code Value (0008,0100) 1C See Section 8.1. Required if a sequence item is present. *** not supported ***
>> Coding Scheme (0008,0102) 1C See Section 8.2. Required if a sequence item is present. *** not supported ***
Designator
>> Coding Scheme (0008,0103) 1C See Section 8.2. Required if a sequence item is present *** not supported ***
Version and the value of Coding Scheme Designator (0008,0102)
is not sufficient to identify the Code Value (0008,0100)
unambiguously.
>> Code Meaning (0008,0104) 1C See Section 8.3. Required if a sequence item is present. *** not supported ***

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 IOD Details, MR Image – C.8.3.1

Attribute Name Tag T Attribute Description Varian System Database

Primary Anatomic (0008,2228) 3 Sequence of Items that identifies the primary anatomic *** not supported ***
Structure Sequence structure(s) of interest in this Instance.
One or more Items may be included in this Sequence.
> Code Value (0008,0100) 1C See Section 8.1. Required if a sequence item is present. *** not supported ***
> Coding Scheme (0008,0102) 1C See Section 8.2. Required if a sequence item is present. *** not supported ***
Designator
> Coding Scheme (0008,0103) 1C See Section 8.2. Required if a sequence item is present *** not supported ***
Version and the value of Coding Scheme Designator (0008,0102)
is not sufficient to identify the Code Value (0008,0100)
unambiguously.
> Code Meaning (0008,0104) 1C See Section 8.3. Required if a sequence item is present. *** not supported ***
> Primary Anatomic (0008,2230) 3 Sequence of Items that modifies the primary anatomic *** not supported ***
Structure Modifier structure of interest in this Instance.
Sequence One or more Items may be included in this Sequence.
>> Code Value (0008,0100) 1C See Section 8.1. Required if a sequence item is present. *** not supported ***
>> Coding Scheme (0008,0102) 1C See Section 8.2. Required if a sequence item is present. *** not supported ***
Designator
>> Coding Scheme (0008,0103) 1C See Section 8.2. Required if a sequence item is present *** not supported ***
Version and the value of Coding Scheme Designator (0008,0102)
is not sufficient to identify the Code Value (0008,0100)
unambiguously.
>> Code Meaning (0008,0104) 1C See Section 8.3. Required if a sequence item is present. *** not supported ***

Varian System Server DICOM Conformance Statement, VA8804D3CS 161 of 410

IOD Details, US Image – C.8.5.6

C.2.16 US Image – C.8.5.6

Attribute Name Tag T Attribute Description Varian System Database

Samples per Pixel (0028,0002) 1 Number of samples (planes) in this image. See Import/Export supported.
C.8.5.6.1.12 for specialization Import: Warning if value is not 1.
Export: 1
Photometric (0028,0004) 1 Specifies the intended interpretation of the pixel data. Import/Export supported.
Interpretation See C.8.5.6.1.2 for specialization. Import: Warning if value is not
MONOCHROME2. Pixel data is
always imported as if it were
MONOCHROME2.
Export: MONOCHROME2
Bits Allocated (0028,0100) 1 Number of bits allocated for each pixel sample. See Import/Export supported.
C.8.5.6.1.13 for specialization.
Bits Stored (0028,0101) 1 Number of bits stored for each pixel sample. See Import/Export supported.
C.8.5.6.1.14 for specialization.
High Bit (0028,0102) 1 Most significant bit for pixel sample data. See Import/Export supported.
C.8.5.6.1.15 for specialization.
Planar Configuration (0028,0006) 1C Indicates whether the pixel data are sent color-by-plane *** not supported ***
or color-by-pixel.
Required if Samples per Pixel (0028,0002) has a value
greater than 1. See C.8.5.6.1.16 for specialization.
Pixel (0028,0103) 1 Data representation of pixel samples. See C.8.5.6.1.3 for Import/Export supported.
Representation specialization.
Frame Increment (0028,0009) 1C Contains the Data Element Tag of the attribute which is *** not supported ***
Pointer used as the frame increment in Multi-frame pixel data
(see C.7.6.6). Required if Number of Frames is sent. See
C.8.5.6.1.4 for specialization.
Image Type (0008,0008) 2 Image identification characteristics. See C.8.5.6.1.1 for Import/Export supported.
specialization.

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 IOD Details, US Image – C.8.5.6

Attribute Name Tag T Attribute Description Varian System Database

Lossy Image (0028,2110) 1C Specifies whether an Image has undergone lossy *** not supported ***
Compression compression.
Enumerated Values:
00 = Image has NOT been subjected to lossy
compression.
01 = Image has been subjected to lossy compression.
See C.7.6.1.1.5
Required if Lossy Compression has been performed on
the Image.
Number of Stages (0008,2124) 2C Number of Stages in this protocol. *** not supported ***
Required if image was acquired in a Staged protocol.
Number of Views in (0008,212A) 2C Number of views in this Stage. Required if image was *** not supported ***
Stage acquired in a Staged protocol.
R Wave Time (0018,6060) 3 The time offset(s) of the reported R Wave peaks, each *** not supported ***
Vector relative to the time of the start of the acquisition of the
first frame in msec. Multi-valued, with one value per
reported R Wave.
Ultrasound Color (0028,0014) 3 This element indicates if any ultrasound color data is *** not supported ***
Data Present present in an image.
Enumerated Values:
00 = Ultrasound color data not present in image
01 = Ultrasound color data is present in image.
See C.8.5.6.10
Stage Name (0008,2120) 3 A Stage is a particular time slice of a protocol in which a *** not supported ***
set of images are collected. The names can be free form
text. Recommended text for Stress Echo stage names
are: PRE-EXERCISE, POST-EXERCISE, PEAK-
EXERCISE, RECOVERY, BASELINE, LOW DOSE,
PEAK DOSE
Stage Code (0040,000A) 3 Sequence of items describing the performed Ultrasound *** not supported ***
Sequence Protocol Stage(s).

Varian System Server DICOM Conformance Statement, VA8804D3CS 163 of 410

IOD Details, US Image – C.8.5.6

Attribute Name Tag T Attribute Description Varian System Database

> Code Value (0008,0100) 1C See Section 8.1. Required if a sequence item is present. *** not supported ***
> Coding Scheme (0008,0102) 1C See Section 8.2. Required if a sequence item is present. *** not supported ***
Designator
> Coding Scheme (0008,0103) 1C See Section 8.2. Required if a sequence item is present *** not supported ***
Version and the value of Coding Scheme Designator (0008,0102)
is not sufficient to identify the Code Value (0008,0100)
unambiguously.
> Code Meaning (0008,0104) 1C See Section 8.3. Required if a sequence item is present. *** not supported ***
Stage Number (0008,2122) 3 A number that identifies the Stage. Stage Number starts *** not supported ***
at one.
View Name (0008,2127) 3 A View is a particular combination of the position and *** not supported ***
orientation when a set of images are acquired. Images
are acquired at the same View in different Stages for the
purpose of comparison.
View Number (0008,2128) 3 A number that identifies the View. View Number starts at *** not supported ***
one.
Number of Event (0008,2129) 3 The number of event timers used at the time of *** not supported ***
Timers acquisition of a Multi-frame image.
Event Elapsed (0008,2130) 3 An array of values associated with each event timer. *** not supported ***
Time(s) Units in milliseconds.
Event Timer (0008,2132) 3 Name that identifies the event timer. *** not supported ***
Name(s)
Anatomic Region (0008,2218) 3 Sequence that identifies the anatomic region of interest in *** not supported ***
Sequence this Instance (i.e. external anatomy, surface anatomy, or
general region of the body).
Only a single Item shall be permitted in this sequence.
> Code Value (0008,0100) 1C See Section 8.1. Required if a sequence item is present. *** not supported ***
> Coding Scheme (0008,0102) 1C See Section 8.2. Required if a sequence item is present. *** not supported ***
Designator

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 IOD Details, US Image – C.8.5.6

Attribute Name Tag T Attribute Description Varian System Database

> Coding Scheme (0008,0103) 1C See Section 8.2. Required if a sequence item is present *** not supported ***
Version and the value of Coding Scheme Designator (0008,0102)
is not sufficient to identify the Code Value (0008,0100)
unambiguously.
> Code Meaning (0008,0104) 1C See Section 8.3. Required if a sequence item is present. *** not supported ***
> Anatomic Region (0008,2220) 3 Sequence of Items that modifies the anatomic region of *** not supported ***
Modifier Sequence interest of this Instance One or more Items may be
included in this Sequence.
>> Code Value (0008,0100) 1C See Section 8.1. Required if a sequence item is present. *** not supported ***
>> Coding Scheme (0008,0102) 1C See Section 8.2. Required if a sequence item is present. *** not supported ***
Designator
>> Coding Scheme (0008,0103) 1C See Section 8.2. Required if a sequence item is present *** not supported ***
Version and the value of Coding Scheme Designator (0008,0102)
is not sufficient to identify the Code Value (0008,0100)
unambiguously.
>> Code Meaning (0008,0104) 1C See Section 8.3. Required if a sequence item is present. *** not supported ***
Primary Anatomic (0008,2228) 3 Sequence of Items that identifies the primary anatomic *** not supported ***
Structure Sequence structure(s) of interest in this Instance.
One or more Items may be included in this Sequence.
> Code Value (0008,0100) 1C See Section 8.1. Required if a sequence item is present. *** not supported ***
> Coding Scheme (0008,0102) 1C See Section 8.2. Required if a sequence item is present. *** not supported ***
Designator
> Coding Scheme (0008,0103) 1C See Section 8.2. Required if a sequence item is present *** not supported ***
Version and the value of Coding Scheme Designator (0008,0102)
is not sufficient to identify the Code Value (0008,0100)
unambiguously.
> Code Meaning (0008,0104) 1C See Section 8.3. Required if a sequence item is present. *** not supported ***
> Primary Anatomic (0008,2230) 3 Sequence of Items that modifies the primary anatomic *** not supported ***
Structure Modifier structure of interest in this Instance.
Sequence One or more Items may be included in this Sequence.

Varian System Server DICOM Conformance Statement, VA8804D3CS 165 of 410

IOD Details, US Image – C.8.5.6

Attribute Name Tag T Attribute Description Varian System Database

>> Code Value (0008,0100) 1C See Section 8.1. Required if a sequence item is present. *** not supported ***
>> Coding Scheme (0008,0102) 1C See Section 8.2. Required if a sequence item is present. *** not supported ***
Designator
>> Coding Scheme (0008,0103) 1C See Section 8.2. Required if a sequence item is present *** not supported ***
Version and the value of Coding Scheme Designator (0008,0102)
is not sufficient to identify the Code Value (0008,0100)
unambiguously.
>> Code Meaning (0008,0104) 1C See Section 8.3. Required if a sequence item is present. *** not supported ***
View Code (0054,0220) 3 Sequence that describes the view of the patient anatomy *** not supported ***
Sequence in this image. Only a single Item shall be permitted in this
Sequence. See Section C.8.5.6.1.19.
> Code Value (0008,0100) 1C See Section 8.1. Required if a sequence item is present. *** not supported ***
> Coding Scheme (0008,0102) 1C See Section 8.2. Required if a sequence item is present. *** not supported ***
Designator
> Coding Scheme (0008,0103) 1C See Section 8.2. Required if a sequence item is present *** not supported ***
Version and the value of Coding Scheme Designator (0008,0102)
is not sufficient to identify the Code Value (0008,0100)
unambiguously.
> Code Meaning (0008,0104) 1C See Section 8.3. Required if a sequence item is present. *** not supported ***
> View Modifier (0054,0222) 3 Sequence that provides modifiers for the view of the *** not supported ***
Code Sequence patient anatomy. Zero or more Items shall be permitted in
this Sequence. See Section C.8.5.6.1.19.
>> Code Value (0008,0100) 1C See Section 8.1. Required if a sequence item is present. *** not supported ***
>> Coding Scheme (0008,0102) 1C See Section 8.2. Required if a sequence item is present. *** not supported ***
Designator
>> Coding Scheme (0008,0103) 1C See Section 8.2. Required if a sequence item is present *** not supported ***
Version and the value of Coding Scheme Designator (0008,0102)
is not sufficient to identify the Code Value (0008,0100)
unambiguously.
>> Code Meaning (0008,0104) 1C See Section 8.3. Required if a sequence item is present. *** not supported ***

166 of 410 Varian System Server DICOM Conformance Statement, VA8804D3CS

 IOD Details, US Image – C.8.5.6

Attribute Name Tag T Attribute Description Varian System Database

Acquisition Datetime (0008,002A) 1C The date and time that the acquisition of data that *** not supported ***
resulted in this image started.
Required if Modality (0008,0060) = IVUS May be present
otherwise.
Note:
The synchronization of this time with an external clock is
specified in the Synchronization Module in Acquisition
Time Synchronized (0018,1800).
Trigger Time (0018,1060) 3 Time interval measured in msec from the start of the R- *** not supported ***
wave to the beginning of data taking
Nominal Interval (0018,1062) 3 Average R-R interval used for these data, in msec *** not supported ***
Beat Rejection Flag (0018,1080) 3 Beat length sorting has been applied. *** not supported ***
Enumerated Values:
Y = yes
N = no
Low R-R Value (0018,1081) 3 R-R interval low limit for beat rejection, in msec *** not supported ***
High R-R Value (0018,1082) 3 R-R interval high limit for beat rejection, in msec *** not supported ***
Heart Rate (0018,1088) 3 Beats per minute. *** not supported ***
IVUS Acquisition (0018,3100) 1C Defined Terms: MOTOR_PULLBACK *** not supported ***
MANUAL_PULLBACK SELECTIVE GATED_PULLBACK
See C.8.5.6.1.21
Required if Modality (0008,0060) = IVUS
IVUS Pullback Rate (0018,3101) 1C Required if IVUS Acquisition (0018,3100) value is *** not supported ***
MOTOR_PULLBACK. Specified in units of mm/sec. See
C.8.5.6.1.22
IVUS Gated Rate (0018,3102) 1C Required if IVUS Acquisition (0018,3100) value is *** not supported ***
GATED_PULLBACK. Specified in units of mm/beat. See
C.8.5.6.1.23

Varian System Server DICOM Conformance Statement, VA8804D3CS 167 of 410

IOD Details, US Image – C.8.5.6

Attribute Name Tag T Attribute Description Varian System Database

IVUS Pullback Start (0018,3103) 1C Required if IVUS Acquisition (0018,3100) value is *** not supported ***
Frame Number MOTOR_PULLBACK or GATED_PULLBACK. See
C.8.5.6.1.24
IVUS Pullback Stop (0018,3104) 1C Required if IVUS Acquisition (0018,3100) value is *** not supported ***
Frame Number MOTOR_PULLBACK or GATED_PULLBACK. See
C.8.5.6.1.25
Lesion Number (0018,3105) 3 Identifier(s) of the lesion(s) of interest imaged within the *** not supported ***
current SOP Instance. Each lesion shall have a unique
numeric integer identifier within the study. See
C.8.5.6.1.26.
Output Power (0018,5000) 3 Manufacturer defined character string description of *** not supported ***
ultrasound output level(s) used in generating a given
image. Data may be expressed in dB, %, W/cm2, etc.
Transducer Data (0018,5010) 3 Manufacturer defined code or description of ultrasound *** not supported ***
transducer used.
Transducer Type (0018,6031) 3 Defined Terms: SECTOR_PHASED SECTOR_MECH *** not supported ***
SECTOR_ANNULAR LINEAR CURVED LINEAR
SINGLE CRYSTAL SPLIT XTAL CWD IV_PHASED
IV_ROT XTAL IV_ROT MIRROR ENDOCAV_PA
ENDOCAV_MECH ENDOCAV_CLA ENDOCAV_AA
ENDOCAV_LINEAR VECTOR_PHASED
Focus Depth (0018,5012) 3 The depth, from the transducer face, of the manufacturer *** not supported ***
defined beam focus used for the image, in cm.
Processing Function (0018,5020) 3 Manufacturer defined description of processing of echo *** not supported ***
information. Data may include code or description of gain
(initial, overall, TGC, dynamic range, etc.), preprocessing,
postprocessing, Doppler processing parameters, e.g.
cutoff filters, etc., as used in generating a given image.
Mechanical Index (0018,5022) 3 See C.8.5.6.1.8 for Description. *** not supported ***
Bone Thermal Index (0018,5024) 3 See C.8.5.6.1.8 for Description. *** not supported ***
Cranial Thermal (0018,5026) 3 See C.8.5.6.1.8 for Description. *** not supported ***
Index

168 of 410 Varian System Server DICOM Conformance Statement, VA8804D3CS

 IOD Details, SC Equipment – C.8.6.1

Attribute Name Tag T Attribute Description Varian System Database

Soft Tissue Thermal (0018,5027) 3 See C.8.5.6.1.8 for Description. *** not supported ***
Index
Soft Tissue-focus (0018,5028) 3 See C.8.5.6.1.8 for Description. *** not supported ***
Thermal Index
Soft Tissue-surface (0018,5029) 3 See C.8.5.6.1.8 for Description. *** not supported ***
Thermal Index
Depth of Scan Field (0018,5050) 3 The depth, in mm, from the transducer face to the *** not supported ***
deepest point included in the displayed imageû the field
of view.
Overlay Subtype (60XX,0045) 3 Defined term which identifies the intended purpose of the *** not supported ***
ROI Overlay Type. See C.8.5.6.1.11 for specialization.

C.2.17 SC Equipment – C.8.6.1

Attribute Name Tag T Attribute Description Varian System Database

Conversion Type (0008,0064) 1 Describes the kind of image conversion. Import/Export supported.
Defined Terms :
DV = Digitized Video
DI = Digital Interface
DF = Digitized Film
WSD = Workstation
SD = Scanned Document
SI = Scanned Image
DRW = Drawing
SYN = Synthetic Image
Modality (0008,0060) 3 Source equipment for the image. This type definition shall Import/Export supported.
override the definition in the General Series Module. See Import: Modalities RF and XA will be
C.7.3.1.1.1 for Defined Terms. mapped to OT

Varian System Server DICOM Conformance Statement, VA8804D3CS 169 of 410

IOD Details, SC Image – C.8.6.2

Attribute Name Tag T Attribute Description Varian System Database

Secondary Capture (0018,1010) 3 User defined identification of the device that converted *** not supported ***
Device ID the image
Secondary Capture (0018,1016) 3 Manufacturer of the Secondary Capture Device *** not supported ***
Device
Manufacturer
Secondary Capture (0018,1018) 3 Manufacturer's model number of the Secondary Capture *** not supported ***
Device Device
Manufacturer’s
Model Name
Secondary Capture (0018,1019) 3 Manufacturer's designation of software version of the *** not supported ***
Device Software Secondary Capture Device
Version(s)
Video Image Format (0018,1022) 3 Original format of the captured video image (e.g. NTSC, *** not supported ***
Acquired PAL, Videomed-H)
Digital Image (0018,1023) 3 Additional information about digital interface used to *** not supported ***
Format Acquired acquire the image

C.2.18 SC Image – C.8.6.2

Attribute Name Tag T Attribute Description Varian System Database

Date of Secondary (0018,1012) 3 The date the Secondary Capture Image was captured. *** not supported ***
Capture
Time of Secondary (0018,1014) 3 The time the Secondary Capture Image was captured. *** not supported ***
Capture
Nominal Scanned (0018,2010) 3 Physical distance on the media being digitized or *** not supported ***
Pixel Spacing scanned between the center of each pixel, specified by a
numeric pair - adjacent row spacing (delimiter) adjacent
column spacing in mm. Shall be consistent with Pixel
Aspect Ratio (0028,0034), if present.

170 of 410 Varian System Server DICOM Conformance Statement, VA8804D3CS

 IOD Details, X-Ray Image – C.8.7.1

Attribute Name Tag T Attribute Description Varian System Database

Pixel Spacing (0028,0030) 1C Physical distance in the patient between the center of *** not supported ***
each pixel, specified by a numeric pair - adjacent row
spacing (delimiter) adjacent column spacing in mm. See
10.7.1.1.
Pixel Spacing (0028,0402) 3 The type of correction for the effect of geometric *** not supported ***
Calibration Type magnification or calibration against an object of known
size, if any. See 10.7.1.2.
Pixel Spacing (0028,0404) 1C A free text description of the type of correction or *** not supported ***
Calibration calibration performed.
Description Notes: 1. In the case of correction, the text might include
description of the assumptions made about the body part
and geometry and depth within the patient.
2. in the case of calibration, the text might include a
description of the fiducial and where it is located (e.g.,
"XYZ device applied to the skin over the greater
trochanter").
3. Though it is not required, the Device Module may be
used to describe the specific characteristics and size of
the calibration device. Required if Pixel Spacing
Calibration Type (0028,0402) is present.

C.2.19 X-Ray Image – C.8.7.1

Attribute Name Tag T Attribute Description Varian System Database

Frame Increment (0028,0009) 1C Required if Multi-Frame Image. Contains the Data *** not supported ***
Pointer Element Tag of the attribute that is used as the Frame
increment in Multi-frame image pixel data (See C.7.6.6).
Specialized for X-Ray as
Enumerated Value:
00181063H = Frame Time (0018,1063);
00181065H = Frame Time Vector (0018,1065).

Varian System Server DICOM Conformance Statement, VA8804D3CS 171 of 410

IOD Details, X-Ray Image – C.8.7.1

Attribute Name Tag T Attribute Description Varian System Database

Lossy Image (0028,2110) 1C Specifies whether an Image has undergone lossy *** not supported ***
Compression compression.
Enumerated Values:
00 = Image has NOT been subjected to lossy
compression.
01 = Image has been subjected to lossy compression.
See C.7.6.1.1.5
Required if Lossy Compression has been performed on
the Image.
Image Type (0008,0008) 1 Image identification characteristics. See C.8.7.1.1.1 for Import/Export supported.
specialization.
Pixel Intensity (0028,1040) 1 The relationship between the Pixel sample values and Import supported.
Relationship the X-Ray beam intensity. See Section C.8.7.1.1.2. Import: Warning if value is other than
LIN.
Samples per Pixel (0028,0002) 1 Number of samples (color planes) in this image shall Import/Export supported.
have a value of 1. Import: Warning if value is not 1.
Export: 1
Photometric (0028,0004) 1 Specifies the intended interpretation of the pixel data. Import/Export supported.
Interpretation Only MONOCHROME2 may be used. Import: Warning if value is not
MONOCHROME2. Pixel data is
always imported as if it were
MONOCHROME2.
Export: MONOCHROME2
Bits Allocated (0028,0100) 1 Number of bits allocated for each pixel sample. See Import/Export supported.
Section C.8.7.1.1.6.
Bits Stored (0028,0101) 1 Number of bits stored for each pixel sample. See Section Import/Export supported.
C.8.7.1.1.7.
High Bit (0028,0102) 1 Most significant bit for pixel sample data. See Section Import/Export supported.
C.8.7.1.1.8.

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 IOD Details, X-Ray Image – C.8.7.1

Attribute Name Tag T Attribute Description Varian System Database

Pixel (0028,0103) 1 Data representation of the pixel samples. Shall have the *** not supported ***
Representation value: 0000H = Unsigned Integer.
Scan Options (0018,0022) 3 Parameters of scanning sequence. See Section C. *** not supported ***
8.7.1.1.4.
Anatomic Region (0008,2218) 3 Sequence that identifies the anatomic region of interest in *** not supported ***
Sequence this Instance (i.e. external anatomy, surface anatomy, or
general region of the body).
Only a single Item shall be permitted in this sequence.
> Code Value (0008,0100) 1C See Section 8.1. Required if a sequence item is present. *** not supported ***
> Coding Scheme (0008,0102) 1C See Section 8.2. Required if a sequence item is present. *** not supported ***
Designator
> Coding Scheme (0008,0103) 1C See Section 8.2. Required if a sequence item is present *** not supported ***
Version and the value of Coding Scheme Designator (0008,0102)
is not sufficient to identify the Code Value (0008,0100)
unambiguously.
> Code Meaning (0008,0104) 1C See Section 8.3. Required if a sequence item is present. *** not supported ***
> Anatomic Region (0008,2220) 3 Sequence of Items that modifies the anatomic region of *** not supported ***
Modifier Sequence interest of this Instance One or more Items may be
included in this Sequence.
>> Code Value (0008,0100) 1C See Section 8.1. Required if a sequence item is present. *** not supported ***
>> Coding Scheme (0008,0102) 1C See Section 8.2. Required if a sequence item is present. *** not supported ***
Designator
>> Coding Scheme (0008,0103) 1C See Section 8.2. Required if a sequence item is present *** not supported ***
Version and the value of Coding Scheme Designator (0008,0102)
is not sufficient to identify the Code Value (0008,0100)
unambiguously.
>> Code Meaning (0008,0104) 1C See Section 8.3. Required if a sequence item is present. *** not supported ***
Primary Anatomic (0008,2228) 3 Sequence of Items that identifies the primary anatomic *** not supported ***
Structure Sequence structure(s) of interest in this Instance.
One or more Items may be included in this Sequence.

Varian System Server DICOM Conformance Statement, VA8804D3CS 173 of 410

IOD Details, X-Ray Image – C.8.7.1

Attribute Name Tag T Attribute Description Varian System Database

> Code Value (0008,0100) 1C See Section 8.1. Required if a sequence item is present. *** not supported ***
> Coding Scheme (0008,0102) 1C See Section 8.2. Required if a sequence item is present. *** not supported ***
Designator
> Coding Scheme (0008,0103) 1C See Section 8.2. Required if a sequence item is present *** not supported ***
Version and the value of Coding Scheme Designator (0008,0102)
is not sufficient to identify the Code Value (0008,0100)
unambiguously.
> Code Meaning (0008,0104) 1C See Section 8.3. Required if a sequence item is present. *** not supported ***
> Primary Anatomic (0008,2230) 3 Sequence of Items that modifies the primary anatomic *** not supported ***
Structure Modifier structure of interest in this Instance.
Sequence One or more Items may be included in this Sequence.
>> Code Value (0008,0100) 1C See Section 8.1. Required if a sequence item is present. *** not supported ***
>> Coding Scheme (0008,0102) 1C See Section 8.2. Required if a sequence item is present. *** not supported ***
Designator
>> Coding Scheme (0008,0103) 1C See Section 8.2. Required if a sequence item is present *** not supported ***
Version and the value of Coding Scheme Designator (0008,0102)
is not sufficient to identify the Code Value (0008,0100)
unambiguously.
>> Code Meaning (0008,0104) 1C See Section 8.3. Required if a sequence item is present. *** not supported ***
R Wave Pointer (0028,6040) 3 Marks the location(s) of the R Wave in the cardiac cycles *** not supported ***
by referencing frame numbers; frame numbers begin with
1.
Referenced Image (0008,1140) 1C A sequence which provides reference to a set of Image *** not supported ***
Sequence SOP Class/Instance identifying other images significantly
related to this image. Shall be present if Image Type
(0008,0008) Value 3 is BIPLANE A or BIPLANE B. May
be present otherwise. One or more items may be
included in this sequence.. See Section C.8.7.1.1.12.
> Referenced SOP (0008,1150) 1 Uniquely identifies the referenced SOP Class. *** not supported ***
Class UID

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 IOD Details, X-Ray Image – C.8.7.1

Attribute Name Tag T Attribute Description Varian System Database

> Referenced SOP (0008,1155) 1 Uniquely identifies the referenced SOP Instance. *** not supported ***
Instance UID
> Referenced (0008,1160) 1 Identifies the frame numbers within the Referenced SOP *** not supported ***
Frame Number Instance to which the reference applies. The first frame
shall be denoted as frame number 1.
Note: This Attribute may be multi-valued.
Required if the Referenced SOP Instance is a multi-frame
image and the reference does not apply to all frames.
> Purpose of (0040,A170) 2 Describes the purpose for which the reference is made. *** not supported ***
Reference Code Onlya single Item shall be permitted in this Sequence.
Sequence
>> Code Value (0008,0100) 1C See Section 8.1. Required if a sequence item is present. *** not supported ***
>> Coding Scheme (0008,0102) 1C See Section 8.2. Required if a sequence item is present. *** not supported ***
Designator
>> Coding Scheme (0008,0103) 1C See Section 8.2. Required if a sequence item is present *** not supported ***
Version and the value of Coding Scheme Designator (0008,0102)
is not sufficient to identify the Code Value (0008,0100)
unambiguously.
>> Code Meaning (0008,0104) 1C See Section 8.3. Required if a sequence item is present. *** not supported ***
Derivation (0008,2111) 3 A text description of how this image was derived. See *** not supported ***
Description C.8.7.1.1.5 for further explanation.
Acquisition Device (0018,1400) 3 Indicates any visual processing performed on the images *** not supported ***
Processing prior to exchange. See Section C.8.7.1.1.3.
Description
Frame Label Vector (0018,2002) 3 A multi-valued attribute that contains a descriptive label *** not supported ***
for each of the image frames. The number of values shall
equal the number of frames.

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IOD Details, RT Series – C.8.8.1

Attribute Name Tag T Attribute Description Varian System Database

Frame Dimension (0028,000A) 3 Contains the Data Element Tags of one or more *** not supported ***
Pointer attributes that vary or increment for the frames of a multi-
frame image. See C.8.7.1.1.12. Shall not be present if it
would contain only one value and that value would be
Frame Time (0018,1063) or Frame Time Vector
(0018,1065).
Calibration Image (0050,0004) 3 Indicates whether a reference object (phantom) of known *** not supported ***
size is present in the image and was used for calibration.
Enumerated Values:
YES
NO Device is identified using the Device module. See
C.7.6.12.

C.2.20 RT Series – C.8.8.1

Complete roundtrip, covering all attributes of this module, is guaranteed for IODs listed below. Other IODs have roundtrip capabilities as specified
on attribute level.
• RT Image (multi frame only)
• RT Beams Treatment Record (except manually recorded treatments)
• RT Ion Beams Treatment Record (except manually recorded treatments)

Attribute Name Tag T Attribute Description Varian System Database

Modality (0008,0060) 1 Type of equipment that originally acquired the data. Import/Export supported.
Enumerated Values:
RTIMAGE = RT Image
RTDOSE = RT Dose
RTSTRUCT = RT Structure Set
RTPLAN = RT Plan
RTRECORD = RT Treatment Record
See C.8.8.1.1.

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 IOD Details, RT Series – C.8.8.1

Attribute Name Tag T Attribute Description Varian System Database

Series Instance UID (0020,000E) 1 Unique identifier of the series. Import/Export supported.
Series Number (0020,0011) 2 A number that identifies this series. Import/Export supported.
Import: Will also be used to create the
name of the series as displayed in the
UI.
Series Description (0008,103E) 3 User provided description of the series. Import/Export supported.
Referenced (0008,1111) 3 Uniquely identifies the Performed Procedure Step SOP
Performed Instance to which the Series is related (e.g. a Modality or
Procedure Step General-Purpose Performed Procedure Step SOP
Sequence Instance). One or more items may be included in this
sequence.
> Referenced SOP (0008,1150) 1C Uniquely identifies the referenced SOP Class. Required if
Class UID Referenced Performed Procedure Step Sequence
(0008,1111) is sent.
> Referenced SOP (0008,1155) 1C Uniquely identifies the referenced SOP Instance.
Instance UID Required if Referenced Performed Procedure Step
Sequence (0008,1111) is sent.
Request Attributes (0040,0275) 3 Sequence that contains attributes from the Imaging
Sequence Service Request. The sequence may have one or more
Items.
> Requested (0040,1001) 1 Identifier that identifies the Requested Procedure in the
Procedure ID Imaging Service Request.
> Reason for the (0040,1002) 3 Reason for requesting this procedure. *** not supported ***
Requested
Procedure
> Reason for (0040,100A) 3 Coded Reason for requesting this procedure. *** not supported ***
Requested
Procedure Code
Sequence
>> Code Value (0008,0100) 1C See Section 8.1. Required if a sequence item is present. *** not supported ***

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IOD Details, RT Series – C.8.8.1

Attribute Name Tag T Attribute Description Varian System Database

>> Coding Scheme (0008,0102) 1C See Section 8.2. Required if a sequence item is present. *** not supported ***
Designator
>> Coding Scheme (0008,0103) 1C See Section 8.2. Required if a sequence item is present *** not supported ***
Version and the value of Coding Scheme Designator (0008,0102)
is not sufficient to identify the Code Value (0008,0100)
unambiguously.
>> Code Meaning (0008,0104) 1C See Section 8.3. Required if a sequence item is present. *** not supported ***
> Scheduled (0040,0009) 1 Identifier that identifies the Scheduled Procedure Step.
Procedure Step ID
> Scheduled (0040,0007) 3 Institution-generated description or classification of the
Procedure Step Scheduled Procedure Step to be performed.
Description
> Scheduled (0040,0008) 3 Sequence describing the Scheduled Protocol following a
Protocol Code specific coding scheme. This sequence contains one or
Sequence more Items.
>> Code Value (0008,0100) 1C See Section 8.1. Required if a sequence item is present.
>> Coding Scheme (0008,0102) 1C See Section 8.2. Required if a sequence item is present.
Designator
>> Coding Scheme (0008,0103) 1C See Section 8.2. Required if a sequence item is present
Version and the value of Coding Scheme Designator (0008,0102)
is not sufficient to identify the Code Value (0008,0100)
unambiguously.
>> Code Meaning (0008,0104) 1C See Section 8.3. Required if a sequence item is present.
>> Protocol Context (0040,0440) 3 Sequence that specifies the context for the Scheduled *** not supported ***
Sequence Protocol Code Sequence Item. One or more items may
be included in this sequence.
>>> Code Value (0008,0100) 1C See Section 8.1. Required if a sequence item is present. *** not supported ***
>>> Coding (0008,0102) 1C See Section 8.2. Required if a sequence item is present. *** not supported ***
Scheme Designator

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Attribute Name Tag T Attribute Description Varian System Database

>>> Coding (0008,0103) 1C See Section 8.2. Required if a sequence item is present *** not supported ***
Scheme Version and the value of Coding Scheme Designator (0008,0102)
is not sufficient to identify the Code Value (0008,0100)
unambiguously.
>>> Code Meaning (0008,0104) 1C See Section 8.3. Required if a sequence item is present. *** not supported ***
>>> Content Item (0040,0441) 3 Sequence that specifies modifiers for a Protocol Context *** not supported ***
Modifier Sequence Content Item. One or more items may be included in this
sequence. See Section C.4.10.1.
>>>> Code Value (0008,0100) 1C See Section 8.1. Required if a sequence item is present. *** not supported ***
>>>> Coding (0008,0102) 1C See Section 8.2. Required if a sequence item is present. *** not supported ***
Scheme Designator
>>>> Coding (0008,0103) 1C See Section 8.2. Required if a sequence item is present *** not supported ***
Scheme Version and the value of Coding Scheme Designator (0008,0102)
is not sufficient to identify the Code Value (0008,0100)
unambiguously.
>>>> Code Meaning (0008,0104) 1C See Section 8.3. Required if a sequence item is present. *** not supported ***
Performed (0040,0253) 3 User or equipment generated identifier of that part of a
Procedure Step ID Procedure that has been carried out within this step.
Performed (0040,0244) 3 Date on which the Performed Procedure Step started.
Procedure Step
Start Date
Performed (0040,0245) 3 Time on which the Performed Procedure Step started.
Procedure Step
Start Time
Performed (0040,0254) 3 Institution-generated description or classification of the
Procedure Step Procedure Step that was performed.
Description
Performed Protocol (0040,0260) 3 Sequence describing the Protocol performed for this
Code Sequence Procedure Step. One or more Items may be included in
this Sequence.
> Code Value (0008,0100) 1C See Section 8.1. Required if a sequence item is present.

Varian System Server DICOM Conformance Statement, VA8804D3CS 179 of 410

IOD Details, RT Series – C.8.8.1

Attribute Name Tag T Attribute Description Varian System Database

> Coding Scheme (0008,0102) 1C See Section 8.2. Required if a sequence item is present.
Designator
> Coding Scheme (0008,0103) 1C See Section 8.2. Required if a sequence item is present
Version and the value of Coding Scheme Designator (0008,0102)
is not sufficient to identify the Code Value (0008,0100)
unambiguously.
> Code Meaning (0008,0104) 1C See Section 8.3. Required if a sequence item is present.
> Protocol Context (0040,0440) 3 Sequence that specifies the context for the Performed *** not supported ***
Sequence Protocol Code Sequence Item. One or more items may
be included in this sequence.
>> Value Type (0040,A040) 1 The type of the value encoded in this name-value Item. *** not supported ***
Defined Terms:
DATETIME
DATE
TIME
PNAME
UIDREF
TEXT
CODE
NUMERIC.
>> Concept Name (0040,A043) 1 Coded concept name of this name-value Item. *** not supported ***
Code Sequence
>>> Code Value (0008,0100) 1C See Section 8.1. Required if a sequence item is present. *** not supported ***
>>> Coding (0008,0102) 1C See Section 8.2. Required if a sequence item is present. *** not supported ***
Scheme Designator
>>> Coding (0008,0103) 1C See Section 8.2. Required if a sequence item is present *** not supported ***
Scheme Version and the value of Coding Scheme Designator (0008,0102)
is not sufficient to identify the Code Value (0008,0100)
unambiguously.
>>> Code Meaning (0008,0104) 1C See Section 8.3. Required if a sequence item is present. *** not supported ***

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 IOD Details, RT Series – C.8.8.1

Attribute Name Tag T Attribute Description Varian System Database

>> DateTime (0040,A120) 1C Datetime value for this name-value Item. Required if *** not supported ***
Value Type (0040,A040) is DATETIME.
>> Date (0040,A121) 1C Date value for this name-value Item. Required if Value *** not supported ***
Type (0040,A040) is DATE.
>> Time (0040,A122) 1C Time value for this name-value Item. Required if Value *** not supported ***
Type (0040,A040) is TIME.
>> Person Name (0040,A123) 1C Person name value for this name-value Item. Required if *** not supported ***
Value Type (0040,A040) is PNAME.
>> UID (0040,A124) 1C UID value for this name-value Item. Required if Value *** not supported ***
Type (0040,A040) is UIDREF.
>> Text Value (0040,A160) 1C Text value for this name-value Item. Required if Value *** not supported ***
Type (0040,A040) is TEXT.
>> Concept Code (0040,A168) 1C Coded concept value of this name-value Item. Required if *** not supported ***
Sequence Value Type (0040,A040) is CODE.
>>> Code Value (0008,0100) 1C See Section 8.1. Required if a sequence item is present. *** not supported ***
>>> Coding (0008,0102) 1C See Section 8.2. Required if a sequence item is present. *** not supported ***
Scheme Designator
>>> Coding (0008,0103) 1C See Section 8.2. Required if a sequence item is present *** not supported ***
Scheme Version and the value of Coding Scheme Designator (0008,0102)
is not sufficient to identify the Code Value (0008,0100)
unambiguously.
>>> Code Meaning (0008,0104) 1C See Section 8.3. Required if a sequence item is present. *** not supported ***
>> Numeric Value (0040,A30A) 1C Numeric value for this name-value Item. Required if *** not supported ***
Value Type (0040,A040) is NUMERIC.
>> Measurement (0040,08EA) 1C Units of measurement for a numeric value in this *** not supported ***
Units Code namevalue Item. Required if Value Type (0040,A040) is
Sequence NUMERIC.
>>> Code Value (0008,0100) 1C See Section 8.1. Required if a sequence item is present. *** not supported ***

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IOD Details, RT Series – C.8.8.1

Attribute Name Tag T Attribute Description Varian System Database

>>> Coding (0008,0102) 1C See Section 8.2. Required if a sequence item is present. *** not supported ***
Scheme Designator
>>> Coding (0008,0103) 1C See Section 8.2. Required if a sequence item is present *** not supported ***
Scheme Version and the value of Coding Scheme Designator (0008,0102)
is not sufficient to identify the Code Value (0008,0100)
unambiguously.
>>> Code Meaning (0008,0104) 1C See Section 8.3. Required if a sequence item is present. *** not supported ***
>> Content Item (0040,0441) 3 Sequence that specifies modifiers for a Protocol Context *** not supported ***
Modifier Sequence Content Item. One or more items may be included in this
sequence. See Section C.4.10.1.
>>> Value Type (0040,A040) 1 The type of the value encoded in this name-value Item. *** not supported ***
Defined Terms:
DATETIME
DATE
TIME
PNAME
UIDREF
TEXT
CODE
NUMERIC.
>>> Concept Name (0040,A043) 1 Coded concept name of this name-value Item. *** not supported ***
Code Sequence
>>>> Code Value (0008,0100) 1C See Section 8.1. Required if a sequence item is present. *** not supported ***
>>>> Coding (0008,0102) 1C See Section 8.2. Required if a sequence item is present. *** not supported ***
Scheme Designator
>>>> Coding (0008,0103) 1C See Section 8.2. Required if a sequence item is present *** not supported ***
Scheme Version and the value of Coding Scheme Designator (0008,0102)
is not sufficient to identify the Code Value (0008,0100)
unambiguously.
>>>> Code Meaning (0008,0104) 1C See Section 8.3. Required if a sequence item is present. *** not supported ***

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 IOD Details, RT Series – C.8.8.1

Attribute Name Tag T Attribute Description Varian System Database

>>> DateTime (0040,A120) 1C Datetime value for this name-value Item. Required if *** not supported ***
Value Type (0040,A040) is DATETIME.
>>> Date (0040,A121) 1C Date value for this name-value Item. Required if Value *** not supported ***
Type (0040,A040) is DATE.
>>> Time (0040,A122) 1C Time value for this name-value Item. Required if Value *** not supported ***
Type (0040,A040) is TIME.
>>> Person Name (0040,A123) 1C Person name value for this name-value Item. Required if *** not supported ***
Value Type (0040,A040) is PNAME.
>>> UID (0040,A124) 1C UID value for this name-value Item. Required if Value *** not supported ***
Type (0040,A040) is UIDREF.
>>> Text Value (0040,A160) 1C Text value for this name-value Item. Required if Value *** not supported ***
Type (0040,A040) is TEXT.
>>> Concept Code (0040,A168) 1C Coded concept value of this name-value Item. Required if *** not supported ***
Sequence Value Type (0040,A040) is CODE.
>>>> Code Value (0008,0100) 1C See Section 8.1. Required if a sequence item is present. *** not supported ***
>>>> Coding (0008,0102) 1C See Section 8.2. Required if a sequence item is present. *** not supported ***
Scheme Designator
>>>> Coding (0008,0103) 1C See Section 8.2. Required if a sequence item is present *** not supported ***
Scheme Version and the value of Coding Scheme Designator (0008,0102)
is not sufficient to identify the Code Value (0008,0100)
unambiguously.
>>>> Code Meaning (0008,0104) 1C See Section 8.3. Required if a sequence item is present. *** not supported ***
>>> Numeric Value (0040,A30A) 1C Numeric value for this name-value Item. Required if *** not supported ***
Value Type (0040,A040) is NUMERIC.
>>> Measurement (0040,08EA) 1C Units of measurement for a numeric value in this *** not supported ***
Units Code namevalue Item. Required if Value Type (0040,A040) is
Sequence NUMERIC.
>>>> Code Value (0008,0100) 1C See Section 8.1. Required if a sequence item is present. *** not supported ***

Varian System Server DICOM Conformance Statement, VA8804D3CS 183 of 410

IOD Details, RT Image – C.8.8.2

Attribute Name Tag T Attribute Description Varian System Database

>>>> Coding (0008,0102) 1C See Section 8.2. Required if a sequence item is present. *** not supported ***
Scheme Designator
>>>> Coding (0008,0103) 1C See Section 8.2. Required if a sequence item is present *** not supported ***
Scheme Version and the value of Coding Scheme Designator (0008,0102)
is not sufficient to identify the Code Value (0008,0100)
unambiguously.
>>>> Code Meaning (0008,0104) 1C See Section 8.3. Required if a sequence item is present. *** not supported ***

C.2.21 RT Image – C.8.8.2

Complete roundtrip, covering all attributes of this module, is guaranteed for IODs listed below. Other IODs have roundtrip capabilities as specified
on attribute level.
• RT Image (multi frame only)

Attribute Name Tag T Attribute Description Varian System Database

Samples per Pixel (0028,0002) 1 Number of samples (planes) in this image. See Import/Export supported.
C.8.8.2.6.1 for specialization. Import: Warning if value is not 1.
Export: 1
Photometric (0028,0004) 1 Specifies the intended interpretation of the pixel data. Import/Export supported.
Interpretation See C.8.8.2.6.2 for specialization. Import: Warning if value is not
MONOCHROME2. Pixel data is
always imported as if it were
MONOCHROME2.
Export: MONOCHROME2
Bits Allocated (0028,0100) 1 Number of bits allocated for each pixel sample. Each Import/Export supported.
sample shall have the same number of bits allocated. Export:
See C.8.8.2.6.3 for specialization.
- Portal Dose: 16
- Other: variable

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 IOD Details, RT Image – C.8.8.2

Attribute Name Tag T Attribute Description Varian System Database

Bits Stored (0028,0101) 1 Number of bits stored for each pixel sample. Each Import/Export supported.
sample shall have the same number of bits stored. See
C.8.8.2.6.4 for specialization.
High Bit (0028,0102) 1 Most significant bit for each pixel sample. Each sample Import/Export supported.
shall have the same high bit. See C.8.8.2.6.5 for
specialization.
Pixel (0028,0103) 1 Data representation of the pixel samples. Each sample Import/Export supported.
Representation shall have the same pixel representation. See C.8.8.2.6.6 Import: Rejected if value is not 0000H.
for specialization.
Export: 0000H
Pixel Intensity (0028,1040) 3 The relationship between the Pixel sample values and *** not supported ***
Relationship the X-Ray beam intensity.
Enumerated Values:
LIN = Linearly proportional to X-Ray beam intensity
LOG = Logarithmically proportional to X- Ray beam
intensity
See C.8.11.3.1.2 for further explanation.
Pixel Intensity (0028,1041) 1C The sign of the relationship between the Pixel sample *** not supported ***
Relationship Sign values stored in Pixel Data (7FE0,0010) and the X-Ray
beam intensity.
Required if Pixel Intensity Relationship (0028,1040) is
present. Enumerated Values; 1 = Lower pixel values
correspond to less X-Ray beam intensity -1 = Higher pixel
values correspond to less X-Ray beam intensity See
C.8.11.3.1.2 for further explanation.
RT Image Label (3002,0002) 1 User-defined label for RT Image. Import/Export supported.
Used as Image ID.
RT Image Name (3002,0003) 3 User-defined name for RT Image. Import/Export supported.
Used as Image Name.
RT Image (3002,0004) 3 User-defined description of RT Image. Import/Export supported.
Description

Varian System Server DICOM Conformance Statement, VA8804D3CS 185 of 410

IOD Details, RT Image – C.8.8.2

Attribute Name Tag T Attribute Description Varian System Database

Operators’ Name (0008,1070) 2 Name of operator(s) acquiring or creating RT Image. Import/Export supported.
Import: Only the first value of the multi-
value attribute will be imported.
Image Type (0008,0008) 1 Image identification characteristics (see Section Import/Export supported.
C.7.6.1.1.2). RT Images shall use one of the following Value for acquired portal dose:
Defined Terms for Value 3: DRR = digitally reconstructed ORIGINAL\PRIMARY\PORTAL\ACQUI
radiograph PORTAL = digital portal image or portal film RED_DOSE
image SIMULATOR = conventional simulator image
Value for calculated portal dose:
RADIOGRAPH = radiographic image BLANK = image
DERIVED\SECONDARY\PORTAL\CA
pixels set to background value FLUENCE = fluence map
LCULATED_DOSE
Conversion Type (0008,0064) 2 Describes the kind of image conversion. Import/Export supported.
Defined Terms:
DV = Digitized Video
DI = Digital Interface
DF = Digitized Film
WSD = Workstation
Reported Values (3002,000A) 2C Describes the origin of the parameter values reported in Import/Export supported.
Origin the image. Required if Value 3 of Image Type Portal Dose: Exporting value ACTUAL
(0008,0008) is SIMULATOR or PORTAL. if fourth value of Image Type
Enumerated Values: (0008,0008) is ACQUIRED_DOSE,
OPERATOR = manually entered by operator else exporting value PLAN. Ignored on
import.
PLAN = planned parameter values
All other images: Roundtrip supported.
ACTUAL = electronically recorded
RT Image Plane (3002,000C) 1 Describes whether or not image plane is normal to beam Import: Rejected if not NORMAL.
axis. Export: NORMAL
Enumerated Values:
NORMAL = image plane normal to beam axis
NON_NORMAL = image plane non-normal to beam axis
X-Ray Image (3002,000D) 3 Position in (x,y,z) coordinates of origin of IEC X-RAY Import/Export supported.
Receptor IMAGE RECEPTOR System in the IEC GANTRY
Translation coordinate system (mm). See Note 2.

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 IOD Details, RT Image – C.8.8.2

Attribute Name Tag T Attribute Description Varian System Database

X-Ray Image (3002,000E) 2 X-Ray Image Receptor Angle i.e. orientation of IEC X- Import/Export supported.
Receptor Angle RAY IMAGE RECEPTOR coordinate system with respect
to IEC GANTRY coordinate system (degrees). See
C.8.8.2.2.
RT Image (3002,0010) 2C The direction cosines of the first row and the first column *** DICOM validation only ***
Orientation with respect to the IEC XRAY IMAGE RECEPTOR
coordinate system. Required if RT Image Plane
(3002,000C) is NON_NORMAL. May be present
otherwise.
Image Plane Pixel (3002,0011) 2 Physical distance (in mm) between the center of each Import/Export supported.
Spacing image pixel, specified by a numeric pair - adjacent row
spacing (delimiter) adjacent column spacing. See
C.8.8.2.3.
RT Image Position (3002,0012) 2 The x and y coordinates (in mm) of the upper left hand Import/Export supported.
corner of the image, in the IEC X-RAY IMAGE
RECEPTOR coordinate system. This is the center of the
first pixel transmitted. See C.8.8.2.7.
Radiation Machine (3002,0020) 2 User-defined name identifying radiation machine used in *** DICOM validation only ***
Name acquiring or computing image (i.e. name of conventional
simulator, electron accelerator, X-ray device, or machine
modeled when calculating DRR).
Primary Dosimeter (300A,00B3) 2 Measurement unit of machine dosimeter. Import/Export supported.
Unit Enumerated Values:
MU = Monitor Unit
MINUTE = minute
Radiation Machine (3002,0022) 2 Radiation source to Gantry rotation axis distance of Import/Export supported.
SAD radiation machine used in acquiring or computing image
(mm).
Radiation Machine (3002,0024) 3 Source to patient surface distance (in mm) of radiation *** not supported ***
SSD machine used in acquiring or computing image.

Varian System Server DICOM Conformance Statement, VA8804D3CS 187 of 410

IOD Details, RT Image – C.8.8.2

Attribute Name Tag T Attribute Description Varian System Database

RT Image SID (3002,0026) 2 Distance from radiation machine source to image plane Import/Export supported.
(in mm) along radiation beam axis. See C.8.8.2.3. Export: Same value as SAD if SID is
undefined.
Source to (3002,0028) 3 Source to reference object distance (in mm), as used for *** not supported ***
Reference Object magnification calculation of RADIOGRAPH and
Distance SIMULATOR images.
Referenced RT Plan (300C,0002) 3 Introduces sequence of one Class/Instance pair
Sequence describing RT Plan associated with image. Only a single
item shall be permitted in this sequence.
> Referenced SOP (0008,1150) 1C Uniquely identifies the referenced SOP Class. Required if Import/Export supported. Internal
Class UID Referenced RT Plan Sequence (300C,0002) is sent. representation is different from
DICOM.
Supported values: SOP Class UID of
RT Plan and RT Ion Plan.
> Referenced SOP (0008,1155) 1C Uniquely identifies the referenced SOP Instance. Import/Export supported.
Instance UID Required if Referenced RT Plan Sequence (300C,0002) Plan UID of the plan where this image
is sent. is a field image.
Referenced Beam (300C,0006) 3 Uniquely identifies the corresponding N- segment Import/Export supported.
Number treatment beam specified by Beam Number (300A,00C0) Beam number of the field where this
within Beam Sequence in RT Beams Module within the image is a field image.
RT Plan referenced in Referenced RT Plan Sequence
Import: Image is never assigned as a
(300C,0002).
primary reference image to the field.
Referenced Fraction (300C,0022) 3 Identifier of Fraction Group within RT Plan referenced in Import/Export supported.
Group Number Referenced RT Plan Sequence (300C,0002).
Fraction Number (3002,0029) 3 Fraction Number of fraction during which image was Import/Export supported.
acquired, within Fraction Group referenced by It is strongly encouraged to have this
Referenced Fraction Group Number (300C,0022) within value available for treatment images
RT Plan referenced in Referenced RT Plan Sequence on import.
(300C,0002).

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 IOD Details, RT Image – C.8.8.2

Attribute Name Tag T Attribute Description Varian System Database

Start Cumulative (300C,0008) 3 Cumulative Meterset Weight within Beam referenced by Import/Export supported.
Meterset Weight Referenced Beam Number (300C,0006) at which image Import: Not imported if beam
acquisition starts. referenced by Referenced Beam
Number (300C,0006) has Treatment
Delivery Type (300A,0007)
OPEN_PORTFILM or
TRMT_PORTFILM.
End Cumulative (300C,0009) 3 Cumulative Meterset Weight within Beam referenced by Import/Export supported.
Meterset Weight Referenced Beam Number (300C,0006) at which image Import: Not imported if beam
acquisition ends. referenced by Referenced Beam
Number (300C,0006) has Treatment
Delivery Type (300A,0007)
OPEN_PORTFILM or
TRMT_PORTFILM.
Exposure Sequence (3002,0030) 3 Introduces sequence of Exposure parameter sets, Only 1 item supported
corresponding to exposures used in generating the
image. One or more items may be included in this
sequence. See C.8.8.2.4.
> Referenced (0008,1160) 1C Identifies corresponding image frame in multi-frame *** not supported ***
Frame Number image. Required if Exposure Sequence (3002,0030) is
sent, there is more than one item in Exposure Sequence
(3002,0030), and image is a multi-frame image.
> KVP (0018,0060) 2C Peak kilo voltage output (kV) of X-ray generator used to Import/Export supported.
acquire image. Required if Value 3 of Image Type
(0008,0008) is PORTAL, SIMULATOR or RADIOGRAPH
and Exposure Sequence (3002,0030) is sent.
> X-ray Tube (0018,1151) 2C Imaging device X-ray Tube Current (mA). Import/Export supported.
Current Required if Value 3 of Image Type (0008,0008) is
SIMULATOR or RADIOGRAPH and Exposure Sequence
(3002,0030) is sent.

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IOD Details, RT Image – C.8.8.2

Attribute Name Tag T Attribute Description Varian System Database

> Exposure Time (0018,1150) 2C Time of X-ray exposure (msec). Required if Value 3 of Import/Export supported.
Image Type (0008,0008) is SIMULATOR or
RADIOGRAPH and Exposure Sequence (3002,0030) is
sent.
> Meterset (3002,0032) 2C Treatment machine Meterset duration over which image Import/Export supported.
Exposure has been acquired, specified in Monitor units (MU) or
minutes as defined by Primary Dosimeter Unit
(300A,00B3).
Required if Value 3 of Image Type (0008,0008) is
PORTAL and Exposure Sequence (3002,0030) is sent.
> Diaphragm (3002,0034) 3 Positions of diaphragm jaw pairs (in mm) in IEC BEAM Import/Export supported.
Position LIMITING DEVICE coordinate axis in the IEC order X1,
X2, Y1, Y2.
> Beam Limiting (300A,00B6) 3 Introduces sequence of beam limiting device (collimator)
Device Sequence jaw or leaf (element) positions for given exposure. One or
more items may be included in this sequence.
>> RT Beam (300A,00B8) 1C Type of beam limiting device (collimator). Import/Export supported.
Limiting Device Required if Beam Limiting Device Sequence (300A,00B6) Supported values: X, Y, ASYMX,
Type is sent. ASYMY.
Enumerated Values:
X = symmetric jaw pair in IEC X direction
Y = symmetric jaw pair in IEC Y direction
ASYMX = asymmetric jaw pair in IEC X direction
ASYMY = asymmetric pair in IEC Y direction
MLCX = multileaf (multi-element) jaw pair in IEC X
direction
MLCY = multileaf (multi-element) jaw pair in IEC Y
direction
>> Source to Beam (300A,00BA) 3 Radiation source to beam limiting device (collimator) *** DICOM validation only ***
Limiting Device distance (mm).
Distance

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Attribute Name Tag T Attribute Description Varian System Database

>> Number of (300A,00BC) 1C Number of leaf (element) or jaw pairs (equal to 1 for Only value 1 is supported.
Leaf/Jaw Pairs standard beam limiting device jaws). Required if Beam
Limiting Device Sequence (300A,00B6) is sent.
>> Leaf Position (300A,00BE) 2C Boundaries (in mm) of beam limiting device (collimator) *** DICOM validation only ***
Boundaries leaves (elements) in IEC BEAM LIMITING DEVICE
coordinate axis appropriate to RT Beam Limiting Device
Type (300A,00B8), i.e. X-axis for MLCY, Y- axis for
MLCX. Contains N+1 values, where N is the Number of
Leaf/Jaw Pairs (300A,00BC), starting from Leaf
(Element) Pair 1. Required if RT Beam Limiting Device
Type (300A,00B8) is MLCX or MLCY.
>> Leaf/Jaw (300A,011C) 1C Positions of beam limiting device (collimator) leaf or jaw Import/Export supported.
Positions (element) pairs (in mm) in IEC BEAM LIMITING DEVICE
coordinate axis appropriate to RT Beam Limiting Device
Type (300A,00B8), e.g. X- axis for MLCX, Y-axis for
MLCY). Contains 2N values, where N is the Number of
Leaf/Jaw Pairs (300A,00BC), in IEC leaf (element)
subscript order 101, 102, ... 1N, 201, 202, ... 2N.
Required if Beam Limiting Device Sequence (300A,00B6)
is sent.
> Applicator (300A,0107) 3 Introduces sequence of Applicators associated with *** not supported ***
Sequence Beam. Only a single item shall be permitted in this
sequence.
>> Applicator ID (300A,0108) 1C User or machine supplied identifier for Applicator. *** not supported ***
Required if Applicator Sequence (300A,0107) is sent.

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IOD Details, RT Image – C.8.8.2

Attribute Name Tag T Attribute Description Varian System Database

>> Applicator Type (300A,0109) 1C Type of Applicator. Required if Applicator Sequence *** not supported ***
(300A,0107) is sent.
Defined Terms:
ELECTRON_SQUARE = square electron applicator
ELECTRON_RECT = rectangular electron applicator
ELECTRON_CIRC = circular electron applicator
ELECTRON_SHORT = short electron applicator
ELECTRON_OPEN = open (dummy) electron applicator
INTRAOPERATIVE = intraoperative (custom) applicator
STEREOTACTIC = stereotactic applicator
>> Applicator (300A,010A) 3 User-defined description for Applicator. *** not supported ***
Description
> Number of Blocks (300A,00F0) 1C Number of shielding blocks associated with Beam. Export supported.
Required if Exposure Sequence (3002,0030) is sent. Value always 0.
> Block Sequence (300A,00F4) 2C Introduces sequence of blocks associated with Beam. *** not supported ***
Required if Number of Blocks (300A,00F0) is non-zero.
One or more items may be included in this sequence.
>> Block Tray ID (300A,00F5) 3 User-supplied identifier for block tray. *** not supported ***
>> Source to Block (300A,00F6) 2C Radiation Source to attachment edge of block tray *** not supported ***
Tray Distance assembly (mm). Required if Block Sequence
(300A,00F4) is sent.
>> Block Type (300A,00F8) 1C Type of block. Required if Block Sequence (300A,00F4) *** not supported ***
is sent.
Enumerated Values:
SHIELDING = blocking material is inside contour
APERTURE = blocking material is outside contour

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 IOD Details, RT Image – C.8.8.2

Attribute Name Tag T Attribute Description Varian System Database

>> Block (300A,00FA) 2C Indicates presence or otherwise of geometrical *** not supported ***
Divergence divergence. Required if Block Sequence (300A,00F4) is
sent.
Enumerated Values:
PRESENT = block edges are shaped for beam
divergence
ABSENT = block edges are not shaped for beam
divergence
>> Block Mounting (300A,00FB) 3 Indicates on which side of the Block Tray the block is *** not supported ***
Position mounted.
Enumerated Values:
PATIENT_SIDE = the block is mounted on the side of the
Block Tray which is towards the patient.
SOURCE_SIDE = the block is mounted on the side of the
Block Tray which is towards the radiation source.
>> Block Number (300A,00FC) 1C Identification Number of the Block. The value of Block *** not supported ***
Number (300A,00FC) shall be unique within the Beam in
which it is created. Required if Block Sequence
(300A,00F4) is sent.
>> Block Name (300A,00FE) 3 User-defined name for block. *** not supported ***
>> Material ID (300A,00E1) 2C User-supplied identifier for material used to manufacture *** not supported ***
Block. Required if Block Sequence (300A,00F4) is sent.
>> Block Thickness (300A,0100) 3 Physical thickness of block (in mm) parallel to radiation *** not supported ***
beam axis.
>> Block Number of (300A,0104) 2C Number of (x,y) pairs defining the block edge. Required if *** not supported ***
Points Block Sequence (300A,00F4) is sent.

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IOD Details, RT Image – C.8.8.2

Attribute Name Tag T Attribute Description Varian System Database

>> Block Data (300A,0106) 2C A data stream of (x,y) pairs which comprise the block *** not supported ***
edge. The number of pairs shall be equal to Block
Number of Points (300A,0104), and the vertices shall be
interpreted as a closed polygon. Coordinates are
projected onto the machine isocentric plane in the IEC
BEAM LIMITING DEVICE coordinate system (mm).
Required if Block Sequence (300A,00F4) is sent.
> Primary Fluence (3285,XX00) 3 Sequence defining whether the primary fluence of the *** not supported ***
Mode Sequence treatment beam uses a non-standard fluence-shaping.
(PRIVATE) Only a single Item shall be permitted in this sequence.
>> Fluence Mode (3285,XX01) 1 Describes whether the fluence shaping is the standard *** not supported ***
(PRIVATE) mode for the beam or an alternate.
Enumerated Values:
STANDARD = Uses standard fluence-shaping
NON_STANDARD = Uses a non-standard fluence-
shaping mode
>> Fluence Mode ID (3285,XX02) 1C Identifier for the specific fluence-shaping mode. Required *** not supported ***
(PRIVATE) if Fluence Mode (3285,xx01) has value
NON_STANDARD.
Fluence Map (3002,0040) 1C A Sequence of data describing the fluence map attributes *** not supported ***
Sequence for a radiotherapy beam. Only one item may be included
in this sequence.
Required if the third value of Image Type (0008,0008) is
FLUENCE.
> Fluence Data (3002,0041) 1 Source of fluence data. *** not supported ***
Source Enumerated Values:
CALCULATED = Calculated by a workstation
MEASURED = Measured by exposure to a film or
detector.

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 IOD Details, RT Image – C.8.8.2

Attribute Name Tag T Attribute Description Varian System Database

> Fluence Data (3002,0042) 3 The meterset corresponding with a fluence map cell *** not supported ***
Scale value of 1.0 expressed in units specified by Primary
Dosimeter Units (300A,00B3). This is the meterset value
used for treatment, not the meterset used to expose the
film as defined by Meterset Exposure (3002,0032).
Gantry Angle (300A,011E) 3 Treatment machine gantry angle, i.e. orientation of IEC Import/Export supported.
GANTRY coordinate system with respect to IEC FIXED
REFERENCE coordinate system (degrees).
Beam Limiting (300A,0120) 3 Treatment machine beam limiting device (collimator) Import/Export supported.
Device Angle angle, i.e. orientation of IEC BEAM LIMITING DEVICE
coordinate system with respect to IEC GANTRY
coordinate system (degrees).
Patient Support (300A,0122) 3 Patient Support angle, i.e. orientation of IEC PATIENT Import/Export supported.
Angle SUPPORT coordinate system with respect to IEC FIXED
REFERENCE coordinate system (degrees).
Table Top Eccentric (300A,0124) 3 Distance (positive) from the IEC PATIENT SUPPORT *** not supported ***
Axis Distance vertical axis to the IEC TABLE TOP ECCENTRIC vertical
axis (mm).
Table Top Eccentric (300A,0125) 3 Table Top (non-isocentric) angle, i.e. orientation of IEC Import/Export supported.
Angle TABLE TOP ECCENTRIC coordinate system with
respect to IEC PATIENT SUPPORT system (degrees).
Table Top Vertical (300A,0128) 3 Table Top Vertical position in IEC TABLE TOP Import/Export supported.
Position coordinate system (mm).
Table Top (300A,0129) 3 Table Top Longitudinal position in IEC TABLE TOP Import/Export supported.
Longitudinal coordinate system (mm).
Position
Table Top Lateral (300A,012A) 3 Table Top Lateral position in IEC TABLE TOP coordinate Import/Export supported.
Position system (mm).

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IOD Details, RT Image – C.8.8.2

Attribute Name Tag T Attribute Description Varian System Database

Isocenter Position (300A,012C) 3 Isocenter coordinates (x,y,z), in mm. Specifies the Import/Export supported.
location of the machine isocenter in the patient-based Is encouraged to be available on
coordinate system associated with the Frame of import (together with the Frame of
Reference. It allows transformation from the equipment- Reference Module). Absence may
based IEC coordinate system to the patient-based cause some 3D functionality not to be
coordinate system. available.
Patient Position (0018,5100) 1C Patient position descriptor relative to the patient support Import/Export supported.
device. Is encouraged to be available on
Required if Isocenter Position (300A,012C) is present. import (together with the Frame of
May be present otherwise. See Section C.7.3.1.1.2 for Reference Module). Absence may
Defined Terms and further explanation. cause some 3D functionality not to be
Note: available.
The orientation of the patient relative to the patient
support device is denoted in the same manner as in the
RT Patient Setup module. It defines the relation of the
patient-based DICOM coordinate system identified by the
frame of reference module of the RT Image to the IEC
coordinate system and together with the Isocenter
Position (300A,012C) allows the RT Image to be placed
into the patient frame of reference. It also allows a
system using an RT Image to verify that the patient is
setup in a similar position relative to the patient support
device.
RT Image Isocenter (3273,XX00) 3 The isocenter position in the FOR as defined in the FOR Import/Export supported.
Position module. For DRRs, this is typically the FOR of the Is encouraged to be available on
diagnostic image and the isocenter coordinate import (together with the Frame of
correspond to those of the associated beam. For Reference Module). Absence may
treatment / simulator images, the acquisition systems cause some 3D functionality not to be
create the FOR and define it's origin (typically the available.
isocenter position of the first image acquired).
Import: Ignored if Isocenter Position
(300A,012C) is sent.
DEPRECATED: Isocenter Position
(300A,012C) should be used.

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 IOD Details, RT Dose – C.8.8.3

Attribute Name Tag T Attribute Description Varian System Database

RT Image Patient (3273,XX01) 3 The patient position at the time, when the image was Import/Export supported.
Position taken (or created in case of DRRs). Is encouraged to be available on
import (together with the Frame of
Reference Module). Absence may
cause some 3D functionality not to be
available.
Import: Ignored if Patient Position
(0018,5100) is sent.
DEPRECATED: Patient Position
(0018,5100) should be used.
LT Archive Primary (3279,XX00) 3 If present indicates if image is primary reference image of Import/Export supported.
Reference Image beam referenced by Referenced RT Plan Sequence Only used by DB Daemon when
Flag (300C,0002) and Referenced Beam Number configured in Archive Service Mode.
(300C,0006). If absent then it is not a primary reference Used to remember primary reference
image. image status.

Enumerated Values:
PRIMARY
NOT_PRIMARY

C.2.22 RT Dose – C.8.8.3

Attribute Name Tag T Attribute Description Varian System Database

Samples per Pixel (0028,0002) 1C Number of samples (planes) in this image. See Import/Export supported.
C.8.8.3.4.1 for specialization. Import: Warning if value is not 1.
Required if Pixel Data (7FE0,0010) is present. Export: 1

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IOD Details, RT Dose – C.8.8.3

Attribute Name Tag T Attribute Description Varian System Database

Photometric (0028,0004) 1C Specifies the intended interpretation of the pixel data. Import/Export supported.
Interpretation See C.8.8.3.4.2 for specialization. Required if Pixel Data Import: Warning if value is not
(7FE0,0010) is present. MONOCHROME2. Pixel data is
always imported as if it were
MONOCHROME2.
Export: MONOCHROME2
Bits Allocated (0028,0100) 1C Number of bits allocated for each pixel sample. Each Import/Export supported.
sample shall have the same number of bits allocated. Export: 32
See C.8.8.3.4.3 for specialization. Required Pixel Data
(7FE0,0010) is present.
Bits Stored (0028,0101) 1C Number of bits stored for each pixel sample. Each Import/Export supported.
sample shall have the same number of bits stored. See
C.8.8.3.4.4 for specialization. Required if Pixel Data
(7FE0,0010) is present.
High Bit (0028,0102) 1C Most significant bit for each pixel sample. Each sample Import/Export supported.
shall have the same high bit. See C.8.8.3.4.5 for
specialization.
Required if Pixel Data (7FE0,0010) is present.
Pixel (0028,0103) 1C Data representation of the pixel samples. Each sample Import/Export supported.
Representation shall have the same pixel representation. See C.8.8.3.4.6 Import: Rejected if value is not 0000H.
for specialization. Required Pixel Data (7FE0,0010) is
Export: 0000H
present.
Dose Units (3004,0002) 1 Units used to describe dose. Import/Export supported.
Enumerated Values: GY <--> Absolute Dose
GY = Gray RELATIVE <--> RelativeDose
RELATIVE = dose relative to implicit reference value
Dose Type (3004,0004) 1 Type of dose. Export supported.
Defined Terms: Value: PHYSICAL
PHYSICAL = physical dose
EFFECTIVE = physical dose after correction for biological
effect using user- defined modeling technique
ERROR = difference between desired and planned dose

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 IOD Details, RT Dose – C.8.8.3

Attribute Name Tag T Attribute Description Varian System Database

Instance Number (0020,0013) 3 A number that identifies this object instance. Import/Export supported.
Import: Used as Image ID for non-RT
Images.
Dose Comment (3004,0006) 3 User-defined comments for dose data. *** DICOM validation only ***
Normalization Point (3004,0008) 3 Coordinates (x, y, z) of normalization point in the patient *** not supported ***
based coordinate system described in C.7.6.2.1.1 (mm).
See C.8.8.3.1.
Dose Summation (3004,000A) 1 Type of dose summation. Import: BEAM, PLAN, FRACTION
Type Defined Terms: Export: BEAM, PLAN
PLAN = dose calculated for entire RT Plan On import PLAN and FRACTION are
FRACTION = dose calculated for a single Fraction Group used as synonyms and interpreted as
within RT Plan if the value were PLAN. Thus, an
imported value of FRACTION will be
BEAM = dose calculated for one or more Beams within
exported again as PLAN.
RT Plan
BRACHY = dose calculated for one or more Brachy
Application Setups within RT Plan
CONTROL_POINT = dose calculated for one or more
Control Points within a Beam
Referenced RT Plan (300C,0002) 1C Introduces sequence of one Class/Instance pair
Sequence describing RT Plan associated with dose. Required if
Dose Summation Type (3004,000A) is PLAN,
FRACTION, BEAM, BRACHY or CONTROL_POINT.
Only a single item shall be permitted in this sequence.
See Note 1.
> Referenced SOP (0008,1150) 1C Uniquely identifies the referenced SOP Class. Required if Import/Export supported.
Class UID Referenced RT Plan Sequence (300C,0002) is sent. Values: SOP Class UID of RT Plan or
RT Ion Plan.
> Referenced SOP (0008,1155) 1C Uniquely identifies the referenced SOP Instance. Import/Export supported.
Instance UID Required if Referenced RT Plan Sequence (300C,0002)
is sent.

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IOD Details, RT Dose – C.8.8.3

Attribute Name Tag T Attribute Description Varian System Database

> Referenced (300C,0020) 1C Introduces sequence of one Fraction Group containing

Fraction Group beams or brachy application setups contributing to dose.
Sequence Required if Dose Summation Type (3004,000A) is
FRACTION, BEAM, BRACHY or CONTROL_POINT.
Only a single item shall be permitted in this sequence.
See Note 1.
>> Referenced (300C,0022) 1C Uniquely identifies Fraction Group specified by Fraction Export supported.
Fraction Group Group Number (300A,0071) in Fraction Group Sequence Value: 1
Number of RT Fraction Scheme Module within RT Plan
referenced in Referenced RT Plan Sequence
(300C,0002). Required if Referenced Fraction Group
Sequence (300C,0020) is sent.
>> Referenced (300C,0004) 1C Introduces sequence of Beams in current Fraction Group Only 1 item is supported
Beam Sequence contributing to dose.
Required if Dose Summation Type (3004,000A) is BEAM
or CONTROL_POINT. One or more items may be
included in this sequence.
>>> Referenced (300C,0006) 1C Uniquely identifies Beam specified by Beam Number Export supported.
Beam Number (300A,00C0) in Beam Sequence of RT Beams Module
within RT Plan referenced in Referenced RT Plan
Sequence (300C,0002). Required if Referenced Beam
Sequence (300C,0004) is sent.
>>> Referenced (300C,00F2) 1C Sequence defining the Control Points in current Beam *** not supported ***
Control Point contributing to dose.
Sequence Required if Dose Summation Type (3004,000A) is
CONTROL_POINT. Only a single item shall be present in
this sequence.
>>>> Referenced (300C,00F4) 1 Identifies Control Point specified by Control Point Index *** not supported ***
Start Control Point (300A,0112) within Beam referenced by Referenced
Index Beam Number (300C,0006). This is the first of the two
Control Points from which the Dose contribution to the
Control Point can be calculated.

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 IOD Details, RT Dose – C.8.8.3

Attribute Name Tag T Attribute Description Varian System Database

>>>> Referenced (300C,00F6) 1 Identifies Control Point specified by Control Point Index *** not supported ***
Stop Control Point (300A,0112) within Beam referenced by Referenced
Index Beam Number (300C,0006). This is the second of the two
Control Points from which the Dose contribution to the
Control Point can be calculated. The Control Point Index
(300A,0112) referenced by Referenced Stop Control
Point Index (300C,00F6) shall be the Control Point Index
(300A,0112) immediately following the Control Point
Index (300A,0112) referenced by Referenced Start
Control Point Index (300C,00F4) within the Referenced
Beam Number (300C,0006).
>> Referenced (300C,000A) 1C Introduces sequence of Brachy Application Setups in Not supported: Import rejected if
Brachy Application current Fraction Group contributing to dose. Required if present.
Setup Sequence Dose Summation Type (3004,000A) is BRACHY. One or
more items may be included in this sequence.
>>> Referenced (300C,000C) 1C Uniquely identifies Brachy Application Setup specified by *** DICOM validation only ***
Brachy Application Brachy Application Setup Number (300A,0234) in Brachy
Setup Number Application Setup Sequence (300A,0230) of RT Brachy
Application Setups Module within RT Plan referenced in
Referenced RT Plan Sequence (300C,0002). Required if
Referenced Brachy Application Setup Sequence
(300C,000A) is sent.
Grid Frame Offset (3004,000C) 1C An array which contains the dose image plane offsets (in Import/Export supported.
Vector mm) of the dose image frames in a multi-frame dose. Planes of frames must have equal
Required if multi-frame pixel data are present and Frame distances to their immediate
Increment Pointer (0028,0009) points to Grid Frame neighbours in direction of z axis.
Offset Vector (3004,000C). See C.8.8.3.2.
Dose Grid Scaling (3004,000E) 1 Scaling factor that when multiplied by the dose grid data Import/Export supported.
found in the Pixel Data (7FE0,0010) attribute of the
Image Pixel Module, yields grid doses in the dose units
as specified by Dose Units (3004,0002).

Varian System Server DICOM Conformance Statement, VA8804D3CS 201 of 410

IOD Details, RT DVH – C.8.8.4

Attribute Name Tag T Attribute Description Varian System Database

Tissue (3004,0014) 3 Specifies a list of patient heterogeneity characteristics *** not supported ***
Heterogeneity used for calculating dose. This Atttibute shall be multi-
Correction valued if beams used to compute the dose have differing
correction techniques.
Enumerated Values:
IMAGE = image data
ROI_OVERRIDE = one or more ROI densities override
image or water values where they exist
WATER = entire volume treated as water equivalent

C.2.23 RT DVH – C.8.8.4

Attribute Name Tag T Attribute Description Varian System Database

Referenced (300C,0060) 1 Introduces sequence of one class/instance pair

Structure Set describing Structure Set containing structures which are
Sequence used to calculate Dose-Volume Histograms (DVHs). Only
a single item shall be permitted in this sequence. See
C.8.8.4.1.
> Referenced SOP (0008,1150) 1 Uniquely identifies the referenced SOP Class. Export supported.
Class UID Supported value: SOP Class UID of
RT Structure Set.
> Referenced SOP (0008,1155) 1 Uniquely identifies the referenced SOP Instance. Export supported.
Instance UID From the Planning Image.
DVH Normalization (3004,0040) 3 Coordinates (x, y, z) of common DVH normalization point *** DICOM validation only ***
Point in the patient based coordinate system described in
C.7.6.2.1.1 (mm).
DVH Normalization (3004,0042) 3 Dose Value at DVH Normalization Point (3004,0040) *** DICOM validation only ***
Dose Value used as reference for individual DVHs when Dose Units
(3004,0002) is RELATIVE.

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 IOD Details, RT DVH – C.8.8.4

Attribute Name Tag T Attribute Description Varian System Database

DVH Sequence (3004,0050) 1 Introduces sequence of DVHs. One or more items may Export supported.
be included in this sequence. Only one item is exported.
> DVH Referenced (3004,0060) 1 Introduces sequence of referenced ROIs used to
ROI Sequence calculate DVH.
>> Referenced ROI (3006,0084) 1 Uniquely identifies ROI used to calculate DVH specified Export supported.
Number by ROI Number (3006,0022) in Structure Set ROI
Sequence (3006,0020) in Structure Set Module within RT
Structure Set referenced by referenced RT Plan in
Referenced RT Plan Sequence (300C,0002) in RT Dose
Module.
>> DVH ROI (3004,0062) 1 Specifies whether volume within ROI is included or Export supported.
Contribution Type excluded in DVH. See C.8.8.4.2. Value: INCLUDED
Enumerated Values:
INCLUDED, EXCLUDED.
> DVH Type (3004,0001) 1 Type of DVH. Export supported.
Enumerated Values: Value depends on user selection from
DIFFERENTIAL = differential dose-volume histogram export wizard page.
CUMULATIVE = cumulative dose-volume histogram
NATURAL = natural dose volume histogram
> Dose Units (3004,0002) 1 Dose axis units. Export supported.
Enumerated Values: Value depends on user selection from
GY = Gray export wizard page.
RELATIVE = dose relative to reference value specified in
DVH Normalization Dose Value (3004,0042)
> Dose Type (3004,0004) 1 Type of dose. Export supported.
Defined Terms: Value: PHYSICAL
PHYSICAL = physical dose
EFFECTIVE = physical dose after correction for biological
effect using user- defined modeling technique
ERROR = difference between desired and planned dose

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IOD Details, RT DVH – C.8.8.4

Attribute Name Tag T Attribute Description Varian System Database

> DVH Dose (3004,0052) 1 Scaling factor that when multiplied by the dose bin widths Export supported.
Scaling found in DVH Data (3004,0058), yields dose bin widths in Value: 1
the dose units as specified by Dose Units (3004,0002).
> DVH Volume (3004,0054) 1 Volume axis units. Export supported.
Units Defined Terms: Value depends on user selection from
CM3 = cubic centimeters export wizart page.
PERCENT = percent
PER_U = volume per u with u(dose)=dose3/ 2. See
C.8.8.4.3.
> DVH Number of (3004,0056) 1 Number of bins n used to store DVH Data (3004,0058). Export supported.
Bins Calculated value
> DVH Data (3004,0058) 1 A data stream describing the dose bin widths Dn and Export supported.
associated volumes Vn in DVH Volume Units Calculated value
(3004,0054) in the order D1V1, D2V2, ... DnVn.
Note:
DVH Data arrays may not be properly encoded if Explicit-
VR transfer syntax is used and the VL of this attribute
exceeds 65534 bytes.
> DVH Minimum (3004,0070) 3 Minimum calculated dose to ROI(s) described by DVH Export supported.
Dose Referenced ROI Sequence (3004,0060). Calculated value
> DVH Maximum (3004,0072) 3 Maximum calculated dose to ROI(s) described by DVH Export supported.
Dose Referenced ROI Sequence (3004,0060). Calculated value
> DVH Mean Dose (3004,0074) 3 Mean calculated dose to ROI(s) described by DVH Export supported.
Referenced ROI Sequence (3004,0060). Calculated value

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 IOD Details, Structure Set – C.8.8.5

C.2.24 Structure Set – C.8.8.5

Attribute Name Tag T Attribute Description Varian System Database

Structure Set Label (3006,0002) 1 User-defined label for Structure Set. Import/Export supported.
Structure Set ID.
Also used as initial ID of volume image
that is created on import.
Structure Set Name (3006,0004) 3 User-defined name for Structure Set. Import/Export supported.
Structure Set Name.
Structure Set (3006,0006) 3 User-defined description for Structure Set. Import/Export supported.
Description Structure Set Comment.
Instance Number (0020,0013) 3 A number that identifies this object instance. Import/Export supported.
Structure Set Date (3006,0008) 2 Date at which Structure Set was last modified. Import/Export supported.
Structure Set Time (3006,0009) 2 Time at which Structure Set was last modified. Import/Export supported.
Referenced Frame (3006,0010) 3 Introduces sequence of items describing Frames of Only one item in this sequence is
of Reference Reference in which the ROIs are defined. One or more supported.
Sequence items may be included in this sequence. See C.8.8.5.1.
> Frame of (0020,0052) 1C Uniquely identifies Frame of Reference within Structure Import/Export supported.
Reference UID Set. Required if Referenced Frame of Reference
Sequence (3006,0010) is sent.
> Frame of (3006,00C0) 3 Introduces sequence of transforms that relate other *** not supported ***
Reference Frames of Reference to this Frame of Reference.
Relationship
Sequence
>> Related Frame (3006,00C2) 1C Frame of Reference Coordinate System to be *** DICOM validation only ***
of Reference UID transformed to the current Frame of Reference. Required
if Frame of Reference Relationship Sequence
(3006,00C0) is sent.

Varian System Server DICOM Conformance Statement, VA8804D3CS 205 of 410

IOD Details, Structure Set – C.8.8.5

Attribute Name Tag T Attribute Description Varian System Database

>> Frame of (3006,00C4) 1C Type of Transformation. Required if Frame of Reference *** DICOM validation only ***
Reference Relationship Sequence (3006,00C0) is sent.
Transformation Defined Terms:
Type
HOMOGENEOUS
>> Frame of (3006,00C6) 1C Four-by-four transformation Matrix from Related Frame of *** DICOM validation only ***
Reference Reference to current Frame of Reference. Matrix
Transformation elements shall be listed in row-major order. Required if
Matrix Frame of Reference Relationship Sequence (3006,00C0)
is sent. See C.8.8.5.2.
>> Frame of (3006,00C8) 3 Comment regarding the transformation between the *** DICOM validation only ***
Reference related and current Frames of Reference.
Transformation
Comment
> RT Referenced (3006,0012) 3 Introduces sequence of Studies containing series to be Import/Export supported.
Study Sequence referenced. One or more items may be included in this Import: Used for finding related
sequence. images. Unresolved external
references are not stored.
Export: Generated from images
associated to this structure set.
>> Referenced SOP (0008,1150) 1C Uniquely identifies the referenced SOP Class. Required if Import/Export supported.
Class UID RT Referenced Study Sequence (3006,0012) is sent. Import: Any value accepted.
Exported: SOP Class UID of Study
Component Mangement.
>> Referenced SOP (0008,1155) 1C Uniquely identifies the referenced SOP Instance. Import/Export supported.
Instance UID Required if RT Referenced Study Sequence (3006,0012)
is sent.
>> RT Referenced (3006,0014) 1C Introduces sequence of items describing series of images Import/Export supported.
Series Sequence within the referenced study which are used in defining the Import: Used for finding related
Structure Set. Required if RT Referenced Study images. Unresolved external
Sequence (3006,0012) is sent. One or more items may references are not stored.
be included in this sequence.
Export: Generated from images
associated to this structure set.

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 IOD Details, Structure Set – C.8.8.5

Attribute Name Tag T Attribute Description Varian System Database

>>> Series Instance (0020,000E) 1C Unique identifier for the series containing the images. Import/Export supported.
UID Required if RT Referenced Series Sequence (3006,0014)
is sent.
>>> Contour Image (3006,0016) 1C Introduces sequence of items describing images in a Import/Export supported.
Sequence given series used in defining the Structure Set (typically Import: Used for finding related
CT or MR images). Required if RT Referenced Series images. Unresolved external
Sequence (3006,0014) is sent. One or more items may references not stored.
be included in this sequence.
Export: Generated from images
associated to this structure set.
>>>> Referenced (0008,1150) 1 Uniquely identifies the referenced SOP Class. Import/Export supported.
SOP Class UID
>>>> Referenced (0008,1155) 1 Uniquely identifies the referenced SOP Instance. Import/Export supported.
SOP Instance UID
>>>> Referenced (0008,1160) 1 Identifies the frame numbers within the Referenced SOP *** not supported ***
Frame Number Instance to which the reference applies. The first frame
shall be denoted as frame number 1.
Note: This Attribute may be multi-valued.
Required if the Referenced SOP Instance is a multi-frame
image and the reference does not apply to all frames.
Structure Set ROI (3006,0020) 3 Introduces sequence of ROIs for current Structure Set.
Sequence One or more items may be included in this sequence.
> ROI Number (3006,0022) 1C Identification number of the ROI. The value of ROI Import/Export supported.
Number (3006,0022) shall be unique within the Structure Import: Used to construct a reasonable
Set in which it is created. Required if Structure Set ROI Structure ID if ROI Name (3006,0026)
Sequence (3006,0020) is sent. and ROI Observation Label
(3006,0085) are absent or empty.
> Referenced (3006,0024) 1C Uniquely identifies Frame of Reference in which ROI is Import/Export supported.
Frame of Reference defined, specified by Frame of Reference UID
UID (0020,0052) in Referenced Frame of Reference
Sequence (3006,0010). Required if Structure Set ROI
Sequence (3006,0020) is sent.

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IOD Details, Structure Set – C.8.8.5

Attribute Name Tag T Attribute Description Varian System Database

> ROI Name (3006,0026) 2C User-defined name for ROI. Required if Structure Set Import/Export supported.
ROI Sequence (3006,0020) is sent. Import: Used as Structure ID if ROI
Observation Label is (3006,0085)
absent or empty.
> ROI Description (3006,0028) 3 User-defined description for ROI. Import/Export supported.
Structure Comment.
> ROI Volume (3006,002C) 3 Volume of ROI (cubic centimeters). *** DICOM validation only ***
> ROI Generation (3006,0036) 2C Type of algorithm used to generate ROI. Import/Export supported.
Algorithm Required if Structure Set ROI Sequence (3006,0020) is
sent.
Defined Terms:
AUTOMATIC = calculated ROI
SEMIAUTOMATIC = ROI calculated with user assistance
MANUAL = user-entered ROI
> ROI Generation (3006,0038) 3 User-defined description of technique used to generate *** DICOM validation only ***
Description ROI.
Referenced (3263,XX01) 3 Introduces sequence of related SOP Class/Instance pairs Import supported.
Structure Set describing related instances of structure sets. One or Only one item is supported in this
Sequence more items may be included in this sequence. sequence
> Referenced SOP (0008,1150) 1 Uniquely identifies the referenced SOP Class. Import supported.
Class UID Supported values: SOP Class UID of
RT Structure Set.
> Referenced SOP (0008,1155) 1 Uniquely identifies the referenced SOP Instance. Import supported.
Instance UID

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 IOD Details, ROI Contour – C.8.8.6

Attribute Name Tag T Attribute Description Varian System Database

> Structure Set (3263,XX02) 3 Relationship of referenced structure set with respect to Import supported.
Relationship current structure set. Required if Referenced Structure Supported value: ADDITION
Set Sequence (3263,1002) is sent.
Defined Terms:
PREDECESSOR = structure set used in derivation of
current structure set
ADDITION = structure set, for which the current structure
set is an addition

C.2.25 ROI Contour – C.8.8.6

Attribute Name Tag T Attribute Description Varian System Database

ROI Contour (3006,0039) 1 Introduces sequence of Contour Sequences defining

Sequence ROIs. One or more items may be included in this
sequence.
> Referenced ROI (3006,0084) 1 Uniquely identifies the referenced ROI described in the Export supported.
Number Structure Set ROI Sequence (3006,0020).
> ROI Display Color (3006,002A) 3 RGB triplet color representation for ROI, specified using Import/Export supported.
the range 0-255. Import: Color is used to search for
matching Material. If none is found, a
new Material with given color will be
created.
> Contour (3006,0040) 3 Introduces sequence of Contours defining ROI. One or
Sequence more items may be included in this sequence.
>> Contour Number (3006,0048) 3 Identification number of the contour. The value of *** not supported ***
Contour Number (3006,0048) shall be unique within the
Contour Sequence (3006,0040) in which it is defined. No
semantics or ordering shall be inferred from this attribute.
>> Attached (3006,0049) 3 List of Contour Number (3006,0048) defining lower- *** not supported ***
Contours numbered contour(s) to which the current contour is
connected.

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IOD Details, ROI Contour – C.8.8.6

Attribute Name Tag T Attribute Description Varian System Database

>> Contour Image (3006,0016) 3 Introduces sequence of images containing the contour.
Sequence One or more items may be included in this sequence.
>>> Referenced (0008,1150) 1 Uniquely identifies the referenced SOP Class. Export supported.
SOP Class UID
>>> Referenced (0008,1155) 1 Uniquely identifies the referenced SOP Instance. Export supported.
SOP Instance UID
>>> Referenced (0008,1160) 1 Identifies the frame numbers within the Referenced SOP *** DICOM validation only ***
Frame Number Instance to which the reference applies. The first frame
shall be denoted as frame number 1.
Note: This Attribute may be multi-valued.
Required if the Referenced SOP Instance is a multi-frame
image and the reference does not apply to all frames.
>> Contour (3006,0042) 1C Geometric type of contour. Required if Contour Sequence Import/Export supported.
Geometric Type (3006,0040) is sent. See C.8.8.6.1.
Enumerated Values:
POINT = single point
OPEN_PLANAR = open contour containing coplanar
points
OPEN_NONPLANAR = open contour containing non-
coplanar points
CLOSED_PLANAR = closed contour (polygon)
containing coplanar points
>> Contour Slab (3006,0044) 3 Thickness of slab (in mm) represented by contour, where *** DICOM validation only ***
Thickness the Contour Data (3006,0050) defines a plane in the
center of the slab, offset by the Contour Offset Vector
(3006,0045) if it is present. See C.8.8.6.2.

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 IOD Details, RT ROI Observations – C.8.8.8

Attribute Name Tag T Attribute Description Varian System Database

>> Contour Offset (3006,0045) 3 Vector (x,y,z) in the the patient based coordinate system *** DICOM validation only ***
Vector described in C.7.6.2.1.1 which is normal to plane of
Contour Data (3006,0050), describing direction and
magnitude of the offset (in mm) of each point of the
central plane of a contour slab from the corresponding
original point of Contour Data (3006,0050). See
C.8.8.6.2.
>> Number of (3006,0046) 1C Number of points (triplets) in Contour Data (3006,0050). Import/Export supported.
Contour Points Required if Contour Sequence (3006,0040) is sent.
>> Contour Data (3006,0050) 1C Sequence of (x,y,z) triplets defining a contour in the Import/Export supported.
patient based coordinate system described in C.7.6.2.1.1
(mm).
Required if Contour Sequence (3006,0040) is sent. See
C.8.8.6.1 and C.8.8.6.3.
Note:
Contour Data may not be properly encoded if Explicit-VR
transfer syntax is used and the VL of this attribute
exceeds 65534 bytes.

C.2.26 RT ROI Observations – C.8.8.8

Attribute Name Tag T Attribute Description Varian System Database

RT ROI (3006,0080) 1 Introduces sequence of observations related to ROIs

Observations defined in the ROI Module. One or more items may be
Sequence included in this sequence.
> Observation (3006,0082) 1 Identification number of the Observation. The value of Import/Export supported.
Number Observation Number (3006,0082) shall be unique within
the RT ROI Observations Sequence (3006,0080).
> Referenced ROI (3006,0084) 1 Uniquely identifies the referenced ROI described in the Export supported.
Number Structure Set ROI Sequence (3006,0020).

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IOD Details, RT ROI Observations – C.8.8.8

Attribute Name Tag T Attribute Description Varian System Database

> ROI Observation (3006,0085) 3 User-defined label for ROI Observation. Import/Export supported.
Label Used as Structure ID.
> ROI Observation (3006,0088) 3 User-defined description for ROI Observation. Import/Export supported.
Description
> RT Related ROI (3006,0030) 3 Introduces sequence of significantly related ROIs, e.g. *** DICOM validation only ***
Sequence CTVs contained within a PTV. One or more items may be
included in this sequence.
>> Referenced ROI (3006,0084) 1C Uniquely identifies the related ROI described in the *** DICOM validation only ***
Number Structure Set ROI Sequence (3006,0020). Required if RT
Related ROI Sequence (3006,0030) is sent.
>> RT ROI (3006,0033) 3 Relationship of referenced ROI with respect to *** DICOM validation only ***
Relationship referencing ROI.
Defined Terms:
SAME = ROIs represent the same entity
ENCLOSED = referenced ROI completely encloses
referencing ROI
ENCLOSING = referencing ROI completely encloses
referenced ROI
> RT ROI (3006,0086) 3 Introduces sequence containing Code used to identify
Identification Code ROI. If this sequence is included, only one item shall be
Sequence present. Baseline Context ID Number = 96. See Section
5.3 for further explanation.
>> Code Value (0008,0100) 1C See Section 8.1. Required if a sequence item is present. Import/Export supported.
>> Coding Scheme (0008,0102) 1C See Section 8.2. Required if a sequence item is present. Import/Export supported.
Designator
>> Coding Scheme (0008,0103) 1C See Section 8.2. Required if a sequence item is present Import supported.
Version and the value of Coding Scheme Designator (0008,0102)
is not sufficient to identify the Code Value (0008,0100)
unambiguously.
>> Code Meaning (0008,0104) 1C See Section 8.3. Required if a sequence item is present. Import/Export supported.

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 IOD Details, RT ROI Observations – C.8.8.8

Attribute Name Tag T Attribute Description Varian System Database

> Related RT ROI (3006,00A0) 3 Introduces sequence of related ROI Observations. One *** DICOM validation only ***
Observations or more items may be included in this sequence.
Sequence
>> Observation (3006,0082) 1C Uniquely identifies a related ROI Observation. Required if *** DICOM validation only ***
Number Related RT ROI Observations Sequence (3006,00A0) is
sent.

Varian System Server DICOM Conformance Statement, VA8804D3CS 213 of 410

IOD Details, RT ROI Observations – C.8.8.8

Attribute Name Tag T Attribute Description Varian System Database

> RT ROI (3006,00A4) 2 Type of ROI. See C.8.8.8.1. Import/Export supported.

Interpreted Type Defined Terms:
EXTERNAL = external patient contour The Defined Terms map to a structure
PTV = Planning Target Volume (as defined in ICRU50) (ROI) with following Structure Type:
CTV = Clinical Target Volume (as defined in ICRU50) BOLUS: Bolus
GTV = Gross Tumor Volume (as defined in ICRU50) BRACHY_CHANNEL: BrachyShape
TREATED_VOLUME = Treated Volume (as defined in MARKER: Reference Line
ICRU50) REGISTRATION: Match Anatomy
IRRAD_VOLUME = Irradiated Volume (as defined in GTV, CTV, PTV, AVOIDANCE,
ICRU50) EXTERNAL, ORGAN: PatientVolume
BOLUS = patient bolus to be used for external beam All other Defined Terms: User
therapy
AVOIDANCE = region in which dose is to be minimized For Defined Terms that map to
ORGAN = patient organ Structure Type "PatientVolume" the
MARKER = patient marker or marker on a localizer structure (ROI) is connected to a
Patient Volume with following Volume
REGISTRATION = registration ROI
Type:
ISOCENTER = treatment isocenter to be used for
GTV: GTV
external beam therapy
CTV: CTV
CONTRAST_AGENT = volume into which a contrast
agent has been injected PTV: PTV
CAVITY = patient anatomical cavity AVOIDANCE: Avoidance or Avoid.
BRACHY_CHANNEL = brachytherapy channel EXTERNAL: BODY
BRACHY_ACCESSORY = brachytherapy accessory ORGAN: Organ or Org.
device
BRACHY_SRC_APP = brachytherapy source applicator
BRACHY_CHNL_SHLD = brachytherapy channel shield
SUPPORT = external patient support device
FIXATION = external patient fixation or immobilisation
device
DOSE_REGION = ROI to be used as a dose reference
CONTROL = ROI to be used in control of dose
optimization and calculation

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 IOD Details, RT ROI Observations – C.8.8.8

Attribute Name Tag T Attribute Description Varian System Database

> ROI Interpreter (3006,00A6) 2 Name of person performing the interpretation. *** DICOM validation only ***
> Material ID (300A,00E1) 3 User-supplied identifier for ROI material. Import/Export supported.
> ROI Physical (3006,00B0) 3 Introduces sequence describing physical properties Import/Export supported.
Properties associated with current ROI interpretation. One or more The entire sequence is retained on an
Sequence items may be included in this sequence. import/export cycle. If the sequence
length exceeds the storage capability a
warning is issued and the last
element(s) may be missing after a re-
export.
>> ROI Physical (3006,00B2) 1C Physical property specified by ROI Physical Property Import/Export supported.
Property Value (3006,00B4).
Required if ROI Physical Properties Sequence
(3006,00B0) is sent.
Defined Terms:
REL_MASS_DENSITY = mass density relative to water
REL_ELEC_DENSITY = electron density relative to water
EFFECTIVE_Z = effective atomic number
EFF_Z_PER_A = effective ratio of atomic number to
mass (AMU-1)
>> ROI Physical (3006,00B4) 1C User-assigned value for physical property. Import/Export supported.
Property Value Required if ROI Physical Properties Sequence If ROI Physical Property (3006,00B2)
(3006,00B0) is sent. is REL_ELEC_DENSITY then
following formulas are used to
import/export HU values of structure:
Import: HU = 1000 * Value - 1000
Export: Value = 1 + HU / 1000

Varian System Server DICOM Conformance Statement, VA8804D3CS 215 of 410

IOD Details, RT General Plan – C.8.8.9

Attribute Name Tag T Attribute Description Varian System Database

> Marker Subtype (3271,XX00) 3 Specific type of marker. Used only if RT ROI Interpreted Import/Export supported.
Type has value MARKER. Enumerated Values:
MARKER = position of physical marker Enumerated Values map to a Structure
POINT_MATCH = point used for matching with following Structure Type:
REFERENCE_LINE = line amphasizing anatomical MARKER: Marker
structure REFERENCE_LINE: Reference Line

Export:
Attribute will be written only if value is
one of the above listed. In this case RT
ROI Interpretated Type will contain
value MARKER

C.2.27 RT General Plan – C.8.8.9

Attribute Name Tag T Attribute Description Varian System Database

RT Plan Label (300A,0002) 1 User-defined label for treatment plan. Import/Export supported.
Used as Plan ID.
RT Plan Name (300A,0003) 3 User-defined name for treatment plan. Import/Export supported.
Used as Plan Name.
RT Plan Description (300A,0004) 3 User-defined description of treatment plan. Import/Export supported.
Instance Number (0020,0013) 3 A number that identifies this object instance. *** not supported ***
Operators’ Name (0008,1070) 2 Name of operator(s) creating treatment plan. Import/Export supported.
Import: Only the first operators name
will be used.
RT Plan Date (300A,0006) 2 Date treatment plan was last modified. Import/Export supported.
RT Plan Time (300A,0007) 2 Time treatment plan was last modified. Import/Export supported.
Treatment Protocols (300A,0009) 3 Planned treatment protocols. *** not supported ***

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 IOD Details, RT General Plan – C.8.8.9

Attribute Name Tag T Attribute Description Varian System Database

Plan Intent (300A,000A) 3 Intent of this plan. Import/Export supported.

Defined Terms:
CURATIVE = curative therapy on patient CURATIVE, PALLIATIVE map to
PALLIATIVE = palliative therapy on patient Course.Intent
PROPHYLACTIC = preventative therapy on patient VERIFICATION maps to
PlanSetup.UsageType
VERIFICATION = verification of patient plan using
phantom
MACHINE_QA = Quality assurance of the delivery Export: If plan is a verification plan,
machine (independently of a specific patient) value VERIFICATION is exported
independent of Course status
RESEARCH = Research project
SERVICE = Machine repair or maintenance operation
Treatment Sites (300A,000B) 3 Planned treatment sites. *** not supported ***
RT Plan Geometry (300A,000C) 1 Describes whether RT Plan is based on patient or Export supported.
treatment device geometry. See C.8.8.9.1. Export: PATIENT if Referenced
Defined Terms: Structure Set Sequence (300c,0060) is
PATIENT = RT Structure Set exists present, else TREATMENT_DEVICE.
TREATMENT_DEVICE = RT Structure Set does not exist
Referenced (300C,0060) 1C Introduces sequence of one Class/Instance pair
Structure Set describing instance of RT Structure Set on which the RT
Sequence Plan is based. Only a single item shall be permitted in
this sequence. Required if RT Plan Geometry
(300A,000C) is PATIENT.
> Referenced SOP (0008,1150) 1C Uniquely identifies the referenced SOP Class. Required if Import/Export supported.
Class UID Referenced Structure Set Sequence (300C,0060) is sent. Supported value: SOP Class UID of
RT Structure Set.

Varian System Server DICOM Conformance Statement, VA8804D3CS 217 of 410

IOD Details, RT General Plan – C.8.8.9

Attribute Name Tag T Attribute Description Varian System Database

> Referenced SOP (0008,1155) 1C Uniquely identifies the referenced SOP Instance. Import/Export supported.
Instance UID Required if Referenced Structure Set Sequence Import: If referenced structure set is
(300C,0060) is sent. already on the database it is assigned
to this plan.
Export: SOP Instance UID of structure
set that is related to the planning
image of this plan.
Referenced Dose (300C,0080) 3 Introduces sequence of related SOP Class/Instance pairs *** not supported ***
Sequence describing related instances of RT Dose (for grids and
named/unnamed point doses). One or more items may
be included in this sequence. See Note 1.
> Referenced SOP (0008,1150) 1C Uniquely identifies the referenced SOP Class. Required if *** not supported ***
Class UID Referenced RT Dose Sequence (300C,0080) is sent.
> Referenced SOP (0008,1155) 1C Uniquely identifies the referenced SOP Instance. *** not supported ***
Instance UID Required if Referenced RT Dose Sequence (300C,0080)
is sent.
Referenced RT Plan (300C,0002) 3 Introduces sequence of related SOP Class/Instance pairs Only one item is supported in this
Sequence describing related instances of RT Plan. One or more sequence.
items may be included in this sequence.
> Referenced SOP (0008,1150) 1C Uniquely identifies the referenced SOP Class. Required if Import/Export supported.
Class UID Referenced RT Plan Sequence (300C,0002) is sent. Supported values: SOP Class UID of
RT Plan and RT Ion Plan.
> Referenced SOP (0008,1155) 1C Uniquely identifies the referenced SOP Instance. Import/Export supported.
Instance UID Required if Referenced RT Plan Sequence (300C,0002) Import: This value will be dropped if
is sent. the referenced predecessor plan along
with a different successor plan already
exist on the database. In this case a
warning will be displayed to the user.

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 IOD Details, RT General Plan – C.8.8.9

Attribute Name Tag T Attribute Description Varian System Database

> RT Plan (300A,0055) 1C Relationship of referenced plan with respect to current Import/Export supported.
Relationship plan. Required if Referenced RT Plan Sequence Supported values: PREDECESSOR,
(300C,0002) is sent. VERIFIED_PLAN
Defined Terms:
PRIOR = plan delivered prior to current treatment
ALTERNATIVE = alternative plan prepared for current
treatment
PREDECESSOR = plan used in derivation of current plan
VERIFIED_PLAN = plan which is verified using the
current plan. This value shall only be used if Plan Intent
(300A,000A) is present and has a value of
VERIFICATION.
Beam Line Data (300B,1008) 3 Version Number that is set for Look-up Table (and/or for Import/Export supported.
Table Version each beam tune in Look-up Table in future) Used only in RT Ion Plans.
Export fails if this value is not the same
for all beams.
Plan Integrity (3287,XX00) 3 Introduces sequence of checksum on dose-relevant data This sequence is imported and
Sequence in this RT Plan. Exactly one item may be included in this exported only if Approval Module is
sequence. present and Approval Status
(300E,0002) has value APPROVED.
> Plan Integrity (3287,XX01) 1 Hash value calculated from selected data of this RT Plan Import/Export supported.
Hash along a specific algorith whose version number is
specified in Plan Integrity Hash Version (3287,xx02).
> Plan Integrity (3287,XX02) 1 Version of hash algorithm used to calculate value of Plan Import/Export supported.
Hash Version Integrity Hash (3287,xx01). Supported value: 1

Varian System Server DICOM Conformance Statement, VA8804D3CS 219 of 410

IOD Details, RT Prescription – C.8.8.10

C.2.28 RT Prescription – C.8.8.10

Attribute Name Tag T Attribute Description Varian System Database

Prescription (300A,000E) 3 User-defined description of treatment prescription. *** DICOM validation only ***
Description
Dose Reference (300A,0010) 3 Introduces sequence of Dose References. One or more
Sequence items may be included in this sequence.
> Dose Reference (300A,0012) 1C Identification number of the Dose Reference. The value Import/Export supported.
Number of Dose Reference Number (300A,0012) shall be unique
within the RT Plan in which it is created. Required if Dose
Reference Sequence (300A,0012) is sent.
> Dose Reference (300A,0013) 3 A unique identifier for a Dose Reference that can be used Import/Export supported.
UID to link the same entity across multiple RT Plan objects.
> Dose Reference (300A,0014) 1C Structure type of Dose Reference. Import/Export supported.
Structure Type Required if Dose Reference Sequence (300A,0010) is Import: Values other than
sent. COORDINATES and SITE are
Defined Terms: discarded.
POINT = dose reference point specified as Export: COORDINATE if Reference
Point Location exists in the planning
ROI
image, else SITE.
VOLUME = dose reference volume specified as ROI
COORDINATES = point specified by Dose Reference
Point Coordinates (300A,0018)
SITE = dose reference clinical site
> Dose Reference (300A,0016) 3 User-defined description of Dose Reference. Import/Export supported.
Description
> Referenced ROI (3006,0084) 1C Uniquely identifies ROI representing the dose reference *** DICOM validation only ***
Number specified by ROI Number (3006,0022) in Structure Set
ROI Sequence (3006,0020) in Structure Set Module
within RT Structure Set in Referenced Structure Set
Sequence (300C,0060) in RT General Plan Module.
Required if Dose Reference Structure Type (300A,0014)
is POINT or VOLUME and Dose Reference Sequence
(300A,0010) is sent.

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 IOD Details, RT Prescription – C.8.8.10

Attribute Name Tag T Attribute Description Varian System Database

> Dose Reference (300A,0018) 1C Coordinates (x,y,z) of Reference Point in the patient Import/Export supported.
Point Coordinates based coordinate system described in C.7.6.2.1.1 (mm).
Required if Dose Reference Structure Type (300A,0014)
is COORDINATES and Dose Reference Sequence
(300A,0010) is sent.
> Nominal Prior (300A,001A) 3 Dose (in Gy) from prior treatment to this Dose Reference *** DICOM validation only ***
Dose (e.g. from a previous course of treatment).
> Dose Reference (300A,0020) 1C Type of Dose Reference. Required if Dose Reference Import/Export supported.
Type Sequence (300A,0010) is sent. Import: TARGET is mapped to Patient
Defined Terms: Volume Type PTV, ORGAN_AT_RISK
TARGET = treatment target (corresponding to GTV, PTV, is mapped to AVOIDANCE.
or CTV in ICRU50) Export: TARGET if Patient Volume
ORGAN_AT_RISK = Organ at Risk (as defined in Type is PTV, CTV or GTV, else
ICRU50) ORGAN_AT_RISK.

> Constraint Weight (300A,0021) 3 Relative importance of satisfying constraint, where high *** not supported ***
values represent more important constraints.
> Delivery Warning (300A,0022) 3 The dose (in Gy) which when reached or exceeded *** DICOM validation only ***
Dose should cause some action to be taken.
> Delivery Maximum (300A,0023) 3 The maximum dose (in Gy) which can be delivered to the Import/Export supported.
Dose dose reference. Import: Ignored if value is not TARGET
or ORGAN_AT_RISK.
> Target Minimum (300A,0025) 3 Minimum permitted dose (in Gy) to Dose Reference if *** not supported ***
Dose Dose Reference Type (300A,0020) is TARGET.
> Target (300A,0026) 3 Prescribed dose (in Gy) to Dose Reference if Dose Export supported.
Prescription Dose Reference Type (300A,0020) is TARGET. Value: Total of planned dose.
> Target Maximum (300A,0027) 3 Maximum permitted dose (in Gy) to Dose Reference if Import/Export supported.
Dose Dose Reference Type (300A,0020) is TARGET. Supported only if Dose Reference
Type (300A,0020) is TARGET.
> Referenced (3267,XX00) 3 Import/Export supported.
Patient Volume Id

Varian System Server DICOM Conformance Statement, VA8804D3CS 221 of 410

IOD Details, RT Tolerance Tables – C.8.8.11

Attribute Name Tag T Attribute Description Varian System Database

> Target Underdose (300A,0028) 3 Maximum permitted fraction (in percent) of Target to *** not supported ***
Volume Fraction receive less than the Target Prescription Dose if Dose
Reference Type (300A,0020) is TARGET and Dose
Reference Structure Type (300A,0014) is VOLUME. See
C.8.8.10.1.
> Organ at Risk (300A,002A) 3 Maximum dose (in Gy) to entire Dose Reference if Dose *** not supported ***
Full-volume Dose Reference Type (300A,0020) is ORGAN_AT_RISK and
Dose Reference Structure Type (300A,0014) is
VOLUME.
> Organ at Risk (300A,002B) 3 Maximum permitted dose (in Gy) to any part of Dose *** DICOM validation only ***
Limit Dose Reference if Dose Reference Type (300A,0020) is
ORGAN_AT_RISK and Dose Reference Structure Type
(300A,0014) is VOLUME.
> Organ at Risk (300A,002C) 3 Maximum dose (in Gy) to non-overdosed part of Dose Import/Export supported.
Maximum Dose Reference if Dose Reference Type (300A,0020) is Import: Discarded if Dose Reference
ORGAN_AT_RISK and Dose Reference Structure Type Type (300A,0020) is not
(300A,0014) is VOLUME. ORGAN_AT_RISK.
Export: Sent only if Dose Reference
Type (300A,0020) is not TARGET.
> Organ at Risk (300A,002D) 3 Maximum permitted fraction (in percent) of the Organ at *** DICOM validation only ***
Overdose Volume Risk to receive more than the Organ at Risk Maximum
Fraction Dose if Dose Reference Type (300A,0020) is
ORGAN_AT_RISK and Dose Reference Structure Type
(300A,0014) is VOLUME.

C.2.29 RT Tolerance Tables – C.8.8.11

Tolerance values of RT Tolerance Tables are only exported. On import only Tolerance Table Label (300A,0043) is used to search for matching
tolerance table on the database. No values are imported and no tolerance table is created if no matching one could be found.

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Attribute Name Tag T Attribute Description Varian System Database

Tolerance Table (300A,0040) 3 Introduces sequence of tolerance tables to be used for

Sequence delivery of treatment plan. One or more items may be
included in this sequence. See Note 1.
> Tolerance Table (300A,0042) 1C Identification number of the Tolerance Table. The value Export supported.
Number of Tolerance Table Number (300A,0042) shall be unique
within the RT Plan in which it is created. Required if
Tolerance Table Sequence (300A,0040) is sent.
> Tolerance Table (300A,0043) 3 User-defined label for Tolerance Table. Import/Export supported.
Label Import: Only used to connect to
matching tolerance table in Varian
System Database.
> Gantry Angle (300A,0044) 3 Maximum permitted difference (in degrees) between Export supported.
Tolerance planned and delivered Gantry Angle. Value taken from Operating Limit
"Gantry Rotation".
> Gantry Pitch (300A,014E) 3 Maximum permitted difference (in degrees) between *** DICOM validation only ***
Angle Tolerance planned and delivered Gantry Pitch Angle.
> Beam Limiting (300A,0046) 3 Maximum permitted difference (in degrees) between Export supported.
Device Angle planned and delivered Beam Limiting Device Angle. Value taken from Operating Limit
Tolerance "Collimator Rotation".
> Beam Limiting (300A,0048) 3 Introduces sequence of beam limiting device (collimator)
Device Tolerance tolerances. One or more items may be included in this
Sequence sequence.

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IOD Details, RT Tolerance Tables – C.8.8.11

Attribute Name Tag T Attribute Description Varian System Database

>> RT Beam (300A,00B8) 1C Type of beam limiting device (collimator). Export supported.
Limiting Device Required if Beam Limiting Device Tolerance Sequence
Type (300A,0048) is sent.
Enumerated Values:
X = symmetric jaw pair in IEC X direction
Y = symmetric jaw pair in IEC Y direction
ASYMX = asymmetric jaw pair in IEC X direction
ASYMY = asymmetric pair in IEC Y direction
MLCX = multileaf (multi-element) jaw pair in IEC X
direction
MLCY = multileaf (multi-element) jaw pair in IEC Y
direction
>> Beam Limiting (300A,004A) 1C Maximum permitted difference (in mm) between planned Export supported.
Device Position and delivered leaf (element) or jaw positions for current For collimator jaws: Values are taken
Tolerance beam limiting device (collimator). Required if Beam from either one of the following
Limiting Device Tolerance Sequence (300A,0048) is sent. Operating Limits: "Field X", "Collimator
X1", "Collimator X2", "Field Y",
"Collimator Y1", "Collimator Y2".
For MLC leafs of dose dynamic MLC:
Values are taken from Dose Dynamic
Leaf Tolerance propery of MLC.
For MLC leafs of arc dynamic MLC:
Values are taken from Arc Dynamic
Leaf Tolerance propery of MLC.
> Patient Support (300A,004C) 3 Maximum permitted difference (in degrees) between Export supported.
Angle Tolerance planned and delivered Patient Support Angle. Value taken from Operating Limit
"Patient Support Angle".
> Table Top (300A,004E) 3 Maximum permitted difference (in degrees) between Export supported.
Eccentric Angle planned and delivered Table Top Eccentric Angle. Value taken from Operating Limit
Tolerance "Table Top Eccentric Angle".
> Table Top Pitch (300A,004F) 3 Maximum permitted difference (in degrees) between the *** DICOM validation only ***
Angle Tolerance planned and delivered Table Top Pitch Angle.

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Attribute Name Tag T Attribute Description Varian System Database

> Table Top Roll (300A,0050) 3 Maximum permitted difference (in degrees) between the *** DICOM validation only ***
Angle Tolerance planned and delivered Table Top Roll Angle.
> Table Top Vertical (300A,0051) 3 Maximum permitted difference (in mm) between planned Export supported.
Position Tolerance and delivered Table Top Vertical Position. Value taken from Operating Limit
"Couch Vertical".
> Table Top (300A,0052) 3 Maximum permitted difference (in mm) between planned Export supported.
Longitudinal and delivered Table Top Longitudinal Position. Value taken from Operating Limit
Position Tolerance "Couch Longitudinal".
> Table Top Lateral (300A,0053) 3 Maximum permitted difference (in mm) between planned Export supported.
Position Tolerance and delivered Table Top Lateral Position. Value taken from Operating Limit
"Couch Lateral".

C.2.30 RT Patient Setup – C.8.8.12

Complete roundtrip, covering all attributes of this module, is guaranteed for IODs listed below. Other IODs have roundtrip capabilities as specified
on attribute level.
• RT Beams Treatment Record (except manually recorded treatments)
• RT Ion Beams Treatment Record (except manually recorded treatments)

Attribute Name Tag T Attribute Description Varian System Database

Patient Setup (300A,0180) 1 Introduces sequence of patient setup data for current
Sequence plan. One or more items may be included in this
sequence.
> Patient Setup (300A,0182) 1 Identification number of the Patient Setup. The value of
Number Patient Setup Number (300A,0182) shall be unique within
the RT Plan in which it is created.
> Patient Setup (300A,0183) 3 The user-defined label for the patient setup. *** not supported ***
Label

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Attribute Name Tag T Attribute Description Varian System Database

> Patient Position (0018,5100) 1C Patient position descriptor relative to the equipment. Import/Export supported.
Required if Patient Additional Position (300A,0184) is not Import: Rejected if not all beams of this
present. See Section C.7.3.1.1.2 for Defined Terms and RT Plan have the same value in this
further explanation. attribute for all beams.
Following Defined Terms are
supported additionally:
FAFSIT = Face First - Sitting
> Patient Additional (300A,0184) 1C User-defined additional description of patient position. *** not supported ***
Position Required if Patient Position (0018,5100) is not present.
> Referenced Image (300A,0401) 3 Introduces sequence of setup verification images for this Export supported.
Setup Sequence patient setup. One or more items may be included in this Used only if corresponding user option
sequence. See C.8.8.12.1.1 is selected.
>> Setup Image (300A,0402) 3 Comment on the Setup Image. Export supported.
Comment
>> Referenced SOP (0008,1150) 1 Uniquely identifies the referenced SOP Class. Export supported.
Class UID Value: SOP Class UID of RT Image.
>> Referenced SOP (0008,1155) 1 Uniquely identifies the referenced SOP Instance. Export supported.
Instance UID
>> Referenced (0008,1160) 1 Identifies the frame numbers within the Referenced SOP *** not supported ***
Frame Number Instance to which the reference applies. The first frame
shall be denoted as frame number 1.
Note: This Attribute may be multi-valued.
Required if the Referenced SOP Instance is a multi-frame
image and the reference does not apply to all frames.
> Fixation Device (300A,0190) 3 Introduces sequence of Fixation Devices used in Patient *** not supported ***
Sequence Setup. One or more items may be included in this
sequence.

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Attribute Name Tag T Attribute Description Varian System Database

>> Fixation Device (300A,0192) 1C Type of Fixation Device used during in Patient Setup. *** not supported ***
Type Required if Fixation Device Sequence (300A,0190) is
sent.
Defined Terms:
BITEBLOCK
HEADFRAME
MASK
MOLD
CAST
HEADREST
BREAST_BOARD
BODY_FRAME
VACUUM_MOLD
WHOLE_BODY_POD
RECTAL_BALLOON
>> Fixation Device (300A,0194) 2C User-defined label identifier for Fixation Device. Required *** not supported ***
Label if Fixation Device Sequence (300A,0190) is sent.
>> Fixation Device (300A,0196) 3 User-defined description of Fixation Device. *** not supported ***
Description
>> Fixation Device (300A,0198) 3 Position/Notch number of Fixation Device. *** not supported ***
Position
>> Fixation Device (300A,0199) 3 The Fixation Device Pitch Angle, i.e. orientation of *** not supported ***
Pitch Angle PITCHED FIXATION DEVICE coordinate system with
respect to IEC PATIENT SUPPORT coordinate system
(degrees). Pitching is the rotation around IEC PATIENT
SUPPORT X-axis.
>> Fixation Device (300A,019A) 3 The Fixation Device Roll Angle, i.e. orientation of *** not supported ***
Roll Angle ROLLED FIXATION DEVICE coordinate system with
respect to IEC PITCHED FIXATION DEVICE coordinate
system (degrees). Rolling is the rotation around IEC
PATIENT SUPPORT Y-axis.

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IOD Details, RT Patient Setup – C.8.8.12

Attribute Name Tag T Attribute Description Varian System Database

>> Accessory Code (300A,00F9) 3 An identifier for the accessory intended to be read by a *** not supported ***
device such as a bar-code reader.
> Shielding Device (300A,01A0) 3 Introduces sequence of Shielding Devices used in Patient *** not supported ***
Sequence Setup. One or more items may be included in this
sequence.
>> Shielding Device (300A,01A2) 1C Type of Shielding Device used in Patient Setup. Required *** not supported ***
Type if Shielding Device Sequence (300A,01A0) is sent.
Defined Terms:
GUM
EYE
GONAD
>> Shielding Device (300A,01A4) 2C User-defined label for Shielding Device. *** not supported ***
Label Required if Shielding Device Sequence (300A,01A0) is
sent.
>> Shielding Device (300A,01A6) 3 User-defined description of Shielding Device. *** not supported ***
Description
>> Shielding Device (300A,01A8) 3 Position/Notch number of Shielding Device. *** not supported ***
Position
>> Accessory Code (300A,00F9) 3 An identifier for the accessory intended to be read by a *** not supported ***
device such as a bar-code reader.
> Setup Technique (300A,01B0) 3 Setup Technique used in Patient Setup. Import/Export supported.
Defined Terms:
ISOCENTRIC
FIXED_SSD
TBI
BREAST_BRIDGE
SKIN_APPOSITION
> Setup Technique (300A,01B2) 3 User-defined description of Setup Technique. Import/Export supported.
Description

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Attribute Name Tag T Attribute Description Varian System Database

> Setup Device (300A,01B4) 3 Introduces sequence of devices used for patient *** not supported ***
Sequence alignment in Patient Setup. One or more items may be
included in this sequence.
>> Setup Device (300A,01B6) 1C Type of Setup Device used for Patient alignment. *** not supported ***
Type Required if Setup Device Sequence (300A,01B4) is sent.
Defined Terms:
LASER_POINTER
DISTANCE_METER
TABLE_HEIGHT
MECHANICAL_PTR
ARC
>> Setup Device (300A,01B8) 2C User-defined label for Setup Device used for patient *** not supported ***
Label alignment. Required if Setup Device Sequence
(300A,01B4) is sent.
>> Setup Device (300A,01BA) 3 User-defined description for Setup Device used for *** not supported ***
Description patient alignment.
>> Setup Device (300A,01BC) 2C Setup Parameter for Setup Device in appropriate IEC *** not supported ***
Parameter 61217 coordinate system. Units shall be mm for
distances and degrees for angles. Required if Setup
Device Sequence (300A,011B4) is sent.
>> Setup Reference (300A,01D0) 3 User-defined description of Setup Reference used for *** not supported ***
Description patient alignment.
> Table Top Vertical (300A,01D2) 3 Vertical Displacement in IEC TABLE TOP coordinate *** not supported ***
Setup Displacement system (in mm) relative to initial Setup Position, i.e.
vertical offset between patient positioning performed
using setup and treatment position.
> Table Top (300A,01D4) 3 Longitudinal Displacement in IEC TABLE TOP coordinate *** not supported ***
Longitudinal Setup system (in mm) relative to initial Setup Position, i.e.
Displacement longitudinal offset between patient positioning performed
using setup and treatment position.

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IOD Details, RT Fraction Scheme – C.8.8.13

Attribute Name Tag T Attribute Description Varian System Database

> Table Top Lateral (300A,01D6) 3 Lateral Displacement in IEC TABLE TOP coordinate *** not supported ***
Setup Displacement system (in mm) relative to initial Setup Position, i.e.
lateral offset between patient positioning performed using
setup and treatment position.

C.2.31 RT Fraction Scheme – C.8.8.13

Attribute Name Tag T Attribute Description Varian System Database

Fraction Group (300A,0070) 1 Introduces sequence of Fraction Groups in current Import: Warning if more than one item
Sequence Fraction Scheme. One or more items may be included in is present. Reading only first item of
this sequence. sequence.
Export: One item is sent.
> Fraction Group (300A,0071) 1 Identification number of the Fraction Group. The value of Export supported.
Number Fraction Group Number (300A,0071) shall be unique
within the RT Plan in which it is created.
> Fraction Group (300A,0072) 3 The user defined description for the fraction group. *** not supported ***
Description
> Referenced Dose (300C,0080) 3 Introduces sequence of related SOP Class/Instance pairs *** not supported ***
Sequence describing related instances of RT Dose (for grids,
isodose curves and named/unnamed point doses). One
or more items may be included in this sequence. See
Note 1.
>> Referenced SOP (0008,1150) 1C Uniquely identifies the referenced SOP Class. Required if *** not supported ***
Class UID Referenced Dose Sequence (300C,0080) is sent.
>> Referenced SOP (0008,1155) 1C Uniquely identifies the referenced SOP Instance. *** not supported ***
Instance UID Required if Referenced Dose Sequence (300C,0080) is
sent.
> Referenced Dose (300C,0050) 3 Introduces sequence of Dose References for the current *** not supported ***
Reference Fraction Group. One or more items may be included in
Sequence this sequence.

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Attribute Name Tag T Attribute Description Varian System Database

>> Referenced (300C,0051) 1C Uniquely identifies Dose Reference specified by Dose *** not supported ***
Dose Reference Reference Number (300A,0012) within Dose Reference
Number Sequence (300A,0010) in RT Prescription Module.
Required if Referenced Dose Reference Sequence
(300C,0050) is sent.
>> Constraint (300A,0021) 3 Relative importance of satisfying constraint, where high *** not supported ***
Weight values represent more important constraints.
>> Delivery Warning (300A,0022) 3 The dose (in Gy) which when reached or exceeded *** not supported ***
Dose should cause some action to be taken.
>> Delivery (300A,0023) 3 The maximum dose (in Gy) which can be delivered to the *** not supported ***
Maximum Dose dose reference.
>> Target Minimum (300A,0025) 3 Minimum permitted dose (in Gy) to Dose Reference if *** not supported ***
Dose Dose Reference Type (300A,0020) of referenced Dose
Reference is TARGET.
>> Target (300A,0026) 3 Prescribed dose (in Gy) to Dose Reference if Dose *** not supported ***
Prescription Dose Reference Type (300A,0020) of referenced Dose
Reference is TARGET.
>> Target Maximum (300A,0027) 3 Maximum permitted dose (in Gy) to Dose Reference if *** not supported ***
Dose Dose Reference Type (300A,0020) of referenced Dose
Reference is TARGET.
>> Target (300A,0028) 3 Maximum permitted fraction (in percent) of Target to *** not supported ***
Underdose Volume receive less than the Target Prescription Dose
Fraction (300A,0027) if Dose Reference Type (300A,0020) of
referenced Dose Reference is TARGET and Dose
Reference Structure Type (300A,0014) of referenced
Dose Reference is VOLUME.
>> Organ at Risk (300A,002A) 3 Maximum dose (in Gy) to entire Dose Reference if Dose *** not supported ***
Full-volume Dose Reference Type (300A,0020) of referenced Dose
Reference is ORGAN_AT_RISK and Dose Reference
Structure Type (300A,0014) of referenced Dose
Reference is VOLUME.

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Attribute Name Tag T Attribute Description Varian System Database

>> Organ at Risk (300A,002B) 3 Maximum permitted dose (in Gy) to any part of Dose *** not supported ***
Limit Dose Reference if Dose Reference Type (300A,0020) of
referenced Dose Reference is ORGAN_AT_RISK and
Dose Reference Structure Type (300A,0014) of
referenced Dose Reference is VOLUME.
>> Organ at Risk (300A,002C) 3 Maximum dose (in Gy) to non-overdosed part of Dose *** not supported ***
Maximum Dose Reference if Dose Reference Type (300A,0020) of
referenced Dose Reference is ORGAN_AT_RISK and
Dose Reference Structure Type (300A,0014) of
referenced Dose Reference is VOLUME.
>> Organ at Risk (300A,002D) 3 Maximum permitted fraction (in percent) of Organ at Risk *** not supported ***
Overdose Volume to receive more than the Organ at Risk Maximum Dose if
Fraction Dose Reference Type (300A,0020) of referenced Dose
Reference is ORGAN_AT_RISK and Dose Reference
Structure Type (300A,0014) of referenced Dose
Reference is VOLUME.
> Number of (300A,0078) 2 Total number of treatments (Fractions) prescribed for Import/Export supported.
Fractions Planned current Fraction Group.
> Number of (300A,0079) 3 Number of digits in Fraction Pattern (300A,007B) used to Import/Export supported.
Fraction Pattern represent one day. See Note 2.
Digits Per Day
> Repeat Fraction (300A,007A) 3 Number of weeks needed to describe treatment pattern. *** DICOM validation only ***
Cycle Length See Note 2.
> Fraction Pattern (300A,007B) 3 String of 0's (no treatment) and 1's (treatment) describing *** DICOM validation only ***
treatment pattern. Length of string is 7 x Number of
Fraction Pattern Digits Per Day x Repeat Fraction Cycle
Length. Pattern shall start on a Monday. See Note 2.
> Number of Beams (300A,0080) 1 Number of Beams in current Fraction Group. If Number of
Beams is greater then zero, Number of Brachy
Application Setups (300A,00A0) shall equal zero.

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Attribute Name Tag T Attribute Description Varian System Database

> Referenced Beam (300C,0004) 1C Introduces sequence of treatment beams in current Export: One item for every treatment
Sequence Fraction Group. Required if Number of Beams field belonging to this plan.
(300A,0080) is greater than zero. One or more items may
be included in this sequence.
>> Referenced (300C,0006) 1C Uniquely identifies Beam specified by Beam Number Import/Export supported.
Beam Number (300A,00C0) within Beam Sequence (300A,00B0) in RT Import: Used to identify an existing
Beams Module. Required if Referenced Beam Sequence beam.
(300C,0004) is sent.
>> Beam Dose (300A,0082) 3 Coordinates (x,y,z) of point at which Beam Dose is Import/Export supported.
Specification Point specified in the patient based coordinate system Coordinates of the primary reference
described in C.7.6.2.1.1 (mm). See Note 3. point.
Import: Used for reference point
identification, as is described in detail
in a different location within this
document.
>> Referenced (3249,XX10) 3 Uniquely identifies the primary Dose Reference as Used on import to connect to primary
Primary Dose defined in Dose Reference Sequence (300A,0010) reference point.
Reference UID
>> Beam Dose (300A,0084) 3 Dose (in Gy) at Beam Dose Specification Point Import/Export supported.
(300A,0082) due to current Beam. Dose per fraction on primary reference
point.
>> Beam Meterset (300A,0086) 3 Machine setting to be delivered for current Beam, Import/Export supported.
specified in Monitor Units (MU) or minutes as defined by MUs per fraction on primary reference
Primary Dosimeter Unit (300A,00B3) (in RT Beams point.
Module) for referenced Beam. See Note 4.
>> Maximum (3249,XX00) 3 The maximum treatment time, which should not be Import/Export supported.
Treatment Time exceeeded. This items serves as a secondary safety limit
besides the Beam Meterset value (300A,0086) itself.
Units in [min].
> Number of Brachy (300A,00A0) 1 Number of Brachy Application Setups in current Fraction
Application Setups Group. If Number of Brachy Application Setups is greater
then zero, Number of Beams (300A,0080) shall equal
zero.

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IOD Details, RT Beams – C.8.8.14

Attribute Name Tag T Attribute Description Varian System Database

> Referenced (300C,000A) 1C Introduces sequence of treatment Brachy Application

Brachy Application Setups in current Fraction Group. Required if Number of
Setup Sequence Brachy Application Setups (300A,00A0) is greater than
zero. One or more items may be included in this
sequence.
>> Referenced (300C,000C) 1C Uniquely identifies Brachy Application Setup specified by
Brachy Application Brachy Application Setup Number (300A,0234) within
Setup Number Brachy Application Setup Sequence (300A,0230) in RT
Brachy Application Setups Module.
Required if Referenced Brachy Application Setup
Sequence (300C,000A) is sent.
>> Brachy (300A,00A2) 3 Coordinates (x,y,z) of point in the patient based *** DICOM validation only ***
Application Setup coordinate system described in C.7.6.2.1.1 at which
Dose Specification Brachy Application Setup Dose (300A,00A4) is specified
Point (mm).
>> Brachy (300A,00A4) 3 Dose (in Gy) at Brachy Application Setup Dose *** DICOM validation only ***
Application Setup Specification Point (300A,00A2) due to current Brachy
Dose Application Setup.
> Prescribed Dose (3269,XX00) 3 Import/Export supported.
per Fraction Only used by DB Daemon when
configured in Archive Service Mode.
> Prescribed (3269,XX01) 3 Import/Export supported.
Percentage Only used by DB Daemon when
configured in Archive Service Mode.
> Plan (3269,XX02) 3 Import/Export supported.
Normalization Only used by DB Daemon when
Factor configured in Archive Service Mode.

C.2.32 RT Beams – C.8.8.14

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Attribute Name Tag T Attribute Description Varian System Database

Beam Sequence (300A,00B0) 1 Introduces sequence of treatment beams for current RT

Plan. One or more items may be included in this
sequence.
> Beam Number (300A,00C0) 1 Identification number of the Beam. The value of Beam Import/Export supported.
Number (300A,00C0) shall be unique within the RT Plan
in which it is created. See Note 1.
> Beam Name (300A,00C2) 3 User-defined name for Beam. See Note 1. Import/Export supported.
Used as Field ID.
> Beam Seconary (3243,XX09) 3 User-defined secondary name for Beam. Import/Export supported.
Name Used as Field Name.
> Beam Description (300A,00C3) 3 User-defined description for Beam. See Note 1. Import/Export supported.
> Beam Type (300A,00C4) 1 Motion characteristic of Beam. See Note 5. Import/Export supported.
Enumerated Values:
STATIC = All Control Point Sequence (300A,0111)
attributes remain unchanged between consecutive pairs
of control points with changing Cumulative Meterset
Weight (300A,0134).
DYNAMIC = One or more Control Point Sequence
(300A,0111) attributes change between one or more
consecutive pairs of control points with changing
Cumulative Meterset Weight (300A,0134).
> Radiation Type (300A,00C6) 2 Particle type of Beam. Import/Export supported.
Defined Terms: Supported values for treatment beams:
PHOTON PHOTON, ELECTRON, PROTON.
ELECTRON Supported values for imaging beams:
PHOTON
NEUTRON
PROTON
> Primary Fluence (3002,0050) 3 Sequence defining whether the primary fluence of the Sent always.
Mode Sequence treatment beam uses a non-standard fluence-shaping.
Only a single Item shall be permitted in this sequence.

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IOD Details, RT Beams – C.8.8.14

Attribute Name Tag T Attribute Description Varian System Database

>> Fluence Mode (3002,0051) 1 Describes whether the fluence shaping is the standard Import/Export supported.
mode for the beam or an alternate.
Enumerated Values:
STANDARD = Uses standard fluence-shaping
NON_STANDARD = Uses a non-standard fluence-
shaping mode
>> Fluence Mode ID (3002,0052) 1C Identifier for the specific fluence-shaping mode. Required Import/Export supported using lookup.
if Fluence Mode (3002,0051) has value ID of Primary Fluence Mode add-on.
NON_STANDARD.
Supported values:
SRS = Stereotactic Radio Surgery
> Primary Fluence (3285,XX00) 3 See Primary Fluence Mode Sequence (3002,0050). Sent always.
Mode Sequence Ignored on import if Primary Fluence
(PRIVATE) Mode Sequence (3002,0050) is
present.
>> Fluence Mode (3285,XX01) 1 See Fluence Mode (3002,0051). Import/Export supported.
(PRIVATE)
>> Fluence Mode ID (3285,XX02) 1C See Fluence Mode ID (3002,0052). Import/Export supported using lookup.
(PRIVATE) ID of Primary Fluence Mode add-on.
Supported values:
SRS = Stereotactic Radio Surgery

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Attribute Name Tag T Attribute Description Varian System Database

> High-Dose (300A,00C7) 1C Type of high-dose treatment technique. Import/Export supported.

Technique Type Defined Terms: Following Defined Term is supported
NORMAL = Standard treatment additionally:
TBI = Total Body Irradiation SRS = Stereotactic Radio Surgery
HDR = High Dose Rate
Required if treatment technique requires a dose that Mapping to Varian Technique names:
would normally require overriding of treatment machine NORMAL: STATIC or ARC
safety controls. TBI: TOTAL
HDR: HDTSE
SRS: SRS STATIC or SRS ARC

NORMAL is never sent for treatment

beams. For image beams this value is
sent only if High-Dose Technique Type
is defined on related treatment beam.
> Treatment (300A,00B2) 2 User-defined name identifying treatment machine to be Import/Export supported using lookup.
Machine Name used for beam delivery. See Note 2.
> Manufacturer (0008,0070) 3 Manufacturer of the equipment to be used for beam Import/Export supported using lookup.
delivery.
> Institution Name (0008,0080) 3 Institution where the equipment is located that is to be Export supported.
used for beam delivery.
> Institution Address (0008,0081) 3 Mailing address of the institution where the equipment is *** not supported ***
located that is to be used for beam delivery.
> Institutional (0008,1040) 3 Department in the institution where the equipment is Export supported.
Department Name located that is to be used for beam delivery.
> Manufacturer’s (0008,1090) 3 Manufacturer's model name of the equipment that is to be Import/Export supported using lookup.
Model Name used for beam delivery.
> Device Serial (0018,1000) 3 Manufacturer's serial number of the equipment that is to Import/Export supported using lookup.
Number be used for beam delivery.

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Attribute Name Tag T Attribute Description Varian System Database

> Primary (300A,00B3) 3 Measurement unit of machine dosimeter. See C.8.8.14.1. Import: Rejected if value is not MU.
Dosimeter Unit Enumerated Values: Export: MU for any external beam.
MU = Monitor Unit
MINUTE = minute
> Referenced (300C,00A0) 3 Uniquely identifies Tolerance Table specified by Import/Export supported
Tolerance Table Tolerance Table Number (300A,0042) within Tolerance
Number Table Sequence in RT Tolerance Tables Module. These
tolerances are to be used for verification of treatment
machine settings.
> Source-Axis (300A,00B4) 3 Radiation source to Gantry rotation axis distance of the Import/Export supported using lookup.
Distance equipment that is to be used for beam delivery (mm). Import: Warning if SAD does not
match.
> Beam Limiting (300A,00B6) 1 Introduces sequence of beam limiting device (collimator)
Device Sequence jaw or leaf (element) sets. One or more items may be
included in this sequence.
>> RT Beam (300A,00B8) 1 Type of beam limiting device (collimator). Import/Export supported.
Limiting Device Enumerated Values: MLCX, MLCY: Rotation as defined in
Type Administration task.
X = symmetric jaw pair in IEC X direction
Y = symmetric jaw pair in IEC Y direction Import: Only one mlc is supported.
ASYMX = asymmetric jaw pair in IEC X direction Export: ASYMX/ASYMY is not set if
the field is symmetrical, even if the
ASYMY = asymmetric pair in IEC Y direction
treatment machine supports
MLCX = multileaf (multi-element) jaw pair in IEC X asymmetrical jaws.
direction
MLCY = multileaf (multi-element) jaw pair in IEC Y
direction
>> Source to Beam (300A,00BA) 3 Radiation source to beam limiting device (collimator) Import/Export supported using lookup.
Limiting Device distance of the equipment that is to be used for beam Lookup along configured source
Distance delivery (mm). distance of MLC.
>> Number of (300A,00BC) 1 Number of leaf (element) or jaw pairs (equal to 1 for Import/Export supported.
Leaf/Jaw Pairs standard beam limiting device jaws).

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Attribute Name Tag T Attribute Description Varian System Database

>> Leaf Position (300A,00BE) 2C Boundaries of beam limiting device (collimator) leaves (in Import/Export supported.
Boundaries mm) in IEC BEAM LIMITING DEVICE coordinate axis
appropriate to RT Beam Limiting Device Type
(300A,00B8), i.e. X-axis for MLCY, Y- axis for MLCX.
Contains N+1 values, where N is the Number of Leaf/Jaw
Pairs (300A,00BC), starting from Leaf (Element) Pair 1.
Required if Beam Limiting Device Sequence (300A,00B6)
is sent and RT Beam Limiting Device Type (300A,00B8)
is MLCX or MLCY. See Note 3.
> Referenced (300C,006A) 3 Uniquely identifies Patient Setup to be used for current Import/Export supported.
Patient Setup beam, specified by Patient Setup Number (300A,0182)
Number within Patient Setup Sequence of RT Patient Setup
Module.
> Referenced (300C,0042) 3 Introduces sequence of reference images used for Export supported.
Reference Image validation of current beam. One or more items may be References the primary reference
Sequence included in this sequence. image if one is defined as well as all
portal dose images having a context to
the field.
>> Referenced SOP (0008,1150) 1C Uniquely identifies the referenced SOP Class. Required if Export supported.
Class UID Referenced Reference Image Sequence (300C,0042) is Value: SOP Class UID of RT Image.
sent.
>> Referenced SOP (0008,1155) 1C Uniquely identifies the referenced SOP Instance. Export supported.
Instance UID Required if Referenced Reference Image Sequence
(300C,0042) is sent.
>> Reference Image (300A,00C8) 1C Uniquely identifies Reference Image within Referenced Export supported.
Number Reference Image Sequence (300A,0042). Required if
Referenced Reference Image Sequence (300A,0042) is
sent.
>> Start Cumulative (300C,0008) 3 Cumulative Meterset Weight within current Beam at *** not supported ***
Meterset Weight which image acquisition starts.
>> End Cumulative (300C,0009) 3 Cumulative Meterset Weight within current Beam at *** not supported ***
Meterset Weight which image acquisition ends.

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Attribute Name Tag T Attribute Description Varian System Database

> Planned (300A,00CA) 3 Introduces sequence of planned verification images to be Import: First item is used to update
Verification Image acquired during current beam. One or more items may be IDU positions on the field. Warning if
Sequence included in this sequence. See C.8.8.14.2. more than one item is present.
Export: Verification images scheduled
for next treatment session.
>> Start Cumulative (300C,0008) 3 Cumulative Meterset Weight within current Beam at Export supported.
Meterset Weight which image acquisition will start.
>> Meterset (3002,0032) 3 Meterset duration over which image is to be acquired, *** not supported ***
Exposure specified in Monitor units (MU) or minutes as defined by
Primary Dosimeter Unit (300A,00B3).
>> End Cumulative (300C,0009) 3 Cumulative Meterset Weight within current Beam at *** not supported ***
Meterset Weight which image acquisition will end.
>> RT Image Plane (3002,000C) 3 Describes whether or not image plane is normal to beam Import/Export supported.
axis. Import: Warning if not NORMAL.
Enumerated Values: Export: NORMAL
NORMAL = image plane normal to beam axis
NON_NORMAL = image plane non-normal to beam axis
>> X-Ray Image (3002,000E) 3 X-Ray Image Receptor Angle i.e. orientation of IEC X- Import supported.
Receptor Angle RAY IMAGE RECEPTOR coordinate system with respect Import: Only 0.0 is supported. Warning
to IEC GANTRY coordinate system (degrees). See if not 0.0.
C.8.8.14.3.
Export: 0.0
>> RT Image (3002,0010) 3 The direction cosines of the first row and the first column *** not supported ***
Orientation with respect to the IEC XRAY IMAGE RECEPTOR
coordinate system.

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Attribute Name Tag T Attribute Description Varian System Database

>> RT Image (3002,0012) 3 The x and y coordinates (in mm) of the upper left hand Import/Export supported.
Position corner of the image, in the IEC X-RAY IMAGE
RECEPTOR coordinate system. This is the center of the
First value: Lateral position of IDU.
first pixel transmitted.
Second value: Longitudinal position of
IDU.

Export: Because of unknown target

imager size an image size of 0.0 is
assumed and thus RT Image Position
has to be interpreted as IEC Image
Receptor system translation (and not
image cropping).
>> RT Image SID (3002,0026) 3 Radiation machine source to image plane distance (mm). Import/Export supported.
Vertical position of IDU = SAD - SID
>> Imaging Device- (300A,00CC) 3 User-specified device-specific parameters that describe Export supported.
Specific Acquisition how the imager will acquire the image. Value taken from sequence image
Parameters template.
>> Referenced (300C,0007) 3 Uniquely identifies Reference Image to which planned *** not supported ***
Reference Image verification image is related, specified by Reference
Number Image Number (300A,00C8) within Referenced
Reference Image Sequence (300A,0042).
> Treatment (300A,00CE) 3 Delivery Type of treatment. Import/Export supported.
Delivery Type Defined Terms:
TREATMENT = normal patient treatment
OPEN_PORTFILM = portal image acquisition with open
field
TRMT_PORTFILM = portal image acquisition with
treatment port
CONTINUATION = continuation of interrupted treatment

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Attribute Name Tag T Attribute Description Varian System Database

> Referenced Dose (300C,0080) 3 Introduces sequence of related SOP Class/Instance pairs *** DICOM validation only ***
Sequence describing related instances of RT Dose (for grids,
isodose curves, and named/unnamed point doses). One
or more items may be included in this sequence.
>> Referenced SOP (0008,1150) 1C Uniquely identifies the referenced SOP Class. Required if *** DICOM validation only ***
Class UID Referenced Dose Sequence (300C,0080) is sent.
>> Referenced SOP (0008,1155) 1C Uniquely identifies the referenced SOP Instance. *** DICOM validation only ***
Instance UID Required if Referenced Dose Sequence (300C,0080) is
sent.
> Number of (300A,00D0) 1 Number of wedges associated with current Beam. Export supported.
Wedges At most two wedges are supported.
> Wedge Sequence (300A,00D1) 1C Introduces sequence of treatment wedges.
Required if Number of Wedges (300A,00D0) is non-zero.
One or more items may be included in this sequence.
>> Wedge Number (300A,00D2) 1C Identification number of the Wedge. The value of Wedge Import/Export supported using lookup.
Number (300A,00D2) shall be unique within the Beam in
which it is created. Required if Wedge Sequence
(300A,00D1) is sent.
>> Wedge Type (300A,00D3) 2C Type of wedge (if any) defined for Beam. Import/Export supported using lookup.
Required if Wedge Sequence (300A,00D1) is sent. STANDARD: Standard wedge type
Defined Terms: with MotorizedFlag cleared
STANDARD = standard (static) wedge MOTORIZED: Standard wedge type
with MotorizedFlag set
DYNAMIC = moving beam limiting device (collimator) jaw
simulating wedge DYNAMIC: Dynamic wedge type
MOTORIZED = single wedge which can be removed from
beam remotely
>> Wedge ID (300A,00D4) 3 User-supplied identifier for Wedge. Import/Export supported using lookup.
Used as the primary wedge
identification on the UI.
>> Accessory Code (300A,00F9) 3 An identifier for the accessory intended to be read by a Import/Export supported.
device such as a bar-code reader.

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Attribute Name Tag T Attribute Description Varian System Database

>> Wedge Angle (300A,00D5) 2C Nominal wedge angle (degrees). Required if Wedge Import/Export supported using lookup.
Sequence (300A,00D1) is sent.
>> Wedge Factor (300A,00D6) 2C Nominal wedge factor under machine calibration Export supported.
conditions at the beam energy specified by the Nominal
Beam Energy (300A,0114) of the first Control Point of the
Control Point Sequence (300A,0111).
Required if Wedge Sequence (300A,00D1) is sent.
>> Wedge (300A,00D8) 2C Orientation of wedge, i.e. orientation of IEC WEDGE Import/Export supported using lookup.
Orientation FILTER coordinate system with respect to IEC BEAM
LIMITING DEVICE coordinate system (degrees).
Required if Wedge Sequence (300A,00D1) is sent.
>> Source to (300A,00DA) 3 Radiation source to wedge tray attachment edge distance Import/Export supported using lookup.
Wedge Tray (in mm) for current wedge. Lookup along configured source
Distance distance of slot.
> Number of (300A,00E0) 1 Number of compensators associated with current Beam. Export supported.
Compensators
> Total (300A,00E2) 3 Compensator Tray transmission factor (between 0 and Import/Export supported using lookup.
Compensator Tray 1), at the beam energy specified by the Nominal Beam
Factor Energy (300A,0114) of the first Control Point of the
Control Point Sequence (300A,0111).
> Compensator (300A,00E3) 1C Introduces sequence of treatment compensators.
Sequence Required if Number of Compensators (300A,00E0) is
non-zero. One or more items may be included in this
sequence.
>> Compensator (300A,02EB) 3 User defined description for the compensator *** not supported ***
Description
>> Compensator (300A,00E4) 1C Identification number of the Compensator. The value of Export supported.
Number Compensator Number (300A,00E4) shall be unique
within the Beam in which it is created. Required if
Number of Compensators (300A,00E0) is non-zero.

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Attribute Name Tag T Attribute Description Varian System Database

>> Compensator (300A,00EE) 3 Type of compensator (if any). Import: DYNAMIC silently ignored.
Type Defined Terms:
STANDARD = physical (static) compensator Defined Terms supported additionally:
DYNAMIC = moving Beam Limiting Device (collimator) TOTAL_ACTUAL = Total actual
simulating physical compensator fluence
OPTIMAL: Optimal fluence
>> Material ID (300A,00E1) 2C User-supplied identifier for material used to manufacture Import/Export supported.
Compensator. Required if Number of Compensators
(300A,00E0) is non-zero.
>> Compensator ID (300A,00E5) 3 User-supplied identifier for compensator. Import/Export supported.
>> Accessory Code (300A,00F9) 3 An identifier for the accessory intended to be read by a Import/Export supported.
device such as a bar-code reader.
>> Source to (300A,00E6) 2C Radiation source to compensator tray attachment edge Import/Export supported using lookup.
Compensator Tray distance (in mm) for current compensator. Required if Lookup along configured source
Distance Compensator Sequence (300A,00E3) is sent. distance of slot.
>> Compensator (300A,02E0) 3 Indicates presence or absence of geometrical divergence Import/Export supported using lookup.
Divergence of the compensator.
Enumerated Values:
PRESENT = the compensator is shaped according to the
beam geometrical divergence.
ABSENT = the compensator is not shaped according to
the beam geometrical divergence.

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Attribute Name Tag T Attribute Description Varian System Database

>> Compensator (300A,02E1) 3 Indicates on which side of the Compensator Tray the Import/Export supported.
Mounting Position compensator is mounted. Supported values: PATIENT_SIDE,
Enumerated Values: SOURCE_SIDE
PATIENT_SIDE = the compensator is mounted on the
side of the Compensator Tray which is towards the
patient.
SOURCE_SIDE = the compensator is mounted on the
side of the Compensator Tray which is towards the
radiation source.
DOUBLE_SIDED = the compensator has a shaped (i.e.
non-flat) surface on both sides of the Compensator Tray.
>> Compensator (300A,00E7) 1C Number of rows in the compensator. Import/Export supported.
Rows Required if Compensator Sequence (300A,00E3) is sent.
>> Compensator (300A,00E8) 1C Number of columns in the compensator. Import/Export supported.
Columns Required if Compensator Sequence (300A,00E3) is sent.
>> Compensator (300A,00E9) 1C Physical distance (in mm) between the center of each Import/Export supported.
Pixel Spacing pixel projected onto machine isocentric plane. Specified
by a numeric pair - adjacent row spacing (delimiter)
adjacent column spacing.
Required if Compensator Sequence (300A,00E3) is sent.
>> Compensator (300A,00EA) 1C The x and y coordinates of the upper left hand corner Import/Export supported.
Position (first pixel transmitted) of the compensator, projected
onto the machine isocentric plane in the IEC BEAM
LIMITING DEVICE coordinate system (mm). Required if
Compensator Sequence (300A,00E3) is sent.

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Attribute Name Tag T Attribute Description Varian System Database

>> Compensator (300A,00EB) 1C A data stream of the pixel samples which comprise the Import/Export supported.
Transmission Data compensator, expressed as broad-beam transmission
values (between 0 and 1) along a ray line passing
through the pixel, at the beam energy specified by the
Nominal Beam Energy (300A,0114) of the first Control
Point of the Control Point Sequence (300A,0111). The
order of pixels sent is left to right, top to bottom, i.e., the
upper left pixel is sent first followed by the remainder of
the first row , followed by the first pixel of the 2nd row,
then the remainder of the 2nd row and so on) when
viewed from the radiation source. Required if
Compensator Sequence (300A,00E3) is sent and
Material ID (300A,00E1) is zero- length. See C.8.8.14.10.
Note:
Compensator Transmission Data may not be properly
encoded if Explicit-VR transfer syntax is used and the VL
of this attribute exceeds 65534 bytes.
>> Compensator (300A,00EC) 1C A data stream of the pixel samples which comprise the Import/Export supported.
Thickness Data compensator, expressed as thicknesses (in mm). The
order of pixels sent is left to right, top to bottom, i.e., the
upper left pixel is sent first followed by the remainder of
the first row , followed by the first pixel of the 2nd row,
then the remainder of the 2nd row and so on) when
viewed from the radiation source. Required if
Compensator Sequence (300A,00E3) is sent and
Material ID (300A,00E1) is nonzero length. See
C.8.8.14.9 and C.8.8.14.10.
Note:
Compensator Thickness Data may not be properly
encoded if Explicit- VR transfer syntax is used and the VL
of this attribute exceeds 65534 bytes.

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Attribute Name Tag T Attribute Description Varian System Database

>> Source to (300A,02E2) 1C A data stream of the pixel samples which comprise the *** DICOM validation only ***
Compensator distance from the radiation source to the compensator
Distance surface closest to the radiation source (in mm). The order
of pixels sent is left to right, top to bottom (upper left
pixel, followed by the remainder of row 1, followed by the
remainder of the columns). Required if Compensator
Sequence (300A,00E3) is sent, Material ID (300A,00E1)
is non-zero length, and Compensator Mounting Position
(300A,02E1) is DOUBLE_SIDED. See C.8.8.14.9.
> Number of Boli (300A,00ED) 1 Number of boli associated with current Beam. Export supported.
> Referenced Bolus (300C,00B0) 1C Introduces sequence of boli associated with Beam.
Sequence Required if Number of Boli (300A,00ED) is non-zero. One
or more items may be included in this sequence.
>> Referenced ROI (3006,0084) 1C Uniquely identifies ROI representing the Bolus specified Import/Export supported.
Number by ROI Number (3006,0022) in Structure Set ROI
Sequence (3006,0020) in Structure Set Module within RT
Structure Set in Referenced Structure Set Sequence
(300C,0060) in RT General Plan Module.
Required if Referenced Bolus Sequence (300C,00B0) is
sent.
>> Bolus ID (300A,00DC) 3 User-supplied identifier for the Bolus. *** not supported ***
>> Bolus (300A,00DD) 3 User-defined description for the Bolus. *** not supported ***
Description
>> Accessory Code (300A,00F9) 3 An identifier for the accessory intended to be read by a *** DICOM validation only ***
device such as a bar-code reader.
> Number of Blocks (300A,00F0) 1 Number of shielding blocks associated with Beam. Export supported.
> Total Block Tray (300A,00F2) 3 Total block tray transmission for all block trays (between Export supported.
Factor 0 and 1) at the beam energy specified by the Nominal
Beam Energy (300A,0114) of the first Control Point of the
Control Point Sequence (300A,0111).

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Attribute Name Tag T Attribute Description Varian System Database

> Block Sequence (300A,00F4) 1C Introduces sequence of blocks associated with Beam.
Required if Number of Blocks (300A,00F0) is non-zero.
One or more items may be included in this sequence.
>> Block Tray ID (300A,00F5) 3 User-supplied identifier for block tray. Import/Export supported using lookup.
Import: Used to match tray.
>> Accessory Code (300A,00F9) 3 An identifier for the accessory intended to be read by a Import/Export supported.
device such as a bar-code reader.
>> Source to Block (300A,00F6) 2C Radiation Source to attachment edge of block tray Import/Export supported using lookup.
Tray Distance assembly (mm). Required if Block Sequence Lookup along configured source
(300A,00F4) is sent. distance of slot.
>> Block Type (300A,00F8) 1C Type of block. Required if Block Sequence (300A,00F4) Import/Export supported.
is sent. See C.8.8.14.4.
Enumerated Values:
SHIELDING = blocking material is inside contour
APERTURE = blocking material is outside contour
>> Block (300A,00FA) 2C Indicates presence or otherwise of geometrical Import/Export supported.
Divergence divergence. Required if Block Sequence (300A,00F4) is
sent.
Enumerated Values:
PRESENT = block edges are shaped for beam
divergence
ABSENT = block edges are not shaped for beam
divergence
>> Block Mounting (300A,00FB) 3 Indicates on which side of the Block Tray the block is Export supported.
Position mounted. Value for RT Ion Plan: SOURCE_SIDE
Enumerated Values:
PATIENT_SIDE = the block is mounted on the side of the
Block Tray which is towards the patient.
SOURCE_SIDE = the block is mounted on the side of the
Block Tray which is towards the radiation source.

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Attribute Name Tag T Attribute Description Varian System Database

>> Block Number (300A,00FC) 1C Identification number of the Block. The value of Block Import/Export supported.
Number (300A,00FC) shall be unique within the Beam in Export: If a block consists of multiple
which it is created. Required if Block Sequence structures, the block is brocken up into
(300A,00F4) is sent. simpler blocks having just one
delemitting line. New block numbers
will be generated in such a case.
>> Block Name (300A,00FE) 3 User-defined name for block. Import/Export supported.
>> Material ID (300A,00E1) 2C User-supplied identifier for material used to manufacture Import/Export supported.
Block. Required if Block Sequence (300A,00F4) is sent. Import: The attribute is used to identify
the add-on material for the block.
>> Block Thickness (300A,0100) 2C Physical thickness of block (in mm) parallel to radiation Import/Export supported.
beam axis. Required if Block Sequence (300A,00F4) is Import: Warning if value is not equal to
sent and Material ID (300A,00E1) is non-zero length. See thickness of matched add-on material.
C.8.8.14.4.
>> Block (300A,0102) 2C Transmission through the block (between 0 and 1) at the Export supported.
Transmission beam energy specified by the Nominal Beam Energy
(300A,0114) of the first Control Point of the Control Point
Sequence (300A,0111). Required if Block Sequence
(300A,00F4) is sent and Material ID (300A,00E1) is zero
length. See C.8.8.14.4.
>> Block Number of (300A,0104) 2C Number of (x,y) pairs defining the block edge. Required if Import/Export supported.
Points Block Sequence (300A,00F4) is sent.
>> Block Data (300A,0106) 2C A data stream of (x,y) pairs which comprise the block Import/Export supported.
edge. The number of pairs shall be equal to Block
Number of Points (300A,0104), and the vertices shall be
interpreted as a closed polygon. Coordinates are
projected onto the machine isocentric plane in the IEC
BEAM LIMITING DEVICE coordinate system (mm).
Required if Block Sequence (300A,00F4) is sent. See
Note 4.
> Applicator (300A,0107) 3 Introduces sequence of Applicators associated with
Sequence Beam. Only a single item shall be permitted in this
sequence.

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Attribute Name Tag T Attribute Description Varian System Database

>> Applicator ID (300A,0108) 1C User or machine supplied identifier for Applicator. Import/Export supported using lookup.
Required if Applicator Sequence (300A,0107) is sent.
>> Accessory Code (300A,00F9) 3 An identifier for the accessory intended to be read by a Import/Export supported.
device such as a bar-code reader.
>> Applicator Type (300A,0109) 1C Type of Applicator. Required if Applicator Sequence Export supported.
(300A,0107) is sent. STEREOTACTIC: Stereotactic
Defined Terms: applicator.
ELECTRON_SQUARE = square electron applicator ELECTRON_SQUARE: Configured
ELECTRON_RECT = rectangular electron applicator field size of applicator is square or
configured field size of applicator is not
ELECTRON_CIRC = circular electron applicator
defined but field size of beam is
ELECTRON_SHORT = short electron applicator square.
ELECTRON_OPEN = open (dummy) electron applicator ELECTRON_RECT: Applicator is
INTRAOPERATIVE = intraoperative (custom) applicator rectangular but not square along the
STEREOTACTIC = stereotactic applicator conditions above for
ELECTRON_SQUARE.
ELECTRON_CIRC: Applicator is not
rectangular. Configured field size of
applicator either is defined or machine
configuration indicates that it needs not
to be.
ELECTRON_OPEN: In all other cases.
>> Applicator (300A,010A) 3 User-defined description for Applicator. Export supported.
Description
> General (300A,0420) 3 Introduces a Sequence of General Accessories Describes trays not used by blocks or
Accessory associated with this Beam. One or more items may be compensators.
Sequence included in this sequence.
>> General (300A,0424) 1 Identification Number of the General Accessory. The Import/Export supported.
Accessory Number value shall be unique within the sequence.
>> General (300A,0421) 1 User or machine supplied identifier for General Import/Export supported using lookup.
Accessory ID Accessory. Used as the primary accessory
identification on the UI.

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Attribute Name Tag T Attribute Description Varian System Database

>> General (300A,0422) 3 User supplied description of General Accessory. Export supported.
Accessory
Description
>> General (300A,0423) 3 Specifies the type of accessory. On import any value is supported.
Accessory Type Defined Terms: Supported values on export:
GRATICULE = Accessory tray with a radio-opaque grid TRAY = Accessory not fitting into any
IMAGE_DETECTOR = Image acquisition device of the other supported categories
positioned in the beam line
RETICLE = Accessory tray with radio-transparent
markers or grid
>> Accessory Code (300A,00F9) 3 Machine-readable identifier for this accessory Import/Export supported.
>> Source to (3291,XX00) 3 Radiation source to accessory distance of the equipment Import/Export supported using lookup.
General Accessory that is to be used for beam delivery (mm).
Distance
> Final Cumulative (300A,010E) 1C Value of Cumulative Meterset Weight (300A,0134) for Import/Export supported.
Meterset Weight final Control Point in Control Point Sequence
(300A,0111).
Required if Cumulative Meterset Weight is non-null in
Control Points specified within Control Point Sequence
(300A,0111). See C.8.8.14.1.
> Number of Control (300A,0110) 1 Number of control points in Beam. Import/Export supported.
Points
> Control Point (300A,0111) 1 Introduces sequence of machine configurations
Sequence describing treatment beam. Two or more items may be
included in this sequence. See C.8.8.14.5 and
C.8.8.14.6.
>> Control Point (300A,0112) 1C Index of current Control Point, starting at 0 for first Import/Export supported.
Index Control Point. Required if Control Point Sequence
(300A,0111) is sent.

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Attribute Name Tag T Attribute Description Varian System Database

>> Cumulative (300A,0134) 2C Cumulative weight to current control point. Cumulative Import/Export supported.
Meterset Weight Meterset Weight for the first item in Control Point
Sequence shall always be zero. Cumulative Meterset
Weight for the final item in Control Point Sequence shall
always be equal to Final Cumulative Meterset Weight.
Required if Control Point Sequence (300A,0111) is sent.
See C.8.8.14.1.
>> Referenced (300C,0050) 3 Introduces a sequence of Dose References for current
Dose Reference Beam. One or more items may be included in this
Sequence sequence.
>>> Referenced (300C,0051) 1C Uniquely identifies Dose Reference specified by Dose Import/Export supported.
Dose Reference Reference Number (300A,0012) in Dose Reference
Number Sequence (300A,0010) in RT Prescription Module.
Required if Referenced Dose Reference Sequence
(300C,0050) is sent.
>>> Cumulative (300A,010C) 2C Coefficient used to calculate cumulative dose contribution Import/Export supported.
Dose Reference from this Beam to the referenced Dose Reference at the
Coefficient current Control Point. Required if Referenced Dose
Reference Sequence (300C,0050) is sent. See
C.8.8.14.7.
>> Referenced (300C,0080) 1C Sequence describing related instances of RT Dose (for *** not supported ***
Dose Sequence grids, isodose curves, and named/unnamed point doses).
One or more items may be included in this sequence.
Required if RT Dose is being sent, and Dose Summation
Type (3004,000A) equals CONTROL_POINT.
>>> Referenced (0008,1150) 1 Uniquely identifies the referenced SOP Class. *** not supported ***
SOP Class UID
>>> Referenced (0008,1155) 1 Uniquely identifies the referenced SOP Instance. *** not supported ***
SOP Instance UID
>> Nominal Beam (300A,0114) 3 Nominal Beam Energy at control point (MV/MeV). Import/Export supported.
Energy

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Attribute Name Tag T Attribute Description Varian System Database

>> Dose Rate Set (300A,0115) 3 Dose Rate to be set on treatment machine for segment Import/Export supported.
beginning at current control point (e.g. MU/min).
>> Wedge Position (300A,0116) 3 A Sequence of Items describing Wedge Positions for the
Sequence current control point. Required for first item of Control
Point Sequence if Number of Wedges (300A,00D0) is
non-zero, and in subsequent control points if Wedge
Position (300A,0118) changes during Beam. See
C.8.8.14.5. The number of items in this sequence shall
equal the value of Number of Wedges (300A,00D0).
>>> Referenced (300C,00C0) 1C Uniquely references Wedge described by Wedge Import/Export supported.
Wedge Number Number (300A,00D2) in Wedge Sequence (300A,00D1).
Required if Wedge Position Sequence (300A,0116) is
sent.
>>> Wedge Position (300A,0118) 1C Position of Wedge at current Control Point. Import/Export supported.
Required if Wedge Position Sequence (300A,0116) is
sent.
Enumerated Values:
IN
OUT
>> Beam Limiting (300A,011A) 1C Introduces sequence of beam limiting device (collimator)
Device Position jaw or leaf (element) positions. Required for first item of
Sequence Control Point Sequence, or if Beam Limiting Device
changes during Beam. One or more items may be
included in this sequence.

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Attribute Name Tag T Attribute Description Varian System Database

>>> RT Beam (300A,00B8) 1C Type of beam limiting device (collimator). The value of Import/Export supported.
Limiting Device this attribute shall correspond to RT Beam Limiting MLCX: MLC Rotation = 0
Type Device Type (300A,00B8) defined in an item of Beam
MLCY: MLC Rotation = 90
Limiting Device Sequence (300A,00B6).
Required if Beam Limiting Device Position Sequence
(300A,011A) is sent.
Enumerated Values:
X = symmetric jaw pair in IEC X direction
Y = symmetric jaw pair in IEC Y direction
ASYMX = asymmetric jaw pair in IEC X direction
ASYMY = asymmetric pair in IEC Y direction
MLCX = multileaf (multi-element) jaw pair in IEC X
direction
MLCY = multileaf (multi-element) jaw pair in IEC Y
direction
>>> Leaf/Jaw (300A,011C) 1C Positions of beam limiting device (collimator) leaf Import/Export supported.
Positions (element) or jaw pairs (in mm) in IEC BEAM LIMITING Treatment Daemon only: If values are
DEVICE coordinate axis appropriate to RT Beam Limiting not defined then 88888888 will be
Device Type (300A,00B8), e.g. X- axis for MLCX, Y-axis sent.
for MLCY. Contains 2N values, where N is the Number of
Leaf/Jaw Pairs (300A,00BC) in Beam Limiting Device
Sequence (300A,00B6). Values shall be listed in IEC leaf
(element) subscript order 101, 102, ... 1N, 201, 202, ...
2N. Required if Beam Limiting Device Position Sequence
(300A,011A) is sent. See Note 2.
>> Gantry Angle (300A,011E) 1C Gantry angle of radiation source, i.e. orientation of IEC Import/Export supported.
GANTRY coordinate system with respect to IEC FIXED Treatment Daemon only: If values are
REFERENCE coordinate system (degrees). Required for not defined then 88888888 will be
first item of Control Point Sequence, or if Gantry Angle sent.
changes during Beam.

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Attribute Name Tag T Attribute Description Varian System Database

>> Gantry Rotation (300A,011F) 1C Direction of Gantry Rotation when viewing gantry from Import/Export supported.
Direction isocenter, for segment following Control Point. Required Changing of this value between control
for first item of Control Point Sequence, or if Gantry points is not supported.
Rotation Direction changes during Beam. See C.8.8.14.8.
Enumerated Values:
CW = clockwise
CC = counter-clockwise
NONE = no rotation
>> Gantry Pitch (300A,014A) 3 Gantry Pitch Angle. i.e. the rotation of the IEC GANTRY *** not supported ***
Angle coordinate system about the X-axis of the IEC GANTRY
coordinate system (degrees). If used, must be present for
first item of Control Point Sequence, or if used and
Gantry Pitch Rotation Angle changes during Beam, must
be present.
>> Gantry Pitch (300A,014C) 3 Direction of Gantry Pitch Angle when viewing along the *** not supported ***
Rotation Direction positive X-axis of the IEC GANTRY coordinate system,
for segment following Control Point. If used, must be
present for first item of Control Point Sequence, or if used
and Gantry Pitch Rotation Direction changes during
Beam, must be present. See C.8.8.14.8 and C.8.8.25.6.5.
Enumerated Values: CW = clockwise CC = counter-
clockwise NONE = no rotation
>> Beam Limiting (300A,0120) 1C Beam Limiting Device angle, i.e. orientation of IEC BEAM Import/Export supported.
Device Angle LIMITING DEVICE coordinate system with respect to IEC Treatment Daemon only: If values are
GANTRY coordinate system (degrees). Required for first not defined then 88888888 will be
item of Control Point Sequence, or if Beam Limiting sent.
Device Angle changes during Beam.

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Attribute Name Tag T Attribute Description Varian System Database

>> Beam Limiting (300A,0121) 1C Direction of Beam Limiting Device Rotation when viewing Export supported.
Device Rotation beam limiting device (collimator) from radiation source, Value: NONE
Direction for segment following Control Point. Required for first
item of Control Point Sequence, or if Beam Limiting
Device Rotation Direction changes during Beam. See
C.8.8.14.8.
Enumerated Values:
CW = clockwise
CC = counter-clockwise
NONE = no rotation
>> Patient Support (300A,0122) 1C Patient Support angle, i.e. orientation of IEC PATIENT Import/Export supported.
Angle SUPPORT (turntable) coordinate system with respect to Chaning of this value between control
IEC FIXED REFERENCE coordinate system (degrees). points is not supported.
Required for first item of Control Point Sequence, or if
Patient Support Angle changes during Beam.
>> Patient Support (300A,0123) 1C Direction of Patient Support Rotation when viewing table Export supported.
Rotation Direction from above, for segment following Control Point. Value: NONE
Required for first item of Control Point Sequence, or if
Chaning of this value between control
Patient Support Rotation Direction changes during Beam.
points is not supported.
See C.8.8.14.8.
Enumerated Values:
CW = clockwise
CC = counter-clockwise
NONE = no rotation
>> Table Top (300A,0124) 3 Distance (positive) from the IEC PATIENT SUPPORT *** DICOM validation only ***
Eccentric Axis vertical axis to the IEC TABLE TOP ECCENTRIC vertical
Distance axis (mm).
>> Table Top (300A,0125) 1C Table Top (non-isocentric) angle, i.e. orientation of IEC Export supported.
Eccentric Angle TABLE TOP ECCENTRIC coordinate system with Value: 0.0
respect to IEC PATIENT SUPPORT coordinate system
Chaning of this value between control
(degrees). Required for first item of Control Point
points is not supported.
Sequence, or if Table Top Eccentric Angle changes
during Beam.

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Attribute Name Tag T Attribute Description Varian System Database

>> Table Top (300A,0126) 1C Direction of Table Top Eccentric Rotation when viewing Export supported.
Eccentric Rotation table from above, for segment following Control Point. Value: NONE
Direction Required for first item of Control Point Sequence, or if
Chaning of this value between control
Table Top Eccentric Rotation Direction changes during
points is not supported.
Beam. See C.8.8.14.8.
Enumerated Values:
CW = clockwise
CC = counter-clockwise
NONE = no rotation
>> Patient Support (300A,0140) 1C Table Top Pitch Angle, i.e. the rotation of the IEC TABLE *** not supported ***
Pitch Angle TOP coordinate system about the X-axis of the IEC
TABLE TOP coordinate system (degrees). If required by
treatment delivery device, shall be present for first item of
Control Point Sequence. If required by treatment delivery
device and if Table Top Pitch Angle changes during
Beam, shall be present in all subsequent items of Control
Point Sequence. See C.8.8.25.6.2.
>> Patient Support (300A,0142) 1C Direction of Table Top Pitch Rotation when viewing the *** not supported ***
Pitching Direction table along the positive X-axis of the IEC TABLE TOP
coordinate system, for segment following Control Point. If
required by treatment delivery device, shall be present for
first item of Control Point Sequence. If required by
treatment delivery device and if Table Top Pitch Rotation
Direction changes during Beam, shall be present in all
subsequent items of Control Point Sequence. See
C.8.8.14.8 and C.8.8.25.6.2. Enumerated Values: CW =
clockwise CC = counter-clockwise NONE = no rotation
>> Patient Support (300A,0144) 1C Table Top Roll Angle, i.e. the rotation of the IEC TABLE *** not supported ***
Roll Angle TOP coordinate system about the IEC Y-axis of the IEC
TABLE TOP coordinate system (degrees). If required by
treatment delivery device, shall be present for first item of
Control Point Sequence. If required by treatment delivery
device and if Table Top Roll Angle changes during Beam,
shall be present in all subsequent items of Control Point
Sequence. See C.8.8.25.6.2.

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Attribute Name Tag T Attribute Description Varian System Database

>> Patient Support (300A,0146) 1C Direction of Table Top Roll Rotation when viewing the *** not supported ***
Rolling Direction table along the positive Y-axis of the IEC TABLE TOP
coordinate system, for segment following Control Point. If
required by treatment delivery device, shall be present for
first item of Control Point Sequence. If required by
treatment delivery device and if Table Top Roll Rotation
Direction changes during Beam, shall be present in all
subsequent items of Control Point Sequence. See
C.8.8.14.8 and C.8.8.25.6.2. Enumerated Values: CW =
clockwise CC = counter-clockwise NONE = no rotation
>> Table Top (300A,0128) 2C Table Top Vertical position in IEC TABLE TOP Import/Export supported.
Vertical Position coordinate system (mm). Required for first item of Control Chaning of this value between control
Point Sequence, or if Table Top Vertical Position points is not supported.
changes during Beam. See C.8.8.14.6.
>> Table Top (300A,0129) 2C Table Top Longitudinal position in IEC TABLE TOP Import/Export supported.
Longitudinal coordinate system (mm). Required for first item of Control Chaning of this value between control
Position Point Sequence, or if Table Top Longitudinal Position points is not supported.
changes during Beam. See C.8.8.14.6.
>> Table Top (300A,012A) 2C Table Top Lateral position in IEC TABLE TOP coordinate Import/Export supported.
Lateral Position system (mm). Required for first item of Control Point Chaning of this value between control
Sequence, or if Table Top Lateral Position changes points is not supported.
during Beam. See C.8.8.14.6.
>> Virtual SAD (3243,XX1A) 3 The virtual SAD for this control point. This SAD denotes *** not supported ***
the physical focus of the beam if it is different than the
nominal Source Axis Distance (300A,00B4).
>> Table Top Roll (3243,XX16) 3 Table Top Roll Angle (not yet part of the IEC system). *** DICOM validation only ***
Angle
>> Table Top Pitch (3243,XX17) 3 Table Top Pitch Angle (not yet part of the IEC system). *** DICOM validation only ***
Angle

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Attribute Name Tag T Attribute Description Varian System Database

>> Isocenter (300A,012C) 2C Isocenter coordinates (x,y,z) in the patient based Import/Export supported.
Position coordinate system described in C.7.6.2.1.1 (mm). This is the Isocenter position in relation
Required for first item of Segment Control Point to the planning image of the plan.
Sequence, or if Segment Isocenter Position changes
Chaning of this value between control
during Beam.
points is not supported.
>> Surface Entry (300A,012E) 3 Patient surface entry point coordinates (x,y,z) in the *** not supported ***
Point patient based coordinate system described in C.7.6.2.1.1
(mm).
>> Source to (300A,0130) 3 Source to Patient Surface distance (mm). Import/Export supported.
Surface Distance Chaning of this value between control
points is not supported.
> Referenced (3283,XX60) 3 Introduces sequence containing reference to a tracking Import: Reference is lost if referenced
Motion Management object. Only one item shall be permitted in the sequence. SOP instance is not available at the
Object Sequence A sequence item may contain a reference to a Tracking time this RT Plan is imported.
Protocol SOP instance which denotes the requested
tracking protocol to be used for treatment. This Tracking
Protocol shall contain a reference Tracking Waveform
serving as a tracking reference. If no Tracking Protocol is
available the reference Tracking Waveform may be
referenced directly.
>> Referenced SOP (0008,1150) 1 Uniquely identifies the referenced SOP Class. Supported SOP Classes:
Class UID Tracking Protocol (private)
Tracking Waveform (private)
>> Referenced SOP (0008,1155) 1 Uniquely identifies the referenced SOP Instance.
Instance UID

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IOD Details, RT Brachy Application Setups – C.8.8.15

C.2.33 RT Brachy Application Setups – C.8.8.15

Attribute Name Tag T Attribute Description Varian System Database

Brachy Treatment (300A,0200) 1 Type of brachytherapy treatment technique. Import/Export supported.

Technique Enumerated Values:
INTRALUMENARY
INTRACAVITARY
INTERSTITIAL
CONTACT
INTRAVASCULAR
PERMANENT
See C.8.8.15.1.
Brachy Treatment (300A,0202) 1 Type of brachytherapy treatment. Import/Export supported.
Type Defined Terms:
MANUAL = manually positioned
HDR = High dose rate
MDR = Medium dose rate
LDR = Low dose rate
PDR = Pulsed dose rate
Treatment Machine (300A,0206) 1 Introduces single item sequence describing treatment
Sequence machine to be used for treatment delivery. Only one item
may be included in this sequence.
> Treatment (300A,00B2) 2 User-defined name identifying treatment machine to be Import/Export supported.
Machine Name used for treatment delivery. Import: Used to identify the brachy
unit.
Export: For seeds value "Manual
seeds" is used.
> Manufacturer (0008,0070) 3 Manufacturer of the equipment to be used for treatment Import/Export supported.
delivery. Import: Used to identify the brachy
unit.
Export: Value not sent for seeds.

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Attribute Name Tag T Attribute Description Varian System Database

> Institution Name (0008,0080) 3 Institution where the equipment is located that is to be Import/Export supported.
used for treatment delivery.
> Institution Address (0008,0081) 3 Mailing address of the institution where the equipment is Import/Export supported.
located that is to be used for treatment delivery.
> Institutional (0008,1040) 3 Department in the institution where the equipment is *** DICOM validation only ***
Department Name located that is to be used for treatment delivery.
> Manufacturer’s (0008,1090) 3 Manufacturer's model name of the equipment that is to be Import/Export supported.
Model Name used for treatment delivery. Import: Used to identify the brachy
unit.
Export: Value not sent for seeds.
> Device Serial (0018,1000) 3 Manufacturer's serial number of the equipment that is to Import/Export supported.
Number be used for treatment delivery. Import: Used to identify the brachy
unit.
Export: for seeds empty.
Source Sequence (300A,0210) 1 Introduces sequence of Sources to be used within Export: Value not sent for seeds.
Application Setups. One or more items may be included
in this sequence.
> Source Number (300A,0212) 1 Identification number of the Source. The value of Source Import supported.
Number (300A,0212) shall be unique within the RT Plan
in which it is created.
> Source Type (300A,0214) 1 Type of Source. Defined Terms: POINT LINE CYLINDER Import/Export supported.
SPHERE Import: used to identify the radioactive
source.
> Source (300A,0216) 3 Manufacturer of Source. Import/Export supported.
Manufacturer Import: used to identify the radioactive
source.
> Active Source (300A,0218) 3 Diameter of active Source (mm). Import/Export supported.
Diameter X-Component of size of Radioactive
Source Model.

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Attribute Name Tag T Attribute Description Varian System Database

> Active Source (300A,021A) 3 Length of active Source (mm). Import/Export supported.
Length Z-Component of size of Radioactive
Source Model.
> Material ID (300A,00E1) 3 User-supplied identifier for encapsulation material of *** not supported ***
active Source.
> Source (300A,0222) 3 Nominal thickness of wall of encapsulation (mm). See *** not supported ***
Encapsulation C.8.8.15.12.
Nominal Thickness
> Source (300A,0224) 3 Nominal transmission through wall of encapsulation *** not supported ***
Encapsulation (between 0 and 1). See C.8.8.15.12
Nominal
Transmission
> Source Isotope (300A,0226) 1 Name of Isotope. Import/Export supported.
Name
> Source Isotope (300A,0228) 1 Half-life of Isotope (days). Import/Export supported.
Half Life Import: used to identify the radioactive
source.
> Source Strength (300A,0229) 1C Measurement unit of Source Strength. *** not supported ***
Units Required if the source is not a gamma- emitting (photon)
source. May be present otherwise.
Enumerated Values:
AIR_KERMA_RATE = Air Kerma Rate if Source is
Gamma emitting Isotope.
DOSE_RATE_WATER = Dose Rate in Water if Source is
Beta emitting Isotope.
> Reference Air (300A,022A) 1 Air Kerma Rate in air of Isotope specified at Air Kerma Import/Export supported.
Kerma Rate Rate Reference Date (300A,022C) and Air Kerma Rate Import: used to identify the radioactive
Reference Time (300A,022E) (in ╡Gy h-1 at 1 m). Value source.
shall be zero for non-gamma sources.

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Attribute Name Tag T Attribute Description Varian System Database

> Source Strength (300A,022B) 1C Source Strength of Isotope at Source Strength Reference *** not supported ***
Date (300A,022C) and Source Strength Reference Time
(300A,022E), in units specified in Source Strength Units
(300A,0229).
Required if the source is not a gamma- emitting (photon)
source. See C.8.8.15.13.
> Source Strength (300A,022C) 1 Reference date for Reference Air Kerma Rate Import/Export supported.
Reference Date (300A,022A) or Source Strength (300A,022B) of Isotope.
> Source Strength (300A,022E) 1 Reference time for Air Kerma Rate (300A,022A) or Import/Export supported.
Reference Time Source Strength (300A,022B) of Isotope.
Application Setup (300A,0230) 1 Introduces sequence of Application Setups for current RT
Sequence Plan. One or more items may be included in this
sequence.
> Application Setup (300A,0232) 1 Type of Application Setup. Defined Terms: Import/Export supported.
Type FLETCHER_SUIT DELCLOS BLOEDORN Defined Term supported additionally:
JOSLIN_FLYNN CHANDIGARH MANCHESTER
UNDEFINED
HENSCHKE NASOPHARYNGEAL OESOPHAGEAL
ENDOBRONCHIAL SYED_NEBLETT ENDORECTAL
PERINEAL
> Application Setup (300A,0234) 1 Identification number of the Application Setup. The value Export supported.
Number of Application Setup Number (300A,0234) shall be unique
within the RT Plan in which it is created.
> Application Setup (300A,0236) 3 User-defined name for Application Setup. Import/Export supported.
Name
> Application Setup (300A,0238) 3 Manufacturer of Application Setup. Export supported.
Manufacturer Value: Empty string
> Template Number (300A,0240) 3 Identification number of the Template. The value of *** DICOM validation only ***
Template Number (300A,0240) shall be unique within the
Application Setup in which it is created.
> Template Type (300A,0242) 3 User-defined type for Template Device. *** DICOM validation only ***
> Template Name (300A,0244) 3 User-defined name for Template Device. *** DICOM validation only ***

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Attribute Name Tag T Attribute Description Varian System Database

> Referenced (300C,0042) 3 Introduces sequence of reference images used for

Reference Image validation of current Application Setup. One or more
Sequence items may be included in this sequence.
>> Referenced SOP (0008,1150) 1C Uniquely identifies the referenced SOP Class. Required if Export only.
Class UID Referenced Reference Image Sequence (300C,0042) is Value: SOP Class UID of RT Image.
sent.
>> Referenced SOP (0008,1155) 1C Uniquely identifies the referenced SOP Instance. Export supported.
Instance UID Required if Referenced Reference Image Sequence
(300C,0042) is sent.
> Total Reference (300A,0250) 1 Total Reference Air Kerma for current Application Setup, Import/Export supported. Internal
Air Kerma i.e. the product of Air Kerma Rate of all Sources in all representation is different from
Channels with their respective Channel Times (╡Gy at 1 DICOM.
m). Value shall be zero for non-gamma sources. Total of all
RadioactiveSourceStrengths multiplied
with dwell times.
> Brachy Accessory (300A,0260) 3 Introduces sequence of Brachy Accessory Devices *** DICOM validation only ***
Device Sequence associated with current Application Setup. One or more
items may be included in this sequence.
>> Brachy (300A,0262) 2C Identification number of the Brachy Accessory Device. *** DICOM validation only ***
Accessory Device The value of Brachy Accessory Device Number
Number (300A,0262) shall be unique within the Application Setup
in which it is created. Required if Brachy Accessory
Device Sequence (300A,0260) is sent.
>> Brachy (300A,0263) 2C User or machine supplied identifier for Brachy Accessory *** DICOM validation only ***
Accessory Device Device. Required if Brachy Accessory Device Sequence
ID (300A,0260) is sent.

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Attribute Name Tag T Attribute Description Varian System Database

>> Brachy (300A,0264) 1C Type of Brachy Accessory Device. *** DICOM validation only ***
Accessory Device Required if Brachy Accessory Device Sequence
Type (300A,0260) is sent.
Defined Terms: SHIELD
DILATATION
MOLD
PLAQUE
FLAB
>> Brachy (300A,0266) 3 User-defined name for Brachy Accessory Device. *** DICOM validation only ***
Accessory Device
Name
>> Material ID (300A,00E1) 3 User-supplied identifier for material of Brachy Accessory *** DICOM validation only ***
Device. See Note.
>> Brachy (300A,026A) 3 Nominal thickness of Brachy Accessory Device (mm). *** DICOM validation only ***
Accessory Device See C.8.8.15.12.
Nominal Thickness
>> Brachy (300A,026C) 3 Nominal Transmission through Brachy Accessory Device *** DICOM validation only ***
Accessory Device (between 0 and 1). See C.8.8.15.12.
Nominal
Transmission
>> Referenced ROI (3006,0084) 2C Uniquely identifies ROI representing the Brachy *** DICOM validation only ***
Number Accessory specified by ROI Number (3006,0022) in
Structure Set ROI Sequence (3006,0020) in Structure Set
Module within RT Structure Set referenced by
Referenced RT Structure Set Sequence (300C,0060) in
RT General Plan Module.
Required if Brachy Accessory Device Sequence
(300A,0260) is sent. See C.8.8.15.2.
> Channel (300A,0280) 1 Introduces sequence of Channels for current Application
Sequence Setup. One or more items may be included in this
sequence.

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Attribute Name Tag T Attribute Description Varian System Database

>> Channel Number (300A,0282) 1 Identification number of the Channel. The value of Import/Export supported.
Channel Number (300A,0282) shall be unique within the
Application Setup in which it is created.
>> Channel Length (300A,0284) 2 Length of Channel (mm). See C.8.8.15.3. Import/Export supported.
>> Channel Total (300A,0286) 1 Total amount of time between first and final Control Import/Export supported.
Time Points of the Brachy Control Point Sequence Total time of dwells
(300A,02D0) for current Channel (sec). Channel Total
Time calculation is based upon the Reference Air Kerma
Rate (300A,022A) of the Referenced Source Number
(300C,000E).
>> Source (300A,0288) 1 Type of Source movement. See C.8.8.15.4. Import/Export supported.
Movement Type Defined Terms:
STEPWISE
FIXED
OSCILLATING
UNIDIRECTIONAL
>> Number of (300A,028A) 1C Number of Pulses per fraction for current Channel. Import/Export supported.
Pulses Required if Brachy Treatment Type (300A,0202) is PDR.
>> Pulse Repetition (300A,028C) 1C Pulse repetition interval (sec) for current Channel. Import/Export supported.
Interval Required if Brachy Treatment Type (300A,0202) is PDR.
>> Source (300A,0290) 3 Identification number of the Source Applicator. The value Import/Export supported. Internal
Applicator Number of Source Applicator Number (300A,0290) shall be representation is different from
unique within the Channel in which it is created. DICOM.
Value: 1
>> Source (300A,0291) 2C User or machine supplied identifier for Source Applicator. Import/Export supported.
Applicator ID Required if Source Applicator Number (300A,0290) is
sent.

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Attribute Name Tag T Attribute Description Varian System Database

>> Source (300A,0292) 1C Type of Source Applicator. Required if Source Applicator Import/Export supported.
Applicator Type Number (300A,0290) is sent.
Defined Terms:
FLEXIBLE
RIGID
>> Source (300A,0294) 3 User-defined name for Source Applicator. Import/Export supported.
Applicator Name
>> Source (300A,0296) 1C Length of Source Applicator (mm), defined as the Import/Export supported.
Applicator Length distance between the connector of the applicator and the
distal-most position of the source. Required if Source
Applicator Number (300A,0290) is sent.
>> Source (300A,0298) 3 Manufacturer of Source Applicator. *** DICOM validation only ***
Applicator
Manufacturer
>> Material ID (300A,00E1) 3 User-supplied identifier for material of Source Applicator *** DICOM validation only ***
wall. See Note.
>> Source (300A,029C) 3 Nominal Thickness of Source Applicator wall (mm). See *** DICOM validation only ***
Applicator Wall C.8.8.15.12.
Nominal Thickness
>> Source (300A,029E) 3 Nominal Transmission through Source Applicator wall *** DICOM validation only ***
Applicator Wall (between 0 and 1). See C.8.8.15.12.
Nominal
Transmission
>> Source (300A,02A0) 1C Distance of path along channel (in mm) between adjacent Import/Export supported.
Applicator Step Size (potential) dwell positions. Required if Source Movement
Type (300A,0288) is STEPWISE.

Varian System Server DICOM Conformance Statement, VA8804D3CS 267 of 410

IOD Details, RT Brachy Application Setups – C.8.8.15

Attribute Name Tag T Attribute Description Varian System Database

>> Referenced ROI (3006,0084) 2C Uniquely identifies ROI representing the Source Import/Export supported.
Number Applicator specified by ROI Number (3006,0022) in
Structure Set ROI Sequence (3006,0020) in Structure Set
Module within RT Structure Set referenced by
Referenced RT Structure Set Sequence (300C,0060) in
RT General Plan Module.
Required if Source Applicator Number (300A,0290) is
sent. See C.8.8.15.2.
>> Transfer Tube (300A,02A2) 2 Identification number of the Transfer Tube. The value of *** DICOM validation only ***
Number Transfer Tube Number (300A,02A2) shall be unique
within the Channel in which it is created.
>> Transfer Tube (300A,02A4) 2C Length of Transfer Tube of current afterloading Channel *** DICOM validation only ***
Length (mm). Required if value Transfer Tube Number
(300A,02A2) is non-null.
>> Channel Shield (300A,02B0) 3 Introduces sequence of Channel Shields associated with *** DICOM validation only ***
Sequence current Channel. One or more items may be included in
this sequence. See C.8.8.15.5.
>>> Channel Shield (300A,02B2) 1C Identification number of the Channel Shield. The value of *** DICOM validation only ***
Number Channel Shield Number (300A,02B2) shall be unique
within the Channel in which it is created.
Required if Channel Shield Sequence (300A,02B0) is
sent.
>>> Channel Shield (300A,02B3) 2C User or machine supplied identifier for Channel Shield. *** DICOM validation only ***
ID Required if Channel Shield Sequence (300A,02B0) is
sent.
>>> Channel Shield (300A,02B4) 3 User-defined name for Channel Shield. *** DICOM validation only ***
Name
>>> Material ID (300A,00E1) 3 User-supplied identifier for material of Channel Shield. *** DICOM validation only ***
See Note.
>>> Channel Shield (300A,02B8) 3 Nominal Thickness of Channel Shield (mm). See *** DICOM validation only ***
Nominal Thickness C.8.8.15.12.

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 IOD Details, RT Brachy Application Setups – C.8.8.15

Attribute Name Tag T Attribute Description Varian System Database

>>> Channel Shield (300A,02BA) 3 Nominal Transmission of Channel Shield (between 0 and *** DICOM validation only ***
Nominal 1). See C.8.8.15.12.
Transmission
>>> Referenced (3006,0084) 2C Uniquely identifies ROI representing the Channel Shield *** DICOM validation only ***
ROI Number specified by ROI Number (3006,0022) in Structure Set
ROI Sequence (3006,0020) in Structure Set Module
within RT Structure Set referenced by Referenced RT
Structure Set Sequence (300C,0060) in RT General Plan
Module.
Required if Channel Shield Sequence (300A,02B0) is
sent. See C.8.8.15.2.
>> Referenced (300C,000E) 1 Uniquely identifies the referenced Source within the Import/Export supported.
Source Number Source Sequence (300A,0210) for current Application
Setup.
>> Number of (300A,0110) 1 Number of control points in Channel. For an N-segment Import/Export supported. Internal
Control Points Channel there will be 2N (stepwise movement) or N+1 representation is different from
(continuous movement) control points. DICOM.
>> Final Cumulative (300A,02C8) 1C Value of Cumulative Time Weight (300A,02D6) for final Import/Export supported. Internal
Time Weight Control Point in Brachy Control Point Sequence representation is different from
(300A,02D0). Required if Cumulative Time Weight DICOM.
(300A,02D6) is non-null in Control Points specified within Cumulative dwell time.
Brachy Control Point Sequence (300A,02D0). See
C.8.8.15.6.
>> Brachy Control (300A,02D0) 1 Introduces sequence of machine configurations
Point Sequence describing this Channel. Two or more items may be
included in this sequence. See C.8.8.15.7.
>>> Control Point (300A,0112) 1 Index of current Control Point, starting at 0 for first Import/Export supported.
Index Control Point.
>>> Cumulative (300A,02D6) 2 Cumulative time weight to current Control Point (where Import/Export supported. Internal
Time Weight the weighting is proportional to time values delivered). representation is different from
Cumulative Time Weight for first item in Brachy Control DICOM.
Point Sequence (300A,02D0) is always zero. See Cumulative dwell time at current
C.8.8.15.6 and C.8.8.15.8. control point.

Varian System Server DICOM Conformance Statement, VA8804D3CS 269 of 410

IOD Details, Approval – C.8.8.16

Attribute Name Tag T Attribute Description Varian System Database

>>> Control Point (300A,02D2) 1 Distance between current Control Point Position and the Import/Export supported.
Relative Position distal-most possible Source position in current Channel
(mm). See C.8.8.15.9.
>>> Control Point (300A,02D4) 3 Coordinates (x, y, z) of Control Point in the patient based Current center of source position.
3D Position coordinate system described in C.7.6.2.1.1 (mm). See
C.8.8.15.10.
>>> Brachy (300C,0055) 3 Introduces a sequence of Dose References for current *** DICOM validation only ***
Referenced Dose Channel. One or more items may be included in this
Reference sequence.
Sequence
>>>> Referenced (300C,0051) 1C Uniquely identifies Dose Reference described in Dose *** DICOM validation only ***
Dose Reference Reference Sequence. (300A,0010) within RT Prescription
Number Module of current RT Plan. Required if Brachy
Referenced Dose Reference Sequence (300C,0055) is
sent.
>>>> Cumulative (300A,010C) 1C Coefficient used to calculate cumulative dose contribution *** DICOM validation only ***
Dose Reference from this Source to the referenced Dose Reference at the
Coefficient current Control Point. Required if Brachy Referenced
Dose Reference Sequence (300C,0055) is sent. See
C.8.8.15.11.
Note:
Material ID (300A,00E1) may also be specified within a
referenced ROI, if an ROI is used to describe the object.

C.2.34 Approval – C.8.8.16

Complete roundtrip, covering all attributes of this module, is guaranteed for IODs listed below. Other IODs have roundtrip capabilities as specified
on attribute level.
• RT Image (multi frame only)

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 IOD Details, Approval – C.8.8.16

Attribute Name Tag T Attribute Description Varian System Database

Approval Status (300E,0002) 1 Approval status at the time the SOP Import/Export supported.
Instance was created. Plan Import:
Enumerated Values: APPROVED: Planning Approved
REJECTED: Rejected
APPROVED = Reviewer recorded
else: Unapproved
that object met an implied criterion
UNAPPROVED = No review of Plan Export:
object has been recorded Treatment Approved: APPROVED
Rejected: REJECTED
REJECTED = Reviewer recorded
Retired and plan has treated fractions: APPROVED
that object failed to meet an implied
Retired and plan has no treated fractions: UNAPPROVED
criterion
else: UNAPPROVED
Image Import:
APPROVED: Approved
REJECTED: Action Required
else: New
Image Export:
Approved: APPROVED
Action Required: REJECTED
New: Approval module not written
else: UNAPPROVED
Structure Set Import:
APPROVED: Approved
REJECTED: Rejected
else: Unapproved
Structure Set Export:
Approved: APPROVED
Rejected: REJECTED
else: UNAPPROVED

Review Date (300E,0004) 2C Date on which object was reviewed. Import/Export supported.
Required if Approval Status
(300E,0002) is APPROVED or
REJECTED.

Varian System Server DICOM Conformance Statement, VA8804D3CS 271 of 410

IOD Details, RT General Treatment Record – C.8.8.17

Attribute Name Tag T Attribute Description Varian System Database

Review Time (300E,0005) 2C Time at which object was reviewed. Import/Export supported.
Required if Approval Status
(300E,0002) is APPROVED or
REJECTED.
Reviewer Name (300E,0008) 2C Name of person who reviewed Import/Export supported.
object. RT Structure Set: Only family name is stored.
Required if Approval Status
(300E,0002) is APPROVED or
REJECTED.

C.2.35 RT General Treatment Record – C.8.8.17

Complete roundtrip, covering all attributes of this module, is guaranteed for IODs listed below. Other IODs have roundtrip capabilities as specified
on attribute level.
• RT Beams Treatment Record (except manually recorded treatments)
• RT Ion Beams Treatment Record (except manually recorded treatments)

Attribute Name Tag T Attribute Description Varian System Database

Instance Number (0020,0013) 1 Instance number identifying this particular instance of the Export supported.
object. Value: 1
Treatment Date (3008,0250) 2 Date when current fraction was delivered, or Date last Import/Export supported.
fraction was delivered in case of RT Treatment Summary
Record IOD. See Note.
Treatment Time (3008,0251) 2 Time when current fraction was delivered (begun), or Import/Export supported.
Time last fraction was delivered (begun) in case of RT
Treatment Summary Record IOD. See Note.
Referenced RT Plan (300C,0002) 2 A sequence which provides reference to a RT Plan SOP
Sequence Class/Instance pair. Only a single Item shall be permitted
in this Sequence.

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 IOD Details, RT Treatment Machine Record – C.8.8.18

> Referenced SOP (0008,1150) 1C Uniquely identifies the referenced SOP Class. Required if Import: Warning if not SOP Class UID
Class UID Referenced RT Plan Sequence (300C,0002) is sent. of RT Plan or RT Ion Plan.
Export: SOP Class UID of RT Plan or
RT Ion Plan.
> Referenced SOP (0008,1155) 1C Uniquely identifies the referenced SOP Instance. Import/Export supported.
Instance UID Required if Referenced RT Plan Sequence (300C,0002)
is sent.
Referenced (3008,0030) 3 A sequence which provides reference to RT Treatment *** DICOM validation only ***
Treatment Record Record SOP Class/Instance pairs to which the current RT
Sequence Treatment Record is significantly related. The sequence
may contain one or more items.
> Referenced SOP (0008,1150) 1C Uniquely identifies the referenced SOP Class. Required if *** DICOM validation only ***
Class UID Referenced Treatment Record Sequence (3008,0030) is
sent.
> Referenced SOP (0008,1155) 1C Uniquely identifies the referenced SOP Instance. *** DICOM validation only ***
Instance UID Required if Referenced Treatment Record Sequence
(3008,0030) is sent.

C.2.36 RT Treatment Machine Record – C.8.8.18

Complete roundtrip, covering all attributes of this module, is guaranteed for IODs listed below. Other IODs have roundtrip capabilities as specified
on attribute level.
• RT Beams Treatment Record (except manually recorded treatments)
• RT Ion Beams Treatment Record (except manually recorded treatments)

Attribute Name Tag T Attribute Description Varian System Database

Treatment Machine (300A,0206) 1 Introduces sequence describing treatment machine used

Sequence for treatment delivery. Only a single Item shall be
permitted in this Sequence.

Varian System Server DICOM Conformance Statement, VA8804D3CS 273 of 410

IOD Details, RT Beams Session Record – C.8.8.21

Attribute Name Tag T Attribute Description Varian System Database

> Treatment (300A,00B2) 2 User-defined name identifying treatment machine used Import/Export supported.
Machine Name for treatment delivery. Import: Used to identify the treatment
machine.
> Manufacturer (0008,0070) 2 Manufacturer of the equipment used for treatment Import/Export supported.
delivery. Import: Used to identify the treatment
machine if it could not be found using
Treatment Machine Name
(300A,00B2).
> Institution Name (0008,0080) 2 Institution where the equipment is located that was used Export supported.
for treatment delivery.
> Institution Address (0008,0081) 3 Mailing address of the institution where the equipment is *** not supported ***
located that was used for treatment delivery.
> Institutional (0008,1040) 3 Department in the institution where the equipment is Export supported.
Department Name located that was used for treatment delivery.
> Manufacturer’s (0008,1090) 2 Manufacturer's model name of the equipment used for Import/Export supported.
Model Name treatment delivery. Import: Used to identify the treatment
machine if it could not be found using
Treatment Machine Name
(300A,00B2).
> Device Serial (0018,1000) 2 Manufacturer's serial number of the equipment used for Import/Export supported.
Number treatment delivery. Import: Used to identify the treatment
machine if it could not be found using
Treatment Machine Name
(300A,00B2).

C.2.37 RT Beams Session Record – C.8.8.21

Complete roundtrip, covering all attributes of this module, is guaranteed for IODs listed below. Other IODs have roundtrip capabilities as specified
on attribute level.
• RT Beams Treatment Record (except manually recorded treatments)

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Attribute Name Tag T Attribute Description Varian System Database

Operators’ Name (0008,1070) 2 Name of operator administering treatment session. Import/Export supported.
Referenced Fraction (300C,0022) 3 Identifier of Fraction Group within referenced RT Plan. Import supported.
Group Number
Number of Fractions (300A,0078) 2 Total number of treatments (Fractions) planned for Import/Export supported.
Planned current Fraction Group.
Primary Dosimeter (300A,00B3) 1 Measurement unit of machine dosimeter. Export supported.
Unit Enumerated Values:
MU = Monitor Unit
MINUTE = minute
Treatment Session (3008,0020) 1 Introduces sequence of Beams administered during
Beam Sequence treatment session. The sequence may contain one or
more items.
> Referenced Beam (300C,0006) 3 References Beam specified by Beam Number Import/Export supported.
Number (300A,00C0) in Beam Sequence (300A,00B0) in RT
Beams Module within referenced RT Plan.
> Treatment (3261,XX2A) XML blob for the RT Beams Session Record Extended Import/Export supported.
Session Beam Interface Contains information in XML format
extended interface about dose overrides, tray
specifications and additional override
user names.
> Beam Name (300A,00C2) 3 User-defined name for delivered Beam. Import/Export supported.
> Beam Seconary (3243,XX09) User-defined secondary name for delivered Beam. Import/Export supported.
Name
> Beam Description (300A,00C3) 3 User-defined description for delivered Beam. Import/Export supported.
A history note.

Varian System Server DICOM Conformance Statement, VA8804D3CS 275 of 410

IOD Details, RT Beams Session Record – C.8.8.21

Attribute Name Tag T Attribute Description Varian System Database

> Beam Type (300A,00C4) 1 Motion characteristic of delivered Beam. Import/Export supported.
Enumerated Values:
STATIC = all beam parameters remain unchanged during
delivery
DYNAMIC = one or more beam parameters changes
during delivery
> Radiation Type (300A,00C6) 1 Particle type of delivered Beam. Import/Export supported.
Defined Terms: Supported values: PHOTON,
PHOTON, ELECTRON, NEUTRON, PROTON. ELECTRON, PROTON.

> High-Dose (300A,00C7) 1C Type of high-dose treatment technique. Roundtrip supported.

Technique Type Defined Terms:
NORMAL = Standard treatment
TBI = Total Body Irradiation
HDR = High Dose Rate
Required if treatment technique requires a dose that
would normally require overriding of treatment machine
safety controls.
> Technique (3243,XX06) 3 Treatment Technique of this Beam for PROTON beams. Import supported. Internal
Defined Terms: representation is different from
DICOM.
DOUBLESCATTERING
SINGLESCATTERING
UNIFORM_SCANNING
MODULAT_SCANNING
STATIC
Note, that the definition of DYNAMIC in (300A,00C4) is
completely independent from the definitions in here.
Required if RadiationType (300A,00C6) is PROTON
> Referenced (300C,0040) 3 Introduces sequence of verification images obtained Import supported.
Verification Image during delivery of current beam. The sequence may
Sequence contain one or more items.

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 IOD Details, RT Beams Session Record – C.8.8.21

Attribute Name Tag T Attribute Description Varian System Database

>> Referenced SOP (0008,1150) 1C Uniquely identifies the referenced SOP Class. Required if Roundtrip supported.
Class UID Referenced Verification Image Sequence (300C,0040) is
sent.
>> Referenced SOP (0008,1155) 1C Uniquely identifies the referenced SOP Instance. Roundtrip supported.
Instance UID Required if Referenced Verification Image Sequence
(300C,0040) is sent.
>> Start Meterset (3008,0078) 3 Cumulative Meterset Weight within Beam referenced by Roundtrip supported.
Referenced Beam Number at which image acquisition
starts.
>> End Meterset (3008,007A) 3 Cumulative Meterset Weight within Beam referenced by Roundtrip supported.
Referenced Beam Number at which image acquisition
ends.
> Referenced (3008,0080) 3 Introduces sequence of doses measured during Roundtrip supported.
Measured Dose treatment delivery for current Beam. The sequence may
Reference contain one or more items.
Sequence
>> Referenced (300C,0051) 1C Uniquely references Dose Reference specified by Dose Roundtrip supported.
Dose Reference Reference Number (300A,0012) in Dose Reference
Number Sequence (300A,0010) in RT Prescription Module of
referenced RT Plan. Required if Referenced Measured
Dose Reference Sequence (3008,0080) is sent and
Referenced Measured Dose Reference Number
(3008,0082) is not sent. It shall not be present otherwise.
>> Referenced (3008,0082) 1C Uniquely references Measured Dose Reference specified Roundtrip supported.
Measured Dose by Measured Dose Reference Number (3008,0064) in
Reference Number Measured Dose Reference Sequence (3008,0010).
Required if Referenced Measured Dose Reference
Sequence (3008,0080) is sent and Referenced Dose
Reference Number (300C,0051) is not sent. It shall not
be present otherwise.

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IOD Details, RT Beams Session Record – C.8.8.21

Attribute Name Tag T Attribute Description Varian System Database

>> Measured Dose (3008,0016) 1C Measured Dose in units specified by Dose Units Roundtrip supported.
Value (3004,0002) in sequence referenced by Measured Dose
Reference Sequence (3008,0010) or Dose Reference
Sequence (300A,0010) in RT Prescription Module of
referenced RT Plan as defined above.
Required if Referenced Measured Dose Reference
Sequence (3008,0080) is sent.
> Referenced (3008,0090) 3 Introduces sequence of doses estimated for each
Calculated Dose treatment delivery. The sequence may contain one or
Reference more items.
Sequence
>> Referenced (300C,0051) 1C Uniquely identifies Dose Reference specified by Dose Import/Export supported.
Dose Reference Reference Number (300A,0012) in Dose Reference Reference to the Dose Contribution
Number Sequence (300A,0010) in RT Prescription Module of object of the Reference Point of the
referenced RT Plan. Required if Referenced Calculated referenced plan.
Dose Reference Sequence (3008,0090) is sent and
Referenced Calculated Dose Reference Number
(3008,0092) is not sent.
>> Referenced (3008,0092) 1C Uniquely identifies Calculated Dose Reference specified Import/Export supported.
Calculated Dose by Calculated Dose Reference Number (3008,0072)
Reference Number within Calculated Dose Reference Sequence
(3008,0070). Required if Referenced Calculated Dose
Reference Sequence (3008,0090) is sent and
Referenced Dose Reference Number (300C,0051) is not
sent.
>> Calculated Dose (3008,0076) 1C Calculated Dose (Gy). Required if Referenced Calculated Import/Export supported.
Reference Dose Dose Reference Sequence (3008,0090) is sent.
Value
> Source-Axis (300A,00B4) 3 Radiation source to gantry rotation axis distance of the Export supported.
Distance equipment that was used for beam delivery (mm).
> Beam Limiting (3008,00A0) 1 Introduces sequence of beam limiting device (collimator) Import/Export supported.
Device Leaf Pairs jaw or leaf (element) leaf pair values. The sequence may
Sequence contain one or more items.

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 IOD Details, RT Beams Session Record – C.8.8.21

Attribute Name Tag T Attribute Description Varian System Database

>> RT Beam (300A,00B8) 1 Type of beam limiting device (collimator). Import: At most one MLC and two
Limiting Device Enumerated Values: collimator pairs are supported
Type MLCX, MLCY: Rotation as defined in
X = symmetric jaw pair in IEC X direction
Administration task.
Y = symmetric jaw pair in IEC Y direction
ASYMX = asymmetric jaw pair in IEC X direction
ASYMY = asymmetric pair in IEC Y direction
MLCX = multileaf (multi-element) jaw pair in IEC X
direction
MLCY = multileaf (multi-element) jaw pair in IEC Y
direction
>> Number of (300A,00BC) 1 Number of leaf (element) or jaw pairs (equal to 1 for Import/Export supported. Internal
Leaf/Jaw Pairs standard beam limiting device jaws). representation is different from
DICOM.
> Referenced (300C,006A) 3 Uniquely identifies Patient Setup used within current Roundtrip supported.
Patient Setup beam, specified by Patient Setup Number (300A,0182)
Number within Patient Setup Sequence (300A,0180) of RT
Treatment Record.
> Number of (300A,00D0) 1 Number of wedges associated with current delivered Import/Export supported. Internal
Wedges Beam. representation is different from
DICOM.
At most two wedges are supported.
> Recorded Wedge (3008,00B0) 1C Introduces sequence of treatment wedges present during
Sequence delivered Beam. Required if Number of Wedges
(300A,00D0) is nonzero. The sequence may contain one
or more items.
>> Wedge Number (300A,00D2) 3 Identification number of the Wedge. The value of Wedge Import/Export supported.
Number (300A,00D2) shall be unique within the wedge
sequence.

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IOD Details, RT Beams Session Record – C.8.8.21

Attribute Name Tag T Attribute Description Varian System Database

>> Wedge Type (300A,00D3) 2C Type of wedge defined for delivered Beam. Import/Export supported.
Required if Recorded Wedge Sequence (3008,00B0) is
sent.
Defined Terms:
STANDARD = standard (static) wedge
DYNAMIC = moving Beam Limiting Device (collimator)
jaw simulating wedge
MOTORIZED = single wedge which can be removed from
beam remotely
>> Wedge ID (300A,00D4) 3 User-supplied identifier for wedge. Import/Export supported.
>> Accessory Code (300A,00F9) 3 An identifier for the accessory intended to be read by a Roundtrip supported.
device such as a bar-code reader.
>> Wedge Angle (300A,00D5) 3 Nominal wedge angle delivered (degrees). Import/Export supported.
>> Wedge (300A,00D8) 3 Orientation of wedge, i.e. orientation of IEC WEDGE Import/Export supported.
Orientation FILTER coordinate system with respect to IEC BEAM
LIMITING DEVICE coordinate system (degrees).
> Number of (300A,00E0) 2 Number of compensators associated with current
Compensators delivered Beam.
> Recorded (3008,00C0) 3 Introduces sequence of treatment compensators
Compensator associated with current Beam. The sequence may
Sequence contain one or more items.
>> Referenced (300C,00D0) 1C Uniquely identifies compensator specified by Import/Export supported.
Compensator Compensator Number (300A,00E4) within Beam
Number referenced by Referenced Beam Number (300C,0006).
Required if Recorded Compensator Sequence
(3008,00C0) is sent.

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 IOD Details, RT Beams Session Record – C.8.8.21

Attribute Name Tag T Attribute Description Varian System Database

>> Compensator (300A,00EE) 2C Type of compensator (if any). Required if Recorded Import/Export supported.
Type Compensator Sequence (3008,00C0) is sent.
Defined Terms:
STANDARD = physical (static) compensator
DYNAMIC = moving Beam Limiting Device (collimator)
simulating compensator
>> Compensator ID (300A,00E5) 3 User-supplied identifier for compensator. Import/Export supported.
>> Accessory Code (300A,00F9) 3 An identifier for the accessory intended to be read by a Roundtrip supported.
device such as a bar-code reader.
> Number of Boli (300A,00ED) 2 Number of boli used with current Beam. Import/Export supported.
> Referenced Bolus (300C,00B0) 3 Introduces sequence of boli associated with Beam. The Roundtrip supported.
Sequence sequence may contain one or more items.
>> Referenced ROI (3006,0084) 1C Uniquely identifies ROI representing the bolus specified Roundtrip supported.
Number by ROI Number (3006,0022) in Structure Set ROI
Sequence (3006,0020) in Structure Set Module within RT
Structure Set IOD referenced by referenced RT Plan in
Referenced RT Plan Sequence (300C,0002) in RT
General Treatment Record Module. Required if
Referenced Bolus Sequence (300C,00B0) is sent.
>> Bolus ID (300A,00DC) 3 User-supplied identifier for the Bolus. Roundtrip supported.
>> Accessory Code (300A,00F9) 3 An identifier for the accessory intended to be read by a Roundtrip supported.
device such as a bar-code reader.
> Number of Blocks (300A,00F0) 2 Number of shielding blocks or Electron Inserts associated Import/Export supported. Internal
with Beam. representation is different from
DICOM.
> Recorded Block (3008,00D0) 3 Introduces sequence of blocks associated with current Import/Export supported.
Sequence Beam. The sequence may contain one or more items.
>> Block Tray ID (300A,00F5) 3 User-supplied identifier for block tray or Electron Insert. Import/Export supported.
Import: Used to find the tray.

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IOD Details, RT Beams Session Record – C.8.8.21

Attribute Name Tag T Attribute Description Varian System Database

>> Accessory Code (300A,00F9) 3 An identifier for the accessory intended to be read by a Roundtrip supported.
device such as a bar-code reader.
>> Referenced (300C,00E0) 3 Uniquely identifies block specified by Block Number Import/Export supported.
Block Number (300A,00FC) within Beam referenced by Referenced
Beam Number (300C,0006).
>> Block Name (300A,00FE) 2C User-defined name for block. Required if Recorded Block Import/Export supported.
Sequence (3008,00D0) is sent.
> Applicator (300A,0107) 3 Introduces sequence of Applicators associated with
Sequence Beam. Only a single item shall be permitted in this
sequence.
>> Applicator ID (300A,0108) 1C User or machine supplied identifier for Applicator. Import/Export supported.
Required if Applicator Sequence (300A,0107) is sent.
>> Accessory Code (300A,00F9) 3 An identifier for the accessory intended to be read by a Roundtrip supported.
device such as a bar-code reader.
>> Applicator Type (300A,0109) 1C Type of Applicator. Required if Applicator Sequence Import/Export supported.
(300A,0107) is sent.
Defined Terms:
ELECTRON_SQUARE = square electron applicator
ELECTRON_RECT = rectangular electron applicator
ELECTRON_CIRC = circular electron applicator
ELECTRON_SHORT = short electron applicator
ELECTRON_OPEN = open (dummy) electron applicator
INTRAOPERATIVE = intraoperative (custom) applicator
STEREOTACTIC = stereotactic applicator
>> Applicator (300A,010A) 3 User-defined description for Applicator. Roundtrip supported.
Description
> General (300A,0420) 3 Introduces a Sequence of General Accessories Roundtrip supported.
Accessory associated with this Beam. One or more items may be
Sequence included in this sequence.

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 IOD Details, RT Beams Session Record – C.8.8.21

Attribute Name Tag T Attribute Description Varian System Database

>> General (300A,0424) 1 Identification Number of the General Accessory. The Roundtrip supported.
Accessory Number value shall be unique within the sequence.
>> General (300A,0421) 1 User or machine supplied identifier for General Roundtrip supported.
Accessory ID Accessory. Used as the primary accessory
identification on the UI.
>> General (300A,0422) 3 User supplied description of General Accessory. Roundtrip supported.
Accessory
Description
>> General (300A,0423) 3 Specifies the type of accessory. Roundtrip supported.
Accessory Type Defined Terms:
GRATICULE = Accessory tray with a radio-opaque grid
IMAGE_DETECTOR = Image acquisition device
positioned in the beam line
RETICLE = Accessory tray with radio-transparent
markers or grid
>> Accessory Code (300A,00F9) 3 Machine-readable identifier for this accessory Roundtrip supported.
>> Source to (3291,XX00) 3 Radiation source to accessory distance of the equipment Roundtrip supported.
General Accessory that is to be used for beam delivery (mm).
Distance
> Current Fraction (3008,0022) 2 Fraction number for this beam administration. Import/Export supported.
Number Import: Rejected if no value provided.
> Treatment (300A,00CE) 2 Delivery Type of treatment. Import/Export supported.
Delivery Type Defined Terms:
TREATMENT = normal patient treatment
OPEN_PORTFILM = portal image acquisition with open
field
TRMT_PORTFILM = portal image acquisition with
treatment port
CONTINUATION = continuation of interrupted treatment

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IOD Details, RT Beams Session Record – C.8.8.21

Attribute Name Tag T Attribute Description Varian System Database

> Related (3243,XX28) 3 Only allowed, if Treatment Delivery Type (300A,00CE) id Import supported.
Referenced Beam OPEN_PORTFILM or TRMT_PORTFILM Only used for imaging beams.
Number
> Treatment (3008,002A) 1 Conditions under which treatment was terminated. Import/Export supported.
Termination Status Enumerated Values:
NORMAL = treatment terminated normally
OPERATOR = operator terminated treatment
MACHINE = machine terminated treatment
UNKNOWN = status at termination unknown
> Treatment (3008,002B) 3 Treatment machine termination code. This code is Import/Export supported.
Termination Code dependent upon the particular application and equipment.
> Treatment (3251,XX00) 3 A textual description which can be supplied by the Import/Export supported.
Machine Note treatment machine for describe technical details.
> Treatment (3008,002C) 2 Conditions under which treatment was verified by a Import/Export supported.
Verification Status verification system.
Enumerated Values:
VERIFIED = treatment verified
VERIFIED_OVR = treatment verified with at least one
out-of-range value overridden
NOT_VERIFIED = treatment verified manually
> Specified Primary (3008,0032) 3 Desired machine setting of primary meterset. Roundtrip supported.
Meterset
> Specified (3008,0033) 3 Desired machine setting of secondary meterset. Roundtrip supported.
Secondary Meterset
> Delivered Primary (3008,0036) 3 Machine setting actually delivered as recorded by primary Import supported.
Meterset meterset.
> Delivered (3008,0037) 3 Machine setting actually delivered as recorded by Roundtrip supported.
Secondary Meterset secondary meterset.
> Specified (3008,003A) 3 Treatment Time set (sec). Roundtrip supported.
Treatment Time

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 IOD Details, RT Beams Session Record – C.8.8.21

Attribute Name Tag T Attribute Description Varian System Database

> Delivered (3008,003B) 3 Treatment Time actually delivered (sec). Import/Export supported.
Treatment Time
> Number of Control (300A,0110) 1 Number of control points delivered. Import/Export supported. Internal
Points representation is different from
DICOM.
> Control Point (3008,0040) 1 Introduces sequence of beam control points for current
Delivery Sequence treatment beam. The sequence may contain one or more
items. See C.8.8.21.1.
>> Referenced (300C,00F0) 3 Uniquely identifies Control Point specified by Control Import/Export supported.
Control Point Index Point Index (300A,0112) within Beam referenced by
Referenced Beam Number (300C,0006).
>> Treatment (3008,0024) 1 Date administration of treatment beam began. Import/Export supported.
Control Point Date Import: Value of first control point.
Export: Sent for all control points.
>> Treatment (3008,0025) 1 Time administration of treatment beam began. Import/Export supported.
Control Point Time Import: Value of first control point.
Export: Sent for all control points.
>> Specified (3008,0042) 2 Desired machine setting for current control point. See Import/Export supported.
Meterset C.8.8.21.2.
>> Delivered (3008,0044) 1 Machine setting actually delivered at current control point. Import/Export supported.
Meterset See C.8.8.21.2.
>> Dose Rate Set (300A,0115) 2 Dose Rate set on treatment machine for segment Export supported.
beginning at current control point (meterset/min).
>> Dose Rate (3008,0048) 2 Dose Rate actually delivered for segment beginning at Import/Export supported.
Delivered current control point (meterset/min). Value of first control point.
>> Nominal Beam (300A,0114) 3 Nominal Beam Energy at control point. Import/Export supported.
Energy Value of first control point.

Varian System Server DICOM Conformance Statement, VA8804D3CS 285 of 410

IOD Details, RT Beams Session Record – C.8.8.21

Attribute Name Tag T Attribute Description Varian System Database

>> Nominal Beam (300A,0015) 1C Units used for Nominal Beam Energy (300A,0114). Import/Export supported.
Energy Unit Required if Nominal Beam Energy (300A,0114) is sent.
Defined Terms:
MV = Megavolt
MEV = Mega electron-Volt If Radiation Type (300A,00C6)
is PHOTON, Nominal Beam Energy Unit (300A,0015)
shall be MV. If Radiation Type (300A,00C6) is
ELECTRON, Nominal Beam Energy Unit (300A,0015)
shall be MEV.
>> Wedge Position (300A,0116) 3 Introduces sequence of Wedge positions for current
Sequence control point. The sequence may contain one or more
items.
>>> Referenced (300C,00C0) 1C Uniquely identifies wedge specified by Wedge Number Import/Export supported.
Wedge Number (300A,00D2) within Beam referenced by Referenced
Beam Number (300C,0006). Required if Wedge Position
Sequence (300A,0116) is sent.
>>> Wedge Position (300A,0118) 1C Position of Wedge at current control point. Import supported.
Required if Wedge Position Sequence (300A,0116) is
sent.
Enumerated Values:
IN, OUT.
>> Beam Limiting (300A,011A) 1C Introduces sequence of beam limiting device (collimator)
Device Position jaw or leaf (element) positions. Required for Control Point
Sequence 0 of Control Point Delivery Sequence (3008,0040) or if
beam limiting device (collimator) changes during beam
administration. The sequence may contain one or more
items.

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 IOD Details, RT Beams Session Record – C.8.8.21

Attribute Name Tag T Attribute Description Varian System Database

>>> RT Beam (300A,00B8) 1C Type of beam limiting device. The value of this attribute Import supported. Internal
Limiting Device shall correspond to RT Beam Limiting Device Type representation is different from
Type (300A,00B8) defined in an element of Beam Limiting DICOM.
Device Leaf Pairs Sequence (3008,00A0).
Required if Beam Limiting Device Position Sequence
(300A,011A) is sent.
Enumerated Values:
X = symmetric jaw pair in IEC X direction
Y = symmetric jaw pair in IEC Y direction
ASYMX = asymmetric jaw pair in IEC X direction
ASYMY = asymmetric pair in IEC Y direction
MLCX = multileaf (multi-element) jaw pair in IEC X
direction
MLCY = multileaf (multi-element) jaw pair in IEC Y
direction
>>> Leaf/Jaw (300A,011C) 1C Positions of beam limiting device (collimator) leaf Import/Export supported.
Positions (element) or jaw pairs (mm) in IEC BEAM LIMITING
DEVICE coordinate axis appropriate to RT Beam Limiting
Device Type (300A,00B8), e.g. X- axis for MLCX, Y-axis
for MLCY. Contains 2N values, where N is the Number of
Leaf/Jaw Pairs (300A,00BC) defined in element of Beam
Limiting Device Leaf Pairs Sequence (3008,00A0).
Values shall be in IEC leaf subscript order 101, 201, 102,
202, à 1N, 2N. Required if Beam Limiting Device Position
Sequence (300A,011A) is sent.
>> Gantry Angle (300A,011E) 1C Treatment machine gantry angle, i.e. orientation of IEC Import/Export supported.
GANTRY coordinate system with respect to IEC FIXED
REFERENCE coordinate system (degrees). Required for
Control Point 0 of Control Point Delivery Sequence
(3008,0040) or if Gantry Angle changes during beam
administration.

Varian System Server DICOM Conformance Statement, VA8804D3CS 287 of 410

IOD Details, RT Beams Session Record – C.8.8.21

Attribute Name Tag T Attribute Description Varian System Database

>> Gantry Rotation (300A,011F) 1C Direction of Gantry Rotation when viewing gantry from Import/Export supported.
Direction isocenter, for segment beginning at current Control Point. Value of first control point.
Required for Control Point 0 of Control Point Delivery
Sequence (3008,0040), or if Gantry Rotation Direction
changes during beam administration.
Enumerated Values:
CW = clockwise
CC = counter-clockwise
NONE = no rotation
>> Beam Stopper (3008,0230) 3 Position of Beam Stopper during beam administration. Roundtrip supported.
Position Enumerated Values:
EXTENDED = Beam Stopper extended
RETRACTED = Beam Stopper retracted
UNKNOWN = Position unknown
>> Beam Limiting (300A,0120) 1C Beam Limiting Device (collimator) angle, i.e. orientation Import/Export supported.
Device Angle of IEC BEAM LIMITING DEVICE coordinate system with Value of first control point.
respect to IEC GANTRY coordinate system (degrees).
Required for Control Point 0 of Control Point Delivery
Sequence (3008,0040) or if beam limiting device
(collimator) angle changes during beam delivery.
>> Beam Limiting (300A,0121) 1C Direction of Beam Limiting Device Rotation when viewing Import: Warning if value in first control
Device Rotation beam limiting device (collimator) from radiation source, point is not NONE.
Direction for segment beginning at current Control Point. Required
for Control Point 0 of Control Point Delivery Sequence
(3008,0040) or if Beam Limiting Device Rotation Direction
changes during beam administration.
Enumerated Values:
CW = clockwise
CC = counter-clockwise
NONE = no rotation

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 IOD Details, RT Beams Session Record – C.8.8.21

Attribute Name Tag T Attribute Description Varian System Database

>> Patient Support (300A,0122) 1C Patient Support angle, i.e. orientation of IEC PATIENT Import/Export supported.
Angle SUPPORT (turntable) coordinate system with respect to Value of first control point.
IEC FIXED REFERENCE coordinate system (degrees).
Required for Control Point 0 of Control Point Delivery
Sequence (3008,0040) or if Patient Support Angle
changes during beam administration.
>> Patient Support (300A,0123) 1C Direction of Patient Support Rotation when viewing table
Rotation Direction from above, for segment beginning at current Control
Point. Required for Control Point 0 of Control Point
Delivery Sequence (3008,0040), or if Patient Support
Rotation Direction changes during beam administration.
Enumerated Values:
CW = clockwise
CC = counter-clockwise
NONE = no rotation
>> Table Top (300A,0124) 3 Distance (positive) from the IEC PATIENT SUPPORT Export supported.
Eccentric Axis vertical axis to the IEC TABLE TOP ECCENTRIC vertical
Distance axis (mm).
>> Table Top (300A,0125) 1C Table Top (non-isocentric) angle, i.e. orientation of IEC
Eccentric Angle TABLE TOP ECCENTRIC coordinate system with
respect to IEC PATIENT SUPPORT coordinate system
(degrees). Required for Control Point 0 of Control Point
Delivery Sequence (3008,0040) or if Table Top Eccentric
Angle changes during beam administration.

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IOD Details, RT Beams Session Record – C.8.8.21

Attribute Name Tag T Attribute Description Varian System Database

>> Table Top (300A,0126) 1C Direction of Table Top Eccentric Rotation Direction when
Eccentric Rotation viewing table from above, for segment beginning at
Direction current Control Point. Required for Control Point 0 of
Control Point Delivery Sequence (3008,0040) or if Table
Top Eccentric Rotation Direction changes during beam
administration.
Enumerated Values:
CW = clockwise
CC = counter-clockwise
NONE = no rotation
>> Table Top (300A,0128) 2C Table Top Vertical position in IEC TABLE TOP Import/Export supported.
Vertical Position coordinate system (mm). This value is interpreted as an
absolute, rather than relative, Table setting. Required for
Control Point 0 of Control Point Delivery Sequence
(3008,0040) or if Table Top Vertical Position changes
during beam administration.
>> Table Top (300A,0129) 2C Table Top Longitudinal position in IEC TABLE TOP Import/Export supported.
Longitudinal coordinate system (mm). This value is interpreted as an
Position absolute, rather than relative, Table setting. Required for
Control Point 0 of Control Point Delivery Sequence
(3008,0040) or if Table Top Longitudinal Position
changes during beam administration.
>> Table Top (300A,012A) 2C Table Top Lateral position in IEC TABLE TOP coordinate Import/Export supported.
Lateral Position system (mm). This value is interpreted as an absolute,
rather than relative, Table setting. Required for Control
Point 0 of Control Point Delivery Sequence (3008,0040)
or if Table Top Lateral Position changes during beam
administration.
>> Table Top Roll (3243,XX16) 3 Table Top Roll Angle (not yet part of the IEC system). Import/Export supported.
Angle
>> Table Top Pitch (3243,XX17) 3 Table Top Pitch Angle (not yet part of the IEC system). Import/Export supported.
Angle

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 IOD Details, RT Beams Session Record – C.8.8.21

Attribute Name Tag T Attribute Description Varian System Database

>> Corrected (3008,0068) 3 Introduces a sequence of items describing any Roundtrip supported.
Parameter corrections made to any attributes prior to delivery of the
Sequence next control point. The sequence may contain one or
more items.
>>> Parameter (3008,0061) 1 Contains the Data Element Tag of the parent sequence Roundtrip supported.
Sequence Pointer containing the attribute that was corrected. The value is
limited in scope to the Treatment Session Beam
Sequence (3008,0020) and all nested sequences therein.
>>> Parameter Item (3008,0063) 1 Contains the sequence item index (starting at 1) of the Roundtrip supported.
Index corrected attribute within its parent sequence.
>>> Parameter (3008,0065) 1 Contains the Data Element Tag of the attribute that was Roundtrip supported.
Pointer corrected.
>>> Correction (3008,006A) 1 The value applied to the attribute that was referenced by Roundtrip supported.
Value the Parameter Sequence Pointer (3008,0061), Parameter
Item Index (3008,0063) and Parameter Pointer
(3008,0065).
>> Override (3008,0060) 3 Introduces sequence of parameters that were overridden
Sequence during the administration of the beam segment
immediately prior to the current control point. The
sequence may contain one or more items.
>>> Override (3008,0062) 2C Contains the Data Element Tag of the attribute that was Import/Export supported. Internal
Parameter Pointer overridden. Required if Override Sequence (3008,0060) representation is different from
is sent. DICOM.
>>> Parameter (3008,0061) 3 Contains the Data Element Tag of the parent sequence Roundtrip supported.
Sequence Pointer containing the attribute that was overridden. The value is
limited in scope to the Treatment Session Beam
Sequence (3008,0020) and all nested sequences therein.
>>> Parameter Item (3008,0063) 3 Contains the sequence item index (monotonically Roundtrip supported.
Index increasing from 1) of the overridden attributes within its
parent sequence. The value is limited in scope to the
Treatment Session Beam Sequence (3008,0020) and all
nested sequences therein.

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IOD Details, RT Beams Session Record – C.8.8.21

Attribute Name Tag T Attribute Description Varian System Database

>>> Operators’ (0008,1070) 2C Name of operator who authorized override. Import/Export supported. Internal
Name Required if Override Sequence (3008,0060) is sent. representation is different from
DICOM.
>>> Override (3008,0066) 3 User-defined description of reason for override of Roundtrip supported.
Reason parameter specified by Override Parameter Pointer
(3008,0062).
> Primary Fluence (3002,0050) 3 Sequence defining whether the primary fluence of the Sequence item is exported only if
Mode Sequence treatment beam uses a non-standard fluence-shaping. Fluence Mode (3002,0051) has value
Only a single Item shall be permitted in this sequence. NON_STANDARD.
>> Fluence Mode (3002,0051) 1 Describes whether the fluence shaping is the standard Import/Export supported.
mode for the beam or an alternate.
Enumerated Values:
STANDARD = Uses standard fluence-shaping
NON_STANDARD = Uses a non-standard fluence-
shaping mode
>> Fluence Mode ID (3002,0052) 1C Identifier for the specific fluence-shaping mode. Required Import/Export supported.
if Fluence Mode (3002,0051) has value
NON_STANDARD.
> Primary Fluence (3285,XX00) 3 See Primary Fluence Mode Sequece (3002,0050). Sequence item is exported only if
Mode Sequence Fluence Mode (3285,xx00) has value
(PRIVATE) NON_STANDARD.
Ignored on import if Primary Fluence
Mode Sequence (3002,0050) is
present.
>> Fluence Mode (3285,XX01) 1 See Fluence Mode (3002,0051). Import/Export supported.
(PRIVATE)
>> Fluence Mode ID (3285,XX02) 1C See Fluence Mode ID (3002,0052). Import/Export supported.
(PRIVATE)

292 of 410 Varian System Server DICOM Conformance Statement, VA8804D3CS

 IOD Details, RT Treatment Summary Record – C.8.8.23

C.2.38 RT Treatment Summary Record – C.8.8.23

Complete roundtrip, covering all attributes of this module, is guaranteed for IODs listed below. Other IODs have roundtrip capabilities as specified
on attribute level.
• RT Beams Treatment Record (except manually recorded treatments)
• RT Ion Beams Treatment Record (except manually recorded treatments)

Attribute Name Tag T Attribute Description Varian System Database

Current Treatment (3008,0200) 1 Status of the Treatment at the time the Treatment Export supported.
Status Summary was created. NOT_STARTED: Treatment not
Enumerated Values: started or just imagesrecorded
NOT_STARTED, ON_TREATMENT, ON_BREAK, COMPLETED: Status of course is
SUSPENDED, STOPPED, COMPLETED. See "Completed"
C.8.8.23.1. ON_TREATMENT: if Status of some
Sessions are "Active" or "Partially
Completed - Active"
ON_BREAK: Not supported
SUSPENDED: Status of plan is
"Rejected"
STOPPED: Status of plan is
"Completed Early"
Treatment Status (3008,0202) 3 Comment on current treatment status. *** not supported ***
Comment
First Treatment (3008,0054) 2 Date of delivery of the first treatment. Export supported.
Date Earliest treatment time of all treatment
records of plan referenced by
Referenced RT Plan Sequence
(300C,0002).
Most Recent (3008,0056) 2 Date of delivery of the most recent administration. *** DICOM validation only ***
Treatment Date
Total Number of (3265,XX00) 3 Total number of Fractions planned for the current plan, all Number of planned fractions
Fractions its former plans and all its successor plans.

Varian System Server DICOM Conformance Statement, VA8804D3CS 293 of 410

IOD Details, RT Treatment Summary Record – C.8.8.23

Attribute Name Tag T Attribute Description Varian System Database

Fraction Group (3008,0220) 3 Introduces sequence describing current state of planned Contains exactly one item.
Summary Sequence vs. delivered fraction groups. The sequence may contain
one or more items.
> Referenced (300C,0022) 3 References Fraction Group Number (300A,0071) in Export supported.
Fraction Group Fraction Group Sequence (300A,0070) in the referenced
Number RT Plan.
> Fraction Group (3008,0224) 2C Indicates type of fraction group. Required if Fraction Export supported.
Type Group Summary Sequence (3008,0220) is sent. Value: EXTERNAL_BEAM
Enumerated Values:
EXTERNAL_BEAM, BRACHY.
> Number of (300A,0078) 2C Number of fractions planned for this fraction group. Export supported.
Fractions Planned Required if Fraction Group Summary Sequence
(3008,0220) is sent.
> Number of (3008,005A) 2C Number of fractions delivered as of Treatment Summary Export supported.
Fractions Delivered Report. Required if Fraction Group Summary Sequence Value: Number of completed fractions
(3008,0220) is sent.
> Fraction Status (3008,0240) 3 Introduces sequence describing status of fractions in
Summary Sequence Fraction Group. The sequence may contain one or more
items.
>> Referenced (3008,0223) 1C Identifies fraction. Required if Fraction Status Summary Export supported.
Fraction Number Sequence (3008,0240) is sent.
>> Treatment Date (3008,0250) 2C Date when fraction was delivered. Export supported.
Required if Fraction Status Summary Sequence Latest treatment date of treatment
(3008,0240) is sent. records (not originating from images)
having termination status NORMAL of
plan referenced by Referenced RT
Plan Sequence (300C,0002) and
fraction specified in Referenced
Fraction Number (3008,0223).

294 of 410 Varian System Server DICOM Conformance Statement, VA8804D3CS

 IOD Details, RT Treatment Summary Record – C.8.8.23

Attribute Name Tag T Attribute Description Varian System Database

>> Treatment Time (3008,0251) 2C Time when fraction was delivered. Export supported.
Required if Fraction Status Summary Sequence Latest treatment date of treatment
(3008,0240) is sent. records (not originating from images)
having termination status NORMAL of
plan referenced by Referenced RT
Plan Sequence (300C,0002) and
fraction specified in Referenced
Fraction Number (3008,0223).
>> Treatment (3008,002A) 2C Conditions under which treatment was terminated. Export supported.
Termination Status Required if Fraction Status Summary Sequence Value: NORMAL if all fields in the
(3008,0240) is sent. current fraction have treatment records
Enumerated Values: (not originating from images) having
NORMAL = treatment terminated normally termination status NORMAL.
OPERATOR = operator terminated treatment
MACHINE = machine terminated treatment for other than
NORMAL condition
UNKNOWN = status at termination unknown
Treatment Summary (3008,00E0) 3 Introduces sequence of references to Measured Dose *** not supported ***
Measured Dose References. The sequence may contain one or more
Reference items.
> Referenced Dose (300C,0051) 3 Uniquely identifies Dose Reference specified by Dose *** not supported ***
Reference Number Reference Number (300A,0012) in Dose Reference
Sequence (300A,0010) in RT Prescription Module of
referenced RT Plan referenced in Referenced RT Plan
Sequence (300C,0002) of RT General Treatment Record
Module.
> Dose Reference (300A,0016) 3 User-defined description of Dose Reference. *** not supported ***
Description
> Cumulative Dose (3008,0052) 1C Cumulative Dose delivered to Dose Reference (Gy). *** not supported ***
to Dose Reference Required if Treatment Summary Dose Reference
Sequence (3008,00E0) is sent.

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IOD Details, RT Treatment Summary Record – C.8.8.23

Attribute Name Tag T Attribute Description Varian System Database

Treatment Summary (3008,0050) 3 Introduces sequence of references to Calculated Dose

Calculated Dose References. The sequence may contain one or more
Reference items.
> Referenced Dose (300C,0051) 3 Uniquely identifies Dose Reference specified by Dose Export supported.
Reference Number Reference Number (300A,0012) in Dose Reference
Sequence (300A,0010) in RT Prescription Module of
referenced RT Plan referenced in Referenced RT Plan
Sequence (300C,0002) of RT General Treatment Record
Module.
> Dose Reference (300A,0016) 3 User-defined description of Dose Reference. Export supported.
Description
> Cumulative Dose (3008,0052) 1C Cumulative Dose delivered to Dose Reference (Gy). Export supported.
to Dose Reference Required if Treatment Summary Dose Reference
Sequence (3008,0050) is sent.
Additional Dose (3259,XX00) 3 Introduces sequence of actual session dose. The
Value Sequence sequence may contain one or more items.
> Referenced Dose (300C,0051) 3 Uniquely identifies Dose Reference specified by Dose Export supported.
Reference Number Reference Number (300A,0012) in Dose Reference
Sequence (300A,0010) in RT Prescription Module of
referenced RT Plan referenced in Referenced RT Plan
Sequence (300C,0002) of RT General Treatment Record
Module.
> Actual Session (3259,XX02) 1C Delivered session dose of actual session Export supported.
Dose Required if Actual Session Dose Sequence is sent. Value: Total dose delivered to
reference point on currently active
session.
> Daily Dose (3259,XX04) 1C Total dose of current day Export supported.
Required if Actual Session Dose Sequence is sent. Value: Total dose delivered today to
reference point.
> Life Time Total (3259,XX06) 2C Total Dose of RefPoint over all Plans Export supported.
Dose Value: Total dose ever delivered to
reference point.

296 of 410 Varian System Server DICOM Conformance Statement, VA8804D3CS

 IOD Details, RT Ion Tolerance Tables – C.8.8.24

C.2.39 RT Ion Tolerance Tables – C.8.8.24

Attribute Name Tag T Attribute Description Varian System Database

Ion Tolerance Table (300A,03A0) 1 Introduces sequence of ion tolerance tables to be used
Sequence for delivery of treatment plan. One or more items shall be
included in this sequence. See Note 1.
> Tolerance Table (300A,0042) 1 Identification number of the Tolerance Table. The value Export supported.
Number of Tolerance Table Number (300A,0042) shall be unique
within the RT Ion Plan in which it is created.
> Tolerance Table (300A,0043) 3 User-defined label for Tolerance Table. Import/Export supported.
Label Import: Only used to connect to
matching tolerance table in Varian
System Database.
> Gantry Angle (300A,0044) 3 Maximum permitted difference (in degrees) between Export supported.
Tolerance planned and delivered Gantry Angle. Value taken from Operating Limit
"Gantry Rotation".
> Beam Limiting (300A,0046) 3 Maximum permitted difference (in degrees) between Export supported.
Device Angle planned and delivered Beam Limiting Device Angle. Value taken from Operating Limit
Tolerance "Collimator Rotation".
> Beam Limiting (300A,0048) 3 Introduces sequence of beam limiting device (collimator)
Device Tolerance tolerances. One or more items may be included in this
Sequence sequence.

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IOD Details, RT Ion Tolerance Tables – C.8.8.24

Attribute Name Tag T Attribute Description Varian System Database

>> RT Beam (300A,00B8) 1 Type of beam limiting device (collimator). Export supported.
Limiting Device Enumerated Values:
Type
X = symmetric jaw pair in IEC X direction
Y = symmetric jaw pair in IEC Y direction
ASYMX = asymmetric jaw pair in IEC X direction
ASYMY = asymmetric pair in IEC Y direction
MLCX = multileaf (multi-element) jaw pair in IEC X
direction
MLCY = multileaf (multi-element) jaw pair in IEC Y
direction
>> Beam Limiting (300A,004A) 1 Maximum permitted difference (in mm) between planned Export supported.
Device Position and delivered leaf (element) or jaw positions for current For collimator jaws: Values are taken
Tolerance beam limiting device (collimator). from either one of the following
Operating Limits: "Field X", "Collimator
X1", "Collimator X2", "Field Y",
"Collimator Y1", "Collimator Y2".
For MLC leafs of dose dynamic MLC:
Values are taken from Dose Dynamic
Leaf Tolerance propery of MLC.
For MLC leafs of arc dynamic MLC:
Values are taken from Arc Dynamic
Leaf Tolerance propery of MLC.
> Patient Support (300A,004C) 3 Maximum permitted difference (in degrees) between Export supported.
Angle Tolerance planned and delivered Patient Support Angle. Value taken from Operating Limit
"Patient Support Angle".
> Table Top Vertical (300A,0051) 3 Maximum permitted difference (in mm) between planned Export supported.
Position Tolerance and delivered Table Top Vertical Position. Attribute Name Value taken from Operating Limit
Tag Type Description "Couch Vertical".
> Table Top (300A,0052) 3 Maximum permitted difference (in mm) between planned Export supported.
Longitudinal and delivered Table Top Longitudinal Position. Value taken from Operating Limit
Position Tolerance "Couch Longitudinal".

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 IOD Details, RT Ion Beams – C.8.8.25

Attribute Name Tag T Attribute Description Varian System Database

> Table Top Lateral (300A,0053) 3 Maximum permitted difference (in mm) between planned Export supported.
Position Tolerance and delivered Table Top Lateral Position. Value taken from Operating Limit
"Couch Lateral".
> Table Top Pitch (300A,004F) 3 Maximum permitted difference (in degrees) between Export supported.
Angle Tolerance planned and delivered Table Top Pitch Angle. Value taken from Operating Limit
"Patient Support Pitch Angle".
> Table Top Roll (300A,0050) 3 Maximum permitted difference (in degrees) between Export supported.
Angle Tolerance planned and delivered Table Top Roll Angle. Value taken from Operating Limit
"Patient Support Roll Angle".
> Snout Position (300A,004B) 3 Maximum permitted difference (in mm) between planned Export supported.
Tolerance and delivered Snout Position. Value taken from Operating Limit
"Snout Position".
> Distal Target (300B,1001) 3 Maximum permitted difference (in mm) between planned Export supported.
Distance Tolerance and delivered Distal Target Distance. Value taken from Operating Limit
"Distal Range".
> Nominal SOBP (300B,1011) 3 Maximum permitted difference (in mm) between planned Export supported.
Width Tolerance and delivered Nominal SOBP Width. Value taken from Operating Limit
"SOBP Width".

C.2.40 RT Ion Beams – C.8.8.25

Attribute Name Tag T Attribute Description Varian System Database

Ion Beam Sequence (300A,03A2) 1 Introduces sequence of setup and/or treatment beams for
current RT Ion Plan. One or more items shall be included
in this sequence.
> Beam Number (300A,00C0) 1 Identification number of the Beam. The value of Beam Import/Export supported.
Number (300A,00C0) shall be unique within the RT Ion
Plan in which it is created. See section C.8.8.25.1.

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Attribute Name Tag T Attribute Description Varian System Database

> Beam Name (300A,00C2) 1 User-defined name for Beam. See section C.8.8.25.1. Import/Export supported.
Used as Field ID.
> Beam Description (300A,00C3) 3 User-defined description for Beam. See section Import/Export supported.
C.8.8.25.1.
> Beam Type (300A,00C4) 1 Motion characteristic of Beam. Import/Export supported. Internal
Enumerated Values: representation is different from
DICOM.
STATIC = all beam parameters remain unchanged during
delivery
DYNAMIC = one or more beam parameters changes
during delivery
> Radiation Type (300A,00C6) 1 Particle type of Beam. Attribute Name Tag Type Import/Export supported. Internal
Description representation is different from
Defined Terms: DICOM.
PHOTON Supported values: PROTON for
treatment beams, PHOTON for
PROTON
imaging beams.
ION
> Radiation Mass (300A,0302) 1C Mass number of radiation. Required if Radiation Type *** DICOM validation only ***
Number (300A,00C6) is ION
> Radiation Atomic (300A,0304) 1C Atomic number of radiation. Required if Radiation Type *** DICOM validation only ***
Number (300A,00C6) is ION
> Radiation Charge (300A,0306) 1C Charge state of radiation. Required if Radiation Type *** DICOM validation only ***
State (300A,00C6) is ION

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Attribute Name Tag T Attribute Description Varian System Database

> Scan Mode (300A,0308) 1 The method of beam scanning to be used during Import/Export supported.
treatment. Import/Export supported. Internal
Defined Terms: representation is different from
NONE = No beam scanning is performed. DICOM.
UNIFORM = The beam is scanned between control
points to create a uniform lateral fluence distribution Mapping to Technique on import:
across the field. NONE (on treatment field): Single
MODULATED = The beam is scanned between control Scattering or Double Scattering,
points to create a modulated lateral fluence distribution depending on the number of scatterer
across the field. (lateral spreader devices) in this plan
NONE (on setup field): Static
UNIFORM: Uniform Scanning
MODULATED: Modulated Scanning

Mapping from Technique on export:

Single Scattering: NONE
Double Scattering: NONE
Static: NONE
Uniform Scanning: UNIFORM
Modulated Scanning: MODULATED
> Treatment (300A,00B2) 2 User-defined name identifying treatment machine to be Import/Export supported using lookup.
Machine Name used for beam delivery. See section C.8.8.25.2.
> Manufacturer (0008,0070) 3 Manufacturer of the equipment to be used for beam Import/Export supported using lookup.
delivery.
> Institution Name (0008,0080) 3 Institution where the equipment is located that is to be Export supported.
used for beam delivery.
> Institution Address (0008,0081) 3 Mailing address of the institution where the equipment is *** DICOM validation only ***
located that is to be used for beam delivery.
> Institutional (0008,1040) 3 Department in the institution where the equipment is Export supported.
Department Name located that is to be used for beam delivery.

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Attribute Name Tag T Attribute Description Varian System Database

> Manufacturer’s (0008,1090) 3 Manufacturer's model name of the equipment that is to be Import/Export supported using lookup.
Model Name used for beam delivery.
> Device Serial (0018,1000) 3 Manufacturer's serial number of the equipment that is to Import/Export supported using lookup.
Number be used for beam delivery.
> Primary (300A,00B3) 1 Measurement unit of machine dosimeter. Import: Rejected if value is not MU.
Dosimeter Unit Enumerated Values: Export: MU for any external beam.
MU = Monitor Unit
NP = number of particles
> Referenced (300C,00A0) 3 Uniquely identifies Tolerance Table Attribute Name Tag Import/Export supported
Tolerance Table Type Description specified by Tolerance Table Number
Number (300A,0042) within Tolerance Table Sequence in RT Ion
Tolerance Tables Module. These tolerances are to be
used for verification of treatment machine settings.
> Virtual Source- (300A,030A) 1 Distance (in mm) from virtual source position to gantry Import/Export supported.
Axis Distances rotation axis or nominal isocenter position (fixed beam-
lines) of the equipment to be used for beam delivery.
Specified by a numeric pair - the VSAD in the IEC Gantry
X direction followed by the VSAD in the IEC Gantry Y
direction. The VSAD is commonly used for designing
apertures in contrast to the effective source-axis-distance
(ESAD) that is commonly used with the inverse square
law for calculating the dose decrease with distance. See
section C.8.8.25.4.
> Ion Beam Limiting (300A,03A4) 3 Introduces sequence of beam limiting device (collimator)
Device Sequence jaw or leaf (element) sets. One or more items may be
included in this sequence.

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Attribute Name Tag T Attribute Description Varian System Database

>> RT Beam (300A,00B8) 1 Type of beam limiting device (collimator). Import/Export supported.
Limiting Device Enumerated Values: MLCX, MLCY: Rotation as defined in
Type Administration task.
X = symmetric jaw pair in IEC X direction
Y = symmetric jaw pair in IEC Y direction Import: Only one mlc is supported.
ASYMX = asymmetric jaw pair in IEC X direction Export: ASYMX/ASYMY is not set if
the field is symmetrical, even if the
ASYMY = asymmetric pair in IEC Y direction
treatment machine supports
MLCX = multileaf (multi-element) jaw pair in IEC X asymmetrical jaws.
direction
MLCY = multileaf (multi-element) jaw pair in IEC Y
direction
>> Isocenter to (300A,00BB) 2 Isocenter to beam limiting device (collimator) distance (in Import/Export supported.
Beam Limiting mm) of the equipment that is to be used for beam Import: Validated against
Device Distance delivery. See section C.8.8.25.4. SourceToLevelDistance. Warning if not
matching the machine configuration.
>> Number of (300A,00BC) 1 Number of leaf (element) or jaw pairs (equal to 1 for Import/Export supported.
Leaf/Jaw Pairs standard beam limiting device jaws).
>> Leaf Position (300A,00BE) 1C Boundaries of beam limiting device (collimator) leaves (in Import/Export supported.
Boundaries mm) in IEC BEAM LIMITING DEVICE coordinate axis Import: Validated against MLC
appropriate to RT Beam Limiting Device Type configuration.
(300A,00B8), i.e. X-axis for MLCY, Y Attribute Name Tag
Type Description axis for MLCX. Contains N+1 values,
where N is the Number of Leaf/Jaw Pairs (300A,00BC),
starting from Leaf (Element) Pair 1.
Required if RT Beam Limiting Device Type (300A,00B8)
is MLCX or MLCY. See section C.8.8.25.3.
> Referenced (300C,006A) 3 Uniquely identifies Patient Setup to be used for current Import/Export supported.
Patient Setup beam, specified by Patient Setup Number (300A,0182)
Number within Patient Setup Sequence of RT Patient Setup
Module.

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Attribute Name Tag T Attribute Description Varian System Database

> Referenced (300C,0042) 3 Introduces sequence of reference images used for Export supported.
Reference Image validation of current beam. One or more items may be References the primary reference
Sequence included in this sequence. image if one is defined as well as all
portal dose images having a context to
the field.
>> Referenced SOP (0008,1150) 1 Uniquely identifies the referenced SOP Class. Export supported.
Class UID Value: SOP Class UID of RT Image.
>> Referenced SOP (0008,1155) 1 Uniquely identifies the referenced SOP Instance. Export supported.
Instance UID
>> Reference Image (300A,00C8) 1 Uniquely identifies Reference Image within Referenced Export supported.
Number Reference Image Sequence (300C,0042).
> Planned (300A,00CA) 3 Introduces sequence of planned verification images to be Export: Verification images scheduled
Verification Image acquired during current beam. One or more items may be for next treatment session.
Sequence included in this sequence. See C.8.8.14.2.
>> Start Cumulative (300C,0008) 3 Cumulative Meterset Weight within current Beam at Export supported.
Meterset Weight which image acquisition will start.
>> Meterset (3002,0032) 3 Meterset duration over which image is to be acquired, *** not supported ***
Exposure specified in Monitor units (MU) or minutes as defined by
Primary Dosimeter Unit (300A,00B3).
>> End Cumulative (300C,0009) 3 Cumulative Meterset Weight within current Beam at *** not supported ***
Meterset Weight which image acquisition will end.
>> RT Image Plane (3002,000C) 3 Describes whether or not image plane is normal to beam Export: NORMAL
axis.
Enumerated Values:
NORMAL = image plane normal to beam axis
NON_NORMAL = image plane non-normal to beam axis
>> X-Ray Image (3002,000E) 3 X-Ray Image Receptor Angle i.e. orientation of IEC X- Export: 0.0
Receptor Angle RAY IMAGE RECEPTOR coordinate system with respect
to IEC GANTRY coordinate system (degrees). See
C.8.8.14.3.

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Attribute Name Tag T Attribute Description Varian System Database

>> RT Image (3002,0010) 3 The direction cosines of the first row and the first column *** not supported ***
Orientation with respect to the IEC XRAY IMAGE RECEPTOR
coordinate system.
>> RT Image (3002,0012) 3 The x and y coordinates (in mm) of the upper left hand Export supported.
Position corner of the image, in the IEC X-RAY IMAGE First value: Lateral position of IDU.
RECEPTOR coordinate system. This is the center of the
Second value: Longitudinal position of
first pixel transmitted.
IDU.
Because of unknown target imager
size an image size of 0.0 is assumed
and thus RT Image Position has to be
interpreted as IEC Image Receptor
system translation (and not image
cropping).
>> RT Image SID (3002,0026) 3 Radiation machine source to image plane distance (mm). Export supported.
Vertical position of IDU = SAD - SID
>> Imaging Device- (300A,00CC) 3 User-specified device-specific parameters that describe Export supported.
Specific Acquisition how the imager will acquire the image. Value taken from sequence image
Parameters template.
>> Referenced (300C,0007) 3 Uniquely identifies Reference Image to which planned *** not supported ***
Reference Image verification image is related, specified by Reference
Number Image Number (300A,00C8) within Referenced
Reference Image Sequence (300A,0042).

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Attribute Name Tag T Attribute Description Varian System Database

> Treatment (300A,00CE) 1 Delivery Type of treatment. Import/Export supported.

Delivery Type Defined Terms:
TREATMENT = normal patient treatment
OPEN_PORTFILM = portal image acquisition with open
field (the source of radiation is specified by Radiation
Type (300A,00C6))
TRMT_PORTFILM = portal image acquisition with
treatment port (the source of radiation is specified by
Radiation Type (300A,00C6))
CONTINUATION = continuation of interrupted treatment
SETUP = no treatment beam is applied for this RT Beam.
To be used for specifying the gantry, couch, and other
machine positions where X-ray set-up images or
measurements shall be taken.
> Referenced Dose (300C,0080) 3 Introduces sequence of related SOP Class/Instance pairs *** DICOM validation only ***
Sequence describing related instances of RT Dose (for grids,
isodose curves, and named/unnamed point doses). One
or more items may be included in this sequence.
>> Referenced SOP (0008,1150) 1 Uniquely identifies the referenced SOP Class. *** not supported ***
Class UID
>> Referenced SOP (0008,1155) 1 Uniquely identifies the referenced SOP Instance. *** not supported ***
Instance UID
> Number of (300A,00D0) 1 Number of wedges associated with current Attribute Export supported.
Wedges Name Tag Type Description beam. Value: 0
> Total Wedge Tray (300A,00D7) 3 Shift of the wedge tray induced on the range of the ion *** DICOM validation only ***
Water-Equivalent beam as measured in water (in mm).
Thickness
> Ion Wedge (300A,03AA) 1C Introduces sequence of treatment wedges. *** DICOM validation only ***
Sequence Required if Number of Wedges (300A,00D0) is non-zero.
The number of items shall be identical to the value of
Number of Wedges (300A,00D0).

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Attribute Name Tag T Attribute Description Varian System Database

>> Wedge Number (300A,00D2) 1 Identification number of the Wedges. The value of Wedge *** DICOM validation only ***
Number (300A,00D2) shall be unique within the Beam in
which it was created.
>> Wedge Type (300A,00D3) 2 Typer of wedge (if any) defined for Beam. *** DICOM validation only ***
Defined Terms:
STANDARD = standard (static) wedge
MOTORIZED = single wedge that can be removed from
beam remotely.
PARTIAL_STANDARD = wedge does not extend across
the whole field and is operated manually.
PARTIAL_MOTORIZ = wedge does not extend across
the whole field and can be removed from beam remotely.
>> Wedge ID (300A,00D4) 3 User-supplied identifier for Wedge. *** DICOM validation only ***
>> Accessory Code (300A,00F9) 3 An accessory identifier to be read by a device such as a *** DICOM validation only ***
bar code reader.
>> Wedge Angle (300A,00D5) 2 Nominal wedge angle (degrees). *** DICOM validation only ***
>> Wedge (300A,00D8) 2 Orientation of wedge, i.e. orientation of IEC WEDGE *** DICOM validation only ***
Orientation FILTER coordinate system with respect to the IEC BEAM
LIMITING DEVICE coordinate systems (degrees).
>> Isocenter to (300A,00D9) 1 Isocenter to downstream edge of wedge tray (mm). See *** DICOM validation only ***
Wedge Tray section C.8.8.25.4
Distance
> Number of (300A,00E0) 1 Number of compensators associated with current Beam. Export supported.
Compensators
> Total (300A,02E3) 3 Water-Equivalent thickness of the compensator tray (in *** DICOM validation only ***
Compensator Tray mm) parallel to radiation beam axis.
Water-Equivalent
Thickness

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Attribute Name Tag T Attribute Description Varian System Database

> Ion Range (300A,02EA) 1C Introduces sequence of compensators.

Compensator Required if Number of Compensators (300A,00E0) is
Sequence non-zero. The number of items shall be identical to the
value of Number of Compensators (300A,00E0). Attribute
Name Tag Type Description
>> Compensator (300A,00E4) 1 Identification number of the Compensator. The value of Export supported.
Number Compensator Number (300A,00E4) shall be unique
within the Beam in which it is created.
>> Material ID (300A,00E1) 2 User-supplied identifier for material used to manufacture Import/Export supported.
Compensator.
>> Compensator ID (300A,00E5) 3 User-supplied identifier for the compensator. Import/Export supported.
>> Accessory Code (300A,00F9) 3 An accessory identifier to be read by a device such as a Import/Export supported.
bar code reader.
>> Isocenter to (300A,02E4) 1C Isocenter to compensator tray attachment edge distance Export supported.
Compensator Tray (in mm) for current range compensator. Required if
Distance Compensator Mounting Position (300A,02E1) is not
DOUBLE_SIDED. See section C.8.8.25.4
>> Compensator (300A,02E0) 1 Indicates presence or absence of geometrical divergence Import/Export supported using lookup.
Divergence of the range compensator.
Enumerated Values:
PRESENT = the range compensator is shaped according
to the beam geometrical divergence.
ABSENT = the range compensator is not shaped
according to the beam geometrical divergence.

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Attribute Name Tag T Attribute Description Varian System Database

>> Compensator (300A,02E1) 1 Indicates on which side of the Compensator Tray the Import/Export supported.
Mounting Position compensator is mounted. Supported values: PATIENT_SIDE,
Enumerated Values: SOURCE_SIDE
PATIENT_SIDE = the Compensator is mounted on the Export: DOUBLE_SIDED if a bolus is
side of the Compensator Tray that is towards the patient. present, else SOURCE_SIDE.
SOURCE_SIDE = the Compensator is mounted on the
side of the Compensator Tray that is towards the
radiation source.
DOUBLE_SIDED = the Compensator has a shaped (i.e.
non-flat) surface on both sides of the Compensator Tray.
>> Compensator (300A,00E7) 1 Number of rows in the range compensator. Import/Export supported.
Rows
>> Compensator (300A,00E8) 1 Number of columns in the range compensator. Import/Export supported.
Columns
>> Compensator (300A,00E9) 1 Physical distance (in mm) between the center of each Import/Export supported.
Pixel Spacing pixel projected onto machine isocentric plane. Specified
by a numeric pair - adjacent row spacing followed by
adjacent column spacing.
>> Compensator (300A,00EA) 1 The x and y coordinates of the upper left hand corner Import/Export supported.
Position (first pixel transmitted) of the range compensator,
projected onto the Attribute Name Tag Type Description
machine isocentric plane in the IEC BEAM LIMITING
DEVICE coordinate system (mm).
>> Compensator (300A,02E5) 1C The offset distance (in mm) applied to the x coordinate of Import/Export supported.
Column Offset the Compensator Position (300A,00EA) for even
numbered rows.
Required if the compensator pattern is hexogonal.

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Attribute Name Tag T Attribute Description Varian System Database

>> Compensator (300A,00EC) 1 A data stream of the pixel samples that comprise the Import/Export supported.
Thickness Data range compensator, expressed as physical thickness (in
mm), either parallel to radiation beam axis if
Compensator Divergence (300A,02E0) equals ABSENT,
or divergent according to the beam geometrical
divergence if Compensator Divergence (300A,02E0)
equals PRESENT. The order of pixels sent is left to right,
top to bottom (upper left pixel, followed by the remainder
of row 1, followed by the remainder of the rows).
>> Isocenter to (300A,02E6) 1C A data stream of the pixel samples that comprise the Import/Export supported. Internal
Compensator distance from the isocenter to the compensator surface representation is different from
Distances closest to the radiation source (in mm). The order of DICOM.
pixels sent is left to right, top to bottom (upper left pixel,
followed by the remainder of row 1, followed by the
remainder of the rows). Required if Material ID
(300A,00E1) is non-zero length, and Compensator
Mounting Position (300A,02E1) is DOUBLE_SIDED. See
sections C.8.8.14.9 and C.8.8.25.4
>> Compensator (300A,02E7) 3 Compensator Linear Stopping Power Ratio, relative to Import/Export supported.
Relative Stopping water, at the beam energy specified by the Nominal
Power Ratio Beam Energy (300A,0114) of the first Control Point of the
Ion Control Point Sequence (300A,03A8).
>> Compensator (300A,02E8) 3 The diameter (in mm) of the milling tool to be used to Import/Export supported.
Milling Tool create the compensator. The diameter is expressed as
Diameter the actual physcial size and not a projected size at
isocenter.
> Number of Boli (300A,00ED) 1 Number of boli associated with current Beam. Export supported.
> Referenced Bolus (300C,00B0) 1C Introduces sequence of boli associated with Beam.
Sequence Required if Number of Boli (300A,00ED) is non-zero. The
number of items shall be identical to the value of Number
of Boli (300A,00ED).

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Attribute Name Tag T Attribute Description Varian System Database

>> Referenced ROI (3006,0084) 1 Uniquely identifies ROI representing the Bolus specified Import/Export supported.
Number by ROI Number Attribute Name Tag Type Description
(3006,0022) in Structure Set ROI Sequence (3006,0020)
in Structure Set Module within RT Structure Set in
Referenced Structure Set Sequence (300C,0060) in RT
General Plan Module.
>> Accessory Code (300A,00F9) 3 An accessory identifier to be read by a device such as a *** DICOM validation only ***
bar code reader.
> Number of Blocks (300A,00F0) 1 Number of shielding blocks associated with Beam. Export supported.
> Total Block Tray (300A,00F3) 3 Water-Equivalent thickness of the block tray (in mm) *** DICOM validation only ***
Water-Equivalent parallel to radiation beam axis.
Thickness
> Ion Block (300A,03A6) 1C Introduces sequence of blocks associated with Beam.
Sequence Required if Number of Blocks (300A,00F0) is non-zero.
The number of items shall be identical to the value of
Number of Blocks (300A,00F0).
>> Block Tray ID (300A,00F5) 3 User-supplied identifier for block tray. Import/Export supported using lookup.
Import: Used to match tray.
>> Accessory Code (300A,00F9) 3 An accessory identifier to be read by a device such as a Import/Export supported.
bar code reader.
>> Isocenter to (300A,00F7) 1 Isocenter to downstream edge of block tray (mm). Export supported.
Block Tray Distance Required if Block Sequence (300A,00F4) is sent. See
section C.8.8.25.4
>> Block Type (300A,00F8) 1 Type of block. See section C.8.8.14.4. Import/Export supported.
Enumerated Values:
SHIELDING = blocking material is inside contour
APERTURE = blocking material is outside contour

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Attribute Name Tag T Attribute Description Varian System Database

>> Block (300A,00FA) 1 Indicates presence or otherwise of geometrical Import/Export supported.

Divergence divergence.
Enumerated Values:
PRESENT = block edges are shaped for beam
divergence
ABSENT = block edges are not shaped for beam
divergence
>> Block Mounting (300A,00FB) 1 Indicates on which side of the Block Tray the block is Export supported.
Position mounted. Enumerated Values; PATIENT_SIDE = the Value for RT Ion Plan: SOURCE_SIDE
block is mounted on the side of the Block Tray that is
towards the patient. SOURCE_SIDE = the block is
mounted on the side of the Block Tray that is towards the
radiation source.
>> Block Number (300A,00FC) 1 Identification number of the Block. The Attribute Name Import/Export supported.
Tag Type Description value of Block Number Export: If a block consists of multiple
(300A,00FC) shall be unique within the Beam in which it structures, the block is brocken up into
is created. simpler blocks having just one
delemitting line. New block numbers
will be generated in such a case.
>> Block Name (300A,00FE) 3 User-defined name for block. Import/Export supported.
>> Material ID (300A,00E1) 2 User-supplied identifier for material used to manufacture Import/Export supported.
Block. Import: The attribute is used to identify
the add-on material for the block.
>> Block Thickness (300A,0100) 1 Physical thickness of block (in mm) parallel to radiation Import/Export supported.
beam axis. See section C.8.8.14.4. Import: Warning if value is not equal to
thickness of matched add-on material.
>> Block Number of (300A,0104) 1 Number of (x,y) pairs defining the block edge. Import/Export supported.
Points

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Attribute Name Tag T Attribute Description Varian System Database

>> Block Data (300A,0106) 1 A data stream of (x,y) pairs that comprise the block edge. Import/Export supported.
The number of pairs shall be equal to Block Number of
Points (300A,0104), and the vertices shall be interpreted
as a closed polygon. Coordinates are projected onto the
machine isocentric plane in the IEC BEAM LIMITING
DEVICE coordinate system (mm).
> Snout Sequence (300A,030C) 3 Introduces sequence of Snouts associated with Beam.
Only a single item shall be permitted in this sequence.
>> Snout ID (300A,030F) 1 User or machine supplied identifier for Snout. Import/Export supported.
>> Accessory Code (300A,00F9) 3 An accessory identifier to be read by a device such as a Import/Export supported.
bar code reader.
> Applicator (300A,0107) 3 Introduces sequence of Applicators associated with Not used by applications currently.
Sequence Beam. Only a single item shall be permitted in this
sequence.
>> Applicator ID (300A,0108) 1 User or machine supplied identifier for Applicator. See Import/Export supported using lookup.
section C.8.8.14.12
>> Accessory Code (300A,00F9) 3 An accessory identifier to be read by a device such as a Import/Export supported.
bar code reader.
>> Applicator Type (300A,0109) 1 Type of applicator. Export supported.
Defined Terms:
ION_SQUARE = square ion applicator
ION_RECT = rectangluar ion applicator
ION_CIRC = circular ion applicator
ION_SHORT = short ion applicator
ION_OPEN = open (dummy) ion applicator
INTEROPERATIVE = interoperative (custom) applicator
STEREOTACTIC = stereotactic applicator Attribute Name
Tag Type Description
>> Applicator (300A,010A) 3 User-defined description for Applicator. Export supported.
Description

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Attribute Name Tag T Attribute Description Varian System Database

> General (300A,0420) 3 Introduces a Sequence of General Accessories Describes trays not used by blocks or
Accessory associated with this Beam. One or more items may be compensators.
Sequence included in this sequence.
>> General (300A,0424) 1 Identification Number of the General Accessory. The Import/Export supported.
Accessory Number value shall be unique within the sequence.
>> General (300A,0421) 1 User or machine supplied identifier for General Import/Export supported using lookup.
Accessory ID Accessory. Used as the primary accessory
identification on the UI.
>> General (300A,0422) 3 User supplied description of General Accessory. Export supported.
Accessory
Description
>> General (300A,0423) 3 Specifies the type of accessory. On import any value is supported.
Accessory Type Defined Terms: Supported values on export:
GRATICULE = Accessory tray with a radio-opaque grid TRAY = Accessory not fitting into any
IMAGE_DETECTOR = Image acquisition device of the other supported categories
positioned in the beam line
RETICLE = Accessory tray with radio-transparent
markers or grid
>> Accessory Code (300A,00F9) 3 Machine-readable identifier for this accessory Import/Export supported.
>> Source to (3291,XX00) 3 Radiation source to accessory distance of the equipment Import/Export supported using lookup.
General Accessory that is to be used for beam delivery (mm).
Distance
> Number of Range (300A,0312) 1 Number of range shifters associated with current beam. Export supported.
Shifters
> Range Shifter (300A,0314) 1C Introduces sequence of range shifters associated with
Sequence Beam. Required if Number of Range Shifters
(300A,0312) is non-zero. The number of items shall be
identical to the value of Number of Range Shifters
(300A,0312).

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Attribute Name Tag T Attribute Description Varian System Database

>> Range Shifter (300A,0316) 1 Identification number of the Range Shifter. The value of Import/Export supported.
Number Range Shifter Number (300A,0316) shall be unique
within the Beam in which it is created.
>> Range Shifter ID (300A,0318) 1 User or machine supplied identifier for Range Shifter. Import/Export supported.
>> Accessory Code (300A,00F9) 3 An accessory identifier to be read by a device such as a Export supported.
bar code reader.
>> Range Shifter (300A,0320) 1 Type of Range Shifter. Import/Export supported.
Type Defined Terms:
ANALOG = Device is variable thickness and is composed
of opposing sliding wedges, water column or similar
mechanism.
BINARY = Device is composed of different thickness
materials that can be moved in or out of the beam in
various stepped combinations.
>> Range Shifter (300A,0322) 3 User defined description of Range Shifter. Export supported.
Description
> Number of Lateral (300A,0330) 1 Number of lateral spreading devices associated with Export supported.
Spreading Devices current beam.
> Lateral Spreading (300A,0332) 1C Introduces sequence of lateral spreading devices
Device Sequence associated with Beam. Required if Number of Lateral
Spreading Devices (300A,0330) is non-zero. The number
of items shall be identical to the value of Number of
Lateral Spreading Devices (300A,0330).
>> Lateral (300A,0334) 1 Identification number of the Lateral Spreading Device. Import/Export supported.
Spreading Device The value of Lateral Spreading Device Number
Number (300A,0334) shall be unique within the Beam in which it
is created.
>> Lateral (300A,0336) 1 User or machine supplied identifier for Lateral Spreading Import/Export supported.
Spreading Device Device.
ID
>> Accessory Code (300A,00F9) 3 An accessory identifier to be read by a device such as a Export supported.
bar code reader.

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Attribute Name Tag T Attribute Description Varian System Database

>> Lateral (300A,0338) 1 Type of Lateral Spreading Device. Attribute Name Tag Import/Export supported.
Spreading Device Type Description
Type Defined Terms:
SCATTERER = metal placed into the beam path to
scatter charged particles laterally.
MAGNET = nozzle configuration of magnet devices to
expand beam laterally.
>> Lateral (300A,033A) 3 User-defined description for lateral spreading device. Export supported.
Spreading Device
Description
> Number of Range (300A,0340) 1 Number of range modulators associated with current Export supported.
Modulators beam.
> Range Modulator (300A,0342) 1C Introduces sequence of range modulators associated
Sequence with Beam. Required if Number of Range Modulators
(300A,0340) is nonzero. The number of items shall be
identical to the value of Number of Range Modulators
(300A,0340).
>> Range Modulator (300A,0344) 1 Identification number of the Range Modulator. The value Import/Export supported.
Number of Range Modulator Number (300A,0344) shall be unique
within the Beam in which it is created.
>> Range Modulator (300A,0346) 1 User or machine supplied identifier for Range Modulator. Import/Export supported.
ID
>> Accessory Code (300A,00F9) 3 An accessory identifier to be read by a device such as a Export supported.
bar code reader.

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Attribute Name Tag T Attribute Description Varian System Database

>> Range Modulator (300A,0348) 1 Type of Range Modulator. Import/Export supported.

Type Defined Terms:
FIXED = fixed modulation width and weights using ridge
filter or constant speed wheel with constant beam current
WHL_FIXEDWEIGHTS = selected wheel/track (Range
Modulator ID) is spinning at constant speed. Modulation
width is adjusted by switching constant beam current on
and off at wheel steps indicated by Range Modulator
Gating Values.
WHL_MODWEIGHTS = selected wheel/track (Range
Modulator ID) is spinning at constant speed. Weight per
wheel step is adjusted by modulating beam current
according to selected Beam Current Modulation ID
(300A,034C). Only one item in the Range Modulator
Sequence (300A,0342) can have a Range Modulator
Type (300A,0348) of WHL_MODWEIGHTS.
>> Range Modulator (300A,034A) 3 User-defined description of Range Modulator. Attribute Export supported.
Description Name Tag Type Description
>> Beam Current (300A,034C) 1C User-supplied identifier for the beam current modulation Export supported.
Modulation ID pattern. Required if Range Modulator Type (300A,0348)
is WHL_MODWEIGHTS
> Patient Support (300A,0350) 1 Defined terms: TABLE = Treatment delivery system table Import/Export supported.
Type CHAIR = Treatment delivery system chair See section
C.8.8.25.6.3.
> Patient Support ID (300A,0352) 3 User-specified identifier for manufacturer specific patient Import/Export supported.
support devices.
> Patient Support (300A,0354) 3 A Patient Support accessory identifier to be read by a Import/Export supported.
Accessory Code device such as a bar code reader.
> Fixation Light (300A,0356) 3 Azimuthal angle (degrees) of the fixation light coordinate *** DICOM validation only ***
Azimuthal Angle around IEC BEAM LIMITING DEVICE Y-axis. Used for
eye treatments. See section C.8.8.25.6.4.
> Fixation Light (300A,0358) 3 Polar angle (degrees) of the fixation light coordinate. *** DICOM validation only ***
Polar Angle Used for eye treatments. See section C.8.8.25.6.4.

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Attribute Name Tag T Attribute Description Varian System Database

> Final Cumulative (300A,010E) 1C Value of Cumulative Meterset Weight (300A,0134) for Import/Export supported.
Meterset Weight final Control Point in Ion Control Point Sequence
(300A,03A8).
Required if Cumulative Meterset Weight is non-null in
Control Points specified within Ion Control Point
Sequence. See section C.8.8.14.1.
> Number of Control (300A,0110) 1 Number of control points in Beam. Value shall be greater Import/Export supported.
Points than or equal to 2.
> Ion Control Point (300A,03A8) 1 Introduces sequence of machine configurations
Sequence describing Ion treatment beam. The number of items
shall be identical to the value of Number of Control Points
(300A,0110).
>> Control Point (300A,0112) 1 Index of current Control Point, starting at 0 for first Import/Export supported.
Index Control Point.
>> Cumulative (300A,0134) 2 Cumulative weight to current control point. Cumulative Import/Export supported.
Meterset Weight Meterset Weight for the first item in Control Point
Sequence shall always be zero. Cumulative Meterset
Weight for the final item in Ion Control Point Sequence
shall always be equal to Final Cumulative Meterset
Weight.
>> Referenced (300C,0050) 3 Introduces a sequence of Dose References for current
Dose Reference Beam. One or more items may be included in this
Sequence sequence.
>>> Referenced (300C,0051) 1 Uniquely identifies Dose Reference specified by Dose Import/Export supported.
Dose Reference Reference Number (300A,0012) in Dose Reference
Number Sequence (300A,0010) in RT Prescription Module.
>>> Cumulative (300A,010C) 2 Coefficient used to calculate cumulative dose contribution Import/Export supported.
Dose Reference from this Beam to the referenced Dose Reference at the
Coefficient current Control Point.

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Attribute Name Tag T Attribute Description Varian System Database

>> Nominal Beam (300A,0114) 1C Nominal Beam Energy at control point in MeV per Import/Export supported.
Energy nucleon. Defined at nozzle entrance before all Beam
Modifiers. Attribute Name Tag Type Description Required
for first item of Control Point Sequence, or if Nominal
Beam Energy changes during Beam, and KVp
(0018,0060) is not present.
>> KVP (0018,0060) 1C Peak kilo voltage output of the setup X-Ray generator to *** not supported ***
be used. Required for first item of Control Point
Sequence, or if KVp changes during setup, and Nominal
Beam Energy (300A,0114) is not present.
>> Meterset Rate (300A,035A) 3 Specifies the speed of delivery of the specified dose in Import/Export supported.
units specified by Primary Dosimeter Unit (300A,00B3)
per minute.
>> Ion Wedge (300A,03AC) 1C Introduces sequence of Wedge positions for current *** not supported ***
Position Sequence control point. Required for first item of Ion Control Point
Sequence if Number of Wedges (300A,00D0) is non-
zero, and in subsequent control points if Wedge Position
(300A,0118) or Wedge Thin Edge Position (300A,00DB)
changes during beam. The number of items shall be
identical to the value of Number of Wedges (300A,00D0).
>>> Referenced (300C,00C0) 1 Uniquely references Wedge described by Wedge *** not supported ***
Wedge Number Number (300A,00D2) in Wedge Sequence (300A,00D1).
>>> Wedge Position (300A,0118) 1 Position of Wedge at current Control Point. *** not supported ***
Enumerated Values:
IN
OUT

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Attribute Name Tag T Attribute Description Varian System Database

>>> Wedge Thin (300A,00DB) 1C Closest distance from the central axis of the beam along *** not supported ***
Edge Position a wedge axis to the thin edge as projected to the
machine isocentric plane (mm). Value is positive is the
wedge does not cover the central axis, negative if it does.
Required if Wedge Type (300A,00D3) of the wedge
referenced by Referenced Wedge Number (300C,00C0)
is PARTIAL_STANDARD or PARTIAL_MOTORIZ. See
section C.8.8.25.6.4.
>> Range Shifter (300A,0360) 1C Introduces sequence of Range Shifter settings for the
Settings Sequence current control point. One or more items shall be included
in this sequence. Required for first item of Control Point
Sequence if Number of Range Shifters (300A,0312) is
non-zero, or if Range Shifter Setting (300A,0362)
Attribute Name Tag Type Description changes during
Beam.
>>> Referenced (300C,0100) 1 Uniquely references Range Shifter described by Range Import/Export supported.
Range Shifter Shifter Number (300A,0316) in Range Shifter Sequence
Number (300A,0314).
>>> Range Shifter (300A,0362) 1 Machine specific setting attribute for the range shifter. Import/Export supported.
Setting The specific encoding of this value should be
documented in a Conformance Statement. See section
C.8.8.25.5.
>>> Isocenter to (300A,0364) 3 Isocenter to downstream edge of range shifter (mm) at Import/Export supported.
Range Shifter current control point. See section C.8.8.25.4
Distance
>>> Range Shifter (300A,0366) 3 Water equivalent thickness (in mm) of the range shifter at Import/Export supported.
Water Equivalent the central axis for the beam energy incident upon the
Thickness device.

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Attribute Name Tag T Attribute Description Varian System Database

>> Lateral (300A,0370) 1C Introduces sequence of Lateral Spreading Device

Spreading Device settings for the current control point. One or more items
Settings Sequence shall be included in this sequence. Required for first item
of Control Point Sequence if Number of Lateral
Spreading Devices (300A,0330) is non-zero, or if Lateral
Spreading Device Setting (300A,0372) changes during
Beam.
>>> Referenced (300C,0102) 1 Uniquely references Lateral Spreading Device described Import/Export supported.
Lateral Spreading by Lateral Spreading Device Number (300A,0334) in
Device Number Lateral Spreading Device Sequence (300A,0332).
>>> Lateral (300A,0372) 1 Machine specific setting attribute for the lateral spreading Import/Export supported.
Spreading Device device. The specific encoding of this value should be
Setting documented in a Conformance Statement. See section
C.8.8.25.5.
>>> Isocenter to (300A,0374) 3 Isocenter to downstream edge of Lateral Spreading Import/Export supported.
Lateral Spreading Device (mm) at current control point. See section
Device Distance C.8.8.25.4
>>> Lateral (300A,033C) 3 Water equivalent thickness (in mm) of the lateral Import/Export supported.
Spreading Device spreading device at the central axis for the beam energy
Water Equivalent incident upon the device.
Thickness
>> Range Modulator (300A,0380) 1C Introduces sequence of Range Modulator Settings for
Settings Sequence current control point. One or more items shall be included
in this sequence. Required for first item of Control Point
Sequence if Number of Range Modulators (300A,0340) is
non-zero, or if Range Modulator Setting changes during
Beam.
>>> Referenced (300C,0104) 1 Uniquely references Range Modulator Attribute Name Import/Export supported.
Range Modulator Tag Type Description Number described by Range
Number Modulator Number (300A,0344) in Range Modulator
Sequence (300A,0342).

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Attribute Name Tag T Attribute Description Varian System Database

>>> Range (300A,0382) 1C Start position defines the range modulator position at Import/Export supported.
Modulator Gating which the beam is switched on.
Start Value Required if Range Modulator Type (300A,0348) of the
range modulator referenced by Referenced Range
Modulator Number (300C,0104) is WHL_MODWEIGHTS
or WHL_FIXEDWEIGHTS
>>> Range (300A,0384) 1C Stop position defines the range modulator position at Import/Export supported.
Modulator Gating which the beam is switched off.
Stop Value Required if Range Modulator Type (300A,0348) of the
range modulator referenced by Referenced Range
Modulator Number (300C,0104) is WHL_MODWEIGHTS
or WHL_FIXEDWEIGHTS
>>> Range (300A,0386) 3 If Range Modulator Type (300A,0348) is Import/Export supported.
Modulator Gating WHL_MODWEIGHTS or WHL_FIXEDWEIGHTS: Water
Start Water equivalent thickness (in mm) of the range modulator at
Equivalent the position specified by Range Modulator Gating Start
Value (300A,0382). If Range Modulator Type
(300A,0348) is FIXED: Minimum water equivalent
thickness (in mm) of the range modulator.
>>> Range (300A,0388) 3 If Range Modulator Type (300A,0348) is Import/Export supported.
Modulator Gating WHL_MODWEIGHTS or WHL_FIXEDWEIGHTS: Water
Stop Water equivalent thickness (in mm) of the range modulator at
Equivalent the position specified by Range Modulator Gating Stop
Value (300A,0384). If Range Modulator Type
(300A,0348) is FIXED: Maximum water equivalent
thickness (in mm) of the range modulator.
>>> Isocenter to (300A,038A) 3 Isocenter to downstream edge of range modulator (mm) Import/Export supported.
Range Modulator at current control point. See section C.8.8.25.4
Distance

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Attribute Name Tag T Attribute Description Varian System Database

>> Beam Limiting (300A,011A) 1C Introduces sequence of beam limiting Sequence device
Device Position (collimator) jaw or leaf (element) positions. Required if
Sequence Ion Beam Limiting Device Sequence (300A,03A4) is
included and for first item of Control Point Sequence, or if
Beam Limiting Device changes during Beam. One or
more items shall be included in this sequence.
>>> RT Beam (300A,00B8) 1 Type of beam limiting device (collimator). The value of Import/Export supported.
Limiting Device this attribute shall correspond to RT Beam Limiting MLCX: MLC Rotation = 0
Type Device Type (300A,00B8) defined in an item of Ion Beam
MLCY: MLC Rotation = 90
Limiting Device Sequence (300A,03A4). Enumerated
Values: X = symmetric jaw pair in IEC X direction Y =
symmetric jaw pair in IEC Y direction ASYMX =
asymmetric jaw pair in IEC X direction ASYMY =
asymmetric pair in IEC Y direction MLCX = multileaf
(multi-element) jaw pair in IEC X direction MLCY =
multileaf (multi-element) jaw pair in IEC Y direction.
>>> Leaf/Jaw (300A,011C) 1 Positions of beam limiting device (collimator) leaf Import/Export supported.
Positions (element) or jaw pairs (in mm) in IEC BEAM LIMITING Treatment Daemon only: If values are
DEVICE coordinate axis appropriate to RT Beam Limiting not defined then 88888888 will be
Device Type (300A,00B8), e.g. X-axis for MLCX, Y-axis sent.
for MLCY. Contains 2N values, where N is the Number of
Leaf/Jaw Pairs (300A,00BC) in Ion Beam Limiting Device
Sequence (300A,03A4). Values shall be listed in IEC leaf
(element) subscript order 101, 102, ... 1N, 201, 202, ...
2N. See section C.8.8.25.3.
>> Gantry Angle (300A,011E) 1C Gantry angle of radiation source, i.e. orientation of IEC Import/Export supported.
GANTRY coordinate system with respect to IEC FIXED Treatment Daemon only: If values are
REFERENCE coordinate system Attribute Name Tag not defined then 88888888 will be
Type Description (degrees). Required for first item of sent.
Control Point Sequence, or if Gantry Angle changes
during Beam.

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Attribute Name Tag T Attribute Description Varian System Database

>> Gantry Rotation (300A,011F) 1C Direction of Gantry Rotation when viewing gantry from Import/Export supported.
Direction isocenter, for segment following Control Point. Required Changing of this value between control
for first item of Control Point Sequence, or if Gantry points is not supported.
Rotation Direction changes during Beam. See section
C.8.8.14.8.
Enumerated Values:
CW = clockwise
CC = counter-clockwise
NONE = no rotation
>> Gantry Pitch (300A,014A) 2C Gantry Pitch Angle of the radiation source, i.e. the *** DICOM validation only ***
Angle rotation of the IEC GANTRY coordinate system about the
X-axis of the IEC GANTRY coordinate system (degrees).
Required for first item of Control Point Sequence, or if
Gantry Pitch Rotation Angle changes during Beam. See
C.8.8.25.6.5.
>> Gantry Pitch (300A,014C) 2C Direction of Gantry Pitch Angle when viewing along the *** DICOM validation only ***
Rotation Direction positive X-axis of the IEC GANTRY coordinate system,
for segment following Control Point. Required for first
item of Control Point Sequence, or if Gantry Pitch
Rotation Direction changes during Beam. See C.8.8.14.8
and C.8.8.25.6.5.
Enumerated Values:
CW = clockwise
CC = counter-clockwise
NONE = no rotation
>> Beam Limiting (300A,0120) 1C Beam Limiting Device angle, i.e. orientation of IEC BEAM Import/Export supported.
Device Angle LIMITING DEVICE coordinate system with respect to IEC Treatment Daemon only: If values are
GANTRY coordinate system (degrees). Required for first not defined then 88888888 will be
item of Control Point Sequence, or if Beam Limiting sent.
Device Angle changes during Beam.

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Attribute Name Tag T Attribute Description Varian System Database

>> Beam Limiting (300A,0121) 1C Direction of Beam Limiting Device Rotation when viewing Export supported.
Device Rotation beam limiting device (collimator) from radiation source, Value: NONE
Direction for segment following Control Point. Required for first
item of Control Point Sequence, or if Beam Limiting
Device Rotation Direction changes during Beam. See
section C.8.8.14.8. Attribute Name Tag Type Description
Enumerated Values:
CW = clockwise
CC = counter-clockwise
NONE = no rotation
>> Scan Spot Tune (300A,0390) 1C User-supplied or machine code identifier for machine Import/Export supported.
ID configuration to produce beam spot. This may be the
nominal spot size or some other machine specific value.
Required if Scan Mode (300A,0308) is MODULATED.
>> Number of Scan (300A,0392) 1C Number of spot positions used to specify scanning Import/Export supported.
Spot Positions pattern for current segment beginning at control point.
Required if Scan Mode (300A,0308) is MODULATED.
>> Scan Spot (300A,0394) 1C The x and y coordinates of the scan spots are defined as Import/Export supported.
Position Map projected onto the machine isocentric plane in the IEC
GANTRY coordinate system (mm). Required if Scan
Mode (300A,0308) is MODULATED. Contains 2N values
where N is the Number of Scan Spot Positions
(300A,0392).
>> Scan Spot (300A,0396) 1C A data set of meterset weights corresponding to scan Import/Export supported.
Meterset Weights spot positions. The order of weights matches the
positions in Scan Spot Positions (300A,0394). The sum
contained in all meterset weights shall match the
difference of the cumulative meterset weight of the
current control point to the following control point.
Required if Scan Mode (300A,0308) is MODULATED.

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Attribute Name Tag T Attribute Description Varian System Database

>> Scanning Spot (300A,0398) 3 The Scanning Spot Size as calculated using the Full Import/Export supported.
Size Width Half Maximum (FWHM). Specified by a numeric
pair - the size measured in air at isocenter in IEC
GANTRY X direction followed by the size in the IEC
GANTRY Y direction (mm).
>> Number of (300A,039A) 1C The number of times the scan pattern given by Scan Spot Import/Export supported.
Paintings Position Map (300A,0394) and Scan Spot Meterset Scanning is not yet supported by
Weights (300A,0396) shall be applied at the current applications.
control point. To obtain the meterset weight per painting,
the values in the Scan Spot Meterset Weights
(300A,0396) should be divided by the value of this
attribute. Required if Scan Mode (300A,0308) is
MODULATED.
>> Patient Support (300A,0122) 1C Patient Support angle, i.e. orientation of IEC PATIENT Import/Export supported.
Angle SUPPORT (turntable) coordinate system with respect to Chaning of this value between control
IEC FIXED REFERENCE coordinate system Attribute points is not supported.
Name Tag Type Description (degrees). Required for first
item of Control Point Sequence, or if Patient Support
Angle changes during Beam.
>> Patient Support (300A,0123) 1C Direction of Patient Support Rotation when viewing table Export supported.
Rotation Direction from above, for segment following Control Point. Value: NONE
Required for first item of Control Point Sequence, or if
Chaning of this value between control
Patient Support Rotation Direction changes during Beam.
points is not supported.
See section C.8.8.14.8.
Enumerated Values:
CW = clockwise
CC = counter-clockwise
NONE = no rotation
>> Patient Support (300A,0140) 2C Table Top Pitch Angle, i.e. the rotation of the IEC TABLE Import/Export supported.
Pitch Angle TOP coordinate system about the X-axis of the IEC Chaning of this value between control
TABLE TOP coordinate system (degrees). Required for points is not supported.
first item of Control Point Sequence, or if Table Top Pitch
Angle changes during Beam. See section C.8.8.25.6.2.

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Attribute Name Tag T Attribute Description Varian System Database

>> Patient Support (300A,0142) 2C Direction of Table Top Pitch Rotation when viewing the Import: Warning if not NONE.
Pitching Direction table along the positive X-axis of the IEC TABLE TOP Export: NONE
coordinate system, for segment following Control Point.
Chaning of this value between control
Required for first item of Control Point Sequence, or if
points is not supported.
Table Top Pitch Rotation Direction changes during Beam.
See C.8.8.14.8 and C.8.8.25.6.2.
Enumerated Values:
CW = clockwise
CC = counter-clockwise
NONE = no rotation
>> Patient Support (300A,0144) 2C Table Top Roll Angle, i.e. the rotation of the IEC TABLE Import/Export supported.
Roll Angle TOP coordinate system about the Y-axis of the IEC Chaning of this value between control
TABLE TOP coordinate system (degrees). Required for points is not supported.
first item of Control Point Sequence, or if Table Top Roll
Angle changes during Beam. See section C.8.8.25.6.2.
>> Patient Support (300A,0146) 2C Direction of Table Top Roll Rotation when viewing the Import: Warning if not NONE.
Rolling Direction table along the positive Y-axis of the IEC TABLE TOP Export: NONE
coordinate system, for segment following Control Point.
Chaning of this value between control
Required for first item of Control Point Sequence, or if
points is not supported.
Table Top Roll Rotation Direction changes during Beam.
See C.8.8.14.8 and C.8.8.25.6.2.
Enumerated Values:
Attribute Name Tag Type Description CW = clockwise
CC = counter-clockwise
NONE = no rotation.
>> Head Fixation (300A,0148) 3 Angle (in degrees) of the head fixation for eye treatments *** DICOM validation only ***
Angle with respect to the Table Top Pitch Angle (300A,0140)
coordinate system. Positive head fixation angle is the
same direction as positive Table Top pitch. See section
C.8.8.25.6.4.

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Attribute Name Tag T Attribute Description Varian System Database

>> Table Top (300A,0128) 2C Table Top Vertical position in IEC TABLE TOP Import/Export supported.
Vertical Position coordinate system (mm). Required for first item of Control Chaning of this value between control
Point Sequence, or if Table Top Vertical Position points is not supported.
changes during Beam. See section C.8.8.14.6.
>> Table Top (300A,0129) 2C Table Top Longitudinal position in IEC TABLE TOP Import/Export supported.
Longitudinal coordinate system (mm). Required for first item of Control Chaning of this value between control
Position Point Sequence, or if Table Top Longitudinal Position points is not supported.
changes during Beam. See section C.8.8.14.6.
>> Table Top (300A,012A) 2C Table Top Lateral position in IEC TABLE TOP coordinate Import/Export supported.
Lateral Position system (mm). Required for first item of Control Point Chaning of this value between control
Sequence, or if Table Top Lateral Position changes points is not supported.
during Beam. See section C.8.8.14.6.
>> Snout Position (300A,030D) 2C Axial position of the snout (in mm) measured from Import/Export supported.
isocenter to the downstream side of the snout (without
consideration of variable length elements such as blocks,
MLC and/or compensators). Required for first item in
Control Point Sequence, or if Snout Position changes
during Beam.
>> Isocenter (300A,012C) 2C Isocenter coordinates (x,y,z) in the patient based Import/Export supported.
Position coordinate system described in C.7.6.2.1.1 (mm). This is the Isocenter position in relation
Required for first item of Segment Control Point to the planning image of the plan.
Sequence, or if Segment Isocenter Position changes
Chaning of this value between control
during Beam.
points is not supported.
>> Surface Entry (300A,012E) 3 Patient surface entry point coordinates (x,y,z), along the *** DICOM validation only ***
Point central axis of the beam, in the patient based coordinate
system described in C.7.6.2.1.1 (mm).
> Maximum (300B,1002) 3 Maximum diameter [cm] of a circle centered around the Export only: The minimum of field size
Collimated Field beam axis, which contains collimated field. and the smallest aperture block outline
Diameter (Field Calculated by TPS and used for machine setting coordinate.
Size) calculation and clinical verification in TCS.
> Range (Planned (300B,1004) 3 Import/Export supported.
Distal Target
Distance)

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Attribute Name Tag T Attribute Description Varian System Database

> Nominal SOBP (300B,100E) 3 Import/Export supported.

Width

C.2.41 RT Ion Beams Session Record – C.8.8.26

Complete roundtrip, covering all attributes of this module, is guaranteed for IODs listed below. Other IODs have roundtrip capabilities as specified
on attribute level.
• RT Ion Beams Treatment Record (except manually recorded treatments)

Attribute Name Tag T Attribute Description Varian System Database

Operators’ Name (0008,1070) 2 Name of operator administering treatment session. Import/Export supported.
Referenced Fraction (300C,0022) 3 Identifier of fraction group within referenced RT Ion Plan. Import supported.
Group Number
Number of Fractions (300A,0078) 2 Total number of treatments (fractions) planned for current Import/Export supported.
Planned fraction group.
Primary Dosimeter (300A,00B3) 1 Measurement unit of the machine dosimeter. Roundtrip supported.
Unit Enumerated Values:
Attribute Name Tag Type Description MU = Monitor Units
NP = Number of Particles
Treatment Session (3008,0021) 1 Introduces sequence of setup and/or treatment beams
Ion Beam Sequence administered during treatment session. One or more
items shall be included in this sequence.
> Referenced Beam (300C,0006) 1 References Beam specified by Beam Number Import/Export supported.
Number (300A,00C0) in Ion Beam Sequence (300A,03A2) in RT
Ion Beams Module within the referenced RT Ion Plan.
> Treatment (3261,XX2A) 3 XML blob for the RT Beams Session Record Extended
Session Beam Interface
extended interface

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IOD Details, RT Ion Beams Session Record – C.8.8.26

Attribute Name Tag T Attribute Description Varian System Database

> Beam Name (300A,00C2) 1 User-defined name for Beam. See section C.8.8.25.1. Import/Export supported.
> Beam Seconary (3243,XX09) 3 User-defined secondary name for delivered Beam.
Name
> Beam Description (300A,00C3) 3 User-defined description for Beam. See section Import/Export supported.
C.8.8.25.1. A history note.
> Beam Type (300A,00C4) 1 Motion characteristic of Beam. Import/Export supported.
Enumerated Values:
STATIC = all beam parameters remain unchanged during
delivery
DYNAMIC = one or more beam parameters changes
during delivery
> Radiation Type (300A,00C6) 1 Particle type of Beam. Import/Export supported.
Defined Terms: Supported values: PHOTON,
PHOTON PROTON.
PROTON
ION
> Radiation Mass (300A,0302) 1C Mass number of radiation. Required if Radiation Type Roundtrip supported.
Number (300A,00C6) is ION
> Radiation Atomic (300A,0304) 1C Atomic number of radiation. Required if Radiation Type Roundtrip supported.
Number (300A,00C6) is ION
> Radiation Charge (300A,0306) 1C Charge state of radiation. Required if Radiation Type Roundtrip supported.
State (300A,00C6) is ION

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Attribute Name Tag T Attribute Description Varian System Database

> Scan Mode (300A,0308) 1 The method of beam scanning used during treatment. Import/Export supported.
Defined Terms:
NONE = No beam scanning is performed.
UNIFORM = The beam is scanned between control
points to create a uniform lateral fluence distribution
across the field.
MODULATED = The beam is scanned between control
points to create a modulated lateral fluence distribution
across the field.
> Referenced (300C,00A0) 3 Uniquely identifies Ion Tolerance Table specified by Import/Export supported.
Tolerance Table Tolerance Table Number (300A,0042) within Ion
Number Tolerance Table Attribute Name Tag Type Description
Sequence in RT Ion Tolerance Tables Module. These
tolerances are to be used for verification of treatment
machine settings.
> Beam Limiting (3008,00A0) 3 Introduces sequence of beam limiting device (collimator) Roundtrip supported.
Device Leaf Pairs jaw or leaf (element) sets. One or more items may be
Sequence included in this sequence.
>> RT Beam (300A,00B8) 1 Type of beam limiting device (collimator). Roundtrip supported.
Limiting Device Enumerated Values:
Type
X = symmetric jaw pair in IEC X direction
Y = symmetric jaw pair in IEC Y direction
ASYMX = asymmetric jaw pair in IEC X direction
ASYMY = asymmetric pair in IEC Y direction
MLCX = multileaf (multi-element) jaw pair in IEC X
direction
MLCY = multileaf (multi-element) jaw pair in IEC Y
direction
>> Number of (300A,00BC) 1 Number of leaf (element) or jaw pairs (equal to 1 for Roundtrip supported.
Leaf/Jaw Pairs standard beam limiting device jaws).

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IOD Details, RT Ion Beams Session Record – C.8.8.26

Attribute Name Tag T Attribute Description Varian System Database

> Referenced (300C,006A) 3 Uniquely identifies Ion Patient Setup to be used for Roundtrip supported.
Patient Setup current beam, specified by Patient Setup Number
Number (300A,0182) within Patient Setup Sequence of RT Patient
Setup Module.
> Referenced (300C,0040) 3 Introduces sequence of verification images obtained Import supported.
Verification Image during delivery of current beam. One or more items may
Sequence be included in this sequence. See C.8.8.14.2.
>> Referenced SOP (0008,1150) 1 Uniquely identifies the referenced SOP Class. Roundtrip supported.
Class UID
>> Referenced SOP (0008,1155) 1 Uniquely identifies the referenced SOP Instance. Roundtrip supported.
Instance UID
> Referenced (3008,0080) 3 Introduces sequence of doses measured during Roundtrip supported.
Measured Dose treatment delivery for current Beam. The sequence may
Reference contain one or more items.
Sequence
>> Referenced (300C,0051) 1C Uniquely references Dose Reference specified by Dose Roundtrip supported.
Dose Reference Reference Number (300A,0012) in Dose Reference
Number Sequence (300A,0010) in RT Prescription Module of
referenced RT Ion Plan. Required if Referenced
Measured Dose Reference Number (3008,0082) is not
sent.
>> Referenced (3008,0082) 1C Uniquely references Measured Dose Reference specified Roundtrip supported.
Measured Dose by Measured Dose Reference Number (3008,0064) in
Reference Number Measured Dose Reference Sequence Attribute Name
Tag Type Description (3008,0010). Required if
Referenced Dose Reference Number (300C,0051) is not
sent.
>> Measured Dose (3008,0016) 1 Measured Dose in units specified by Dose Units Roundtrip supported.
Value (3004,0002) in sequence referenced by Measured Dose
Reference Sequence (3008,0010) or Dose Reference
Sequence (300A,0010) in RT Prescription Module of
Referenced RT Ion Plan as defined above.

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Attribute Name Tag T Attribute Description Varian System Database

> Referenced (3008,0090) 3 Introduces sequence of doses estimated for each

Calculated Dose treatment delivery. The sequence may contain one or
Reference more items.
Sequence
>> Referenced (300C,0051) 1C Uniquely identifies Dose Reference specified by Dose Import/Export supported.
Dose Reference Reference Number (300A,0012) in Dose Reference Reference to the Dose Contribution
Number Sequence (300A,0010) in RT Prescription Module of object of the Reference Point of the
referenced RT Ion Plan. Required if Referenced referenced plan.
Calculated Dose Reference Number (3008,0092) is not
sent.
>> Referenced (3008,0092) 1C Uniquely identifies Calculated Dose Reference specified Import/Export supported.
Calculated Dose by Calculated Dose Reference Number (3008,0072)
Reference Number within Calculated Dose Reference Sequence
(3008,0070). Required if Referenced Dose Reference
Number (300C,0051) is not sent.
>> Calculated Dose (3008,0076) 1 Calculated Dose (Gy). Import/Export supported.
Reference Dose
Value
> Number of (300A,00D0) 1 Number of wedges associated with current beam. Import/Export supported. Internal
Wedges representation is different from
DICOM.
At most two wedges are supported.
> Recorded Wedge (3008,00B0) 1C Introduces sequence of treatment wedges.
Sequence Required if Number of Wedges (300A,00D0) is non-zero.
The number of items shall be identical to the value of
Number of Wedges (300A,00D0).
>> Wedge Number (300A,00D2) 1 Identification number of the Wedges. The value of Wedge Import/Export supported.
Number (300A,00D2) shall be unique within the Beam in
which it was created.

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IOD Details, RT Ion Beams Session Record – C.8.8.26

Attribute Name Tag T Attribute Description Varian System Database

>> Wedge Type (300A,00D3) 2 Type of wedge (if any) defined for Beam. Import/Export supported.
Defined Terms:
STANDARD = standard (static) wedge
MOTORIZED = single wedge that can be removed from
beam remotely.
PARTIAL_STANDARD = wedge does not extend across
the whole field and is operated manually.
PARTIAL_MOTORIZ = wedge does not extend across
the whole field and can be Attribute Name Tag Type
Description removed from beam remotely.
>> Wedge ID (300A,00D4) 3 User-supplied identifier for Wedge. Import/Export supported.
>> Accessory Code (300A,00F9) 3 An accessory identifier to be read by a device such as a Roundtrip supported.
bar code reader.
>> Wedge Angle (300A,00D5) 2 Nominal wedge angle (degrees). Import/Export supported.
>> Wedge (300A,00D8) 2 Orientation of wedge, i.e. orientation of IEC WEDGE Import/Export supported.
Orientation FILTER coordinate system with respect to the IEC BEAM
LIMITING DEVICE coordinate systems (degrees).
> Number of (300A,00E0) 1 Number of range compensators associated with current
Compensators Beam.
> Recorded (3008,00C0) 1C Introduces sequence of treatment compensators.
Compensator Required if Number of Compensators (300A,00E0) is
Sequence non-zero. The number of items shall be identical to the
value of Number of Compensators (300A,00E0).
>> Referenced (300C,00D0) 1 Uniquely identifies compensator specified by Import/Export supported.
Compensator Compensator Number (300A,00E4) within Beam
Number referenced by Referenced Beam Number (300C,0006).
>> Compensator ID (300A,00E5) 3 User-supplied identifier for compensator. Import/Export supported.
>> Accessory Code (300A,00F9) 3 An accessory identifier to be read by a device such as a Roundtrip supported.
bar code reader.
> Number of Boli (300A,00ED) 1 Number of boli associated with current Beam. Import/Export supported.

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Attribute Name Tag T Attribute Description Varian System Database

> Referenced Bolus (300C,00B0) 1C Introduces sequence of boli associated with Beam. Roundtrip supported.
Sequence Required if Number of Boli (300A,00ED) is non-zero. The
number of items shall be identical to the value of Number
of Boli (300A,00ED).
>> Referenced ROI (3006,0084) 1 Uniquely identifies ROI representing the Bolus specified Roundtrip supported.
Number by ROI Number (3006,0022) in Structure Set ROI
Sequence (3006,0020) in Structure Set Module within RT
Structure Set in Referenced Structure Set Sequence
(300C,0060) in RT General Plan Module.
>> Accessory Code (300A,00F9) 3 An accessory identifier to be read by a device such as a Roundtrip supported.
bar code reader.
> Number of Blocks (300A,00F0) 1 Number of shielding blocks associated with Beam. Import/Export supported. Internal
representation is different from
DICOM.
> Recorded Block (3008,00D0) 1C Introduces sequence of blocks associated with Beam. Import/Export supported.
Sequence Required if Number of Blocks (300A,00F0) is non-zero.
The number of items shall be identical to the value of
Number of Blocks (300A,00F0). Attribute Name Tag Type
Description
>> Block Tray ID (300A,00F5) 3 User-supplied identifier for block tray. Import/Export supported.
Import: Used to find the tray.
>> Accessory Code (300A,00F9) 3 An accessory identifier to be read by a device such as a Roundtrip supported.
bar code reader.
>> Referenced (300C,00E0) 1 Uniquely identifies block specified by Block Number Import/Export supported.
Block Number (300A,00FC) within Beam referenced by Referenced
Beam Number (300C,0006).
>> Block Name (300A,00FE) 3 User-defined name for block. Import/Export supported.
> Recorded Snout (3008,00F0) 1C Introduces sequence of Snouts associated with Beam. Roundtrip supported.
Sequence Required if Snout Sequence (300A,030C) is included in
the RT Ion Plan referenced within the Referenced RT
Plan Sequence (300C,0002). Only a single item shall be
permitted in this sequence.

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IOD Details, RT Ion Beams Session Record – C.8.8.26

Attribute Name Tag T Attribute Description Varian System Database

>> Snout ID (300A,030F) 1 User or machine supplied identifier for Snout. Roundtrip supported.
>> Accessory Code (300A,00F9) 3 An accessory identifier to be read by a device such as a Roundtrip supported.
bar code reader.
> Applicator (300A,0107) 1C Introduces sequence of Applicators associated with
Sequence Beam.
Required if Applicator Sequence (300A,0107) is included
in the RT Ion Plan referenced within the Referenced RT
Plan Sequence (300C,0002). Only a single item shall be
permitted in this sequence.
>> Applicator ID (300A,0108) 1 User or machine supplied identifier for Applicator. See Import/Export supported.
C.8.8.14.12
>> Accessory Code (300A,00F9) 3 An accessory identifier to be read by a device such as a Roundtrip supported.
bar code reader.
>> Applicator Type (300A,0109) 1 Type of applicator. Import/Export supported.
Defined Terms:
ION_SQUARE = square ion applicator
ION_RECT = rectangluar ion applicator
ION_CIRC = circular ion applicator
ION_SHORT = short ion applicator
ION_OPEN = open (dummy) ion applicator
INTEROPERATIVE = interoperative (custom) applicator
STEREOTACTIC = stereotactic applicator
>> Applicator (300A,010A) 3 User-defined description for Applicator. Attribute Name Roundtrip supported.
Description Tag Type Description
> General (300A,0420) 3 Introduces a Sequence of General Accessories Roundtrip supported.
Accessory associated with this Beam. One or more items may be
Sequence included in this sequence.
>> General (300A,0424) 1 Identification Number of the General Accessory. The Roundtrip supported.
Accessory Number value shall be unique within the sequence.

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Attribute Name Tag T Attribute Description Varian System Database

>> General (300A,0421) 1 User or machine supplied identifier for General Roundtrip supported.
Accessory ID Accessory. Used as the primary accessory
identification on the UI.
>> General (300A,0422) 3 User supplied description of General Accessory. Roundtrip supported.
Accessory
Description
>> General (300A,0423) 3 Specifies the type of accessory. Roundtrip supported.
Accessory Type Defined Terms:
GRATICULE = Accessory tray with a radio-opaque grid
IMAGE_DETECTOR = Image acquisition device
positioned in the beam line
RETICLE = Accessory tray with radio-transparent
markers or grid
>> Accessory Code (300A,00F9) 3 Machine-readable identifier for this accessory Roundtrip supported.
>> Source to (3291,XX00) 3 Radiation source to accessory distance of the equipment Roundtrip supported.
General Accessory that is to be used for beam delivery (mm).
Distance
> Number of Range (300A,0312) 1 Number of range shifters associated with current beam. Roundtrip supported.
Shifters
> Recorded Range (3008,00F2) 1C Introduces sequence of range shifters recorded with Roundtrip supported.
Shifter Sequence Beam. Required if Number of Range Shifters
(300A,0312) is non-zero. The number of items shall be
identical to the value of Number of Range Shifters
(300A,0312).
>> Referenced (300C,0100) 1 Uniquely identifies range shifter specified by Range Roundtrip supported.
Range Shifter Shifter Number (300A,0316) within Beam referenced by
Number Referenced Beam Number (300C,0006).
>> Range Shifter ID (300A,0318) 1 User or machine supplied identifier for Range Modulator. Roundtrip supported.
>> Accessory Code (300A,00F9) 3 An accessory identifier to be read by a device such as a Roundtrip supported.
bar code reader.

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IOD Details, RT Ion Beams Session Record – C.8.8.26

Attribute Name Tag T Attribute Description Varian System Database

> Number of Lateral (300A,0330) 1 Number of lateral spreading devices associated with Roundtrip supported.
Spreading Devices current beam.
> Recorded Lateral (3008,00F4) 1C Introduces sequence of lateral spreading devices Roundtrip supported.
Spreading Device associated with Beam. Required if Number of Lateral
Sequence Spreading Devices (300A,0330) is non-zero. The number
of items shall be identical to the value of Number of
Lateral Spreading Devices (300A,0330).
>> Referenced (300C,0102) 1 Uniquely identifies lateral spreading device specified by Roundtrip supported.
Lateral Spreading Lateral Spreading Device Number (300A,0334) within
Device Number Beam referenced by Referenced Beam Number
(300C,0006).
>> Lateral (300A,0336) 1 User or machine supplied identifier for Lateral Spreading Roundtrip supported.
Spreading Device Device.
ID
>> Accessory Code (300A,00F9) 3 An accessory identifier to be read by a device such as a Roundtrip supported.
bar code reader.
> Number of Range (300A,0340) 1 Number of range modulators associated with current Roundtrip supported.
Modulators beam.
> Recorded Range (3008,00F6) 1C Introduces sequence of range modulators associated Roundtrip supported.
Modulator with Beam. Required if Number of Range Modulators
Sequence (300A,0340) is nonzero. The number of items shall be
identical to the value of Number of Range Modulators
(300A,0340).
>> Referenced (300C,0104) 1 Uniquely identifies range modulator specified by Range Roundtrip supported.
Range Modulator Modulator Number (300A,0344) within Beam referenced
Number by Referenced Beam Number (300C,0006).
>> Range Modulator (300A,0346) 1 User or machine supplied identifier for Range Modulator. Roundtrip supported.
ID Attribute Name Tag Type Description
>> Accessory Code (300A,00F9) 3 An accessory identifier to be read by a device such as a Roundtrip supported.
bar code reader.

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Attribute Name Tag T Attribute Description Varian System Database

>> Range Modulator (300A,0348) 1 Type of Range Modulator. Roundtrip supported.

Type Defined Terms:
FIXED = fixed modulation width and weights using ridge
filter or constant speed wheel with constant beam current
WHL_FIXEDWEIGHTS = selected wheel/track (Range
Modulator ID) is spinning at constant speed. Modulation
width is adjusted by switching constant beam current on
and off at wheel steps indicated by Range Modulator
Interrupt Values
WHL_MODWEIGHTS = selected wheel/track (Range
Modulator ID) is spinning at constant speed. Weight per
wheel step is adjusted by modulating beam current
according to selected Beam Current Modulation ID
(300A,034C) Only one item in the Recorded Range
Modulator Sequence (3008,00F6) can have a Range
Modulator Type (300A,0348) of WHL_MODWEIGHTS.
>> Beam Current (300A,034C) 1C User-supplied identifier for the beam current modulation Roundtrip supported.
Modulation ID pattern. Required if Range Modulator Type (300A,0348)
is WHL_MODWEIGHTS
> Patient Support (300A,0350) 1 Defined terms: TABLE = Treatment delivery system table Roundtrip supported.
Type CHAIR = Treatment delivery system chair See section
C.8.8.25.6.3.
> Patient Support ID (300A,0352) 3 User-specified identifier for manufacturer specific patient Roundtrip supported.
support devices.
> Patient Support (300A,0354) 3 A Patient Support accessory identifier to be read by a Roundtrip supported.
Accessory Code device such as a bar code reader.
> Fixation Light (300A,0356) 3 Azimuthal angle (degrees) of the fixation light coordinate Roundtrip supported.
Azimuthal Angle around IEC PATIENT SUPPORT Y-axis. Used for eye
treatments. See section C.8.8.25.6.4.
> Fixation Light (300A,0358) 3 Polar angle (degrees) of the fixation light coordinate. Roundtrip supported.
Polar Angle Used for eye treatments. See section C.8.8.25.6.4.

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IOD Details, RT Ion Beams Session Record – C.8.8.26

Attribute Name Tag T Attribute Description Varian System Database

> Current Fraction (3008,0022) 2 Fraction number for this beam administration. Import/Export supported.
Number Import: Rejected if no value provided.
> Treatment (300A,00CE) 2 Delivery Type of treatment. Import/Export supported.
Delivery Type Defined Terms:
TREATMENT = normal patient treatment
OPEN_PORTFILM = portal image acquisition with open
field (the source of radiation is specified by Radiation
Type (300A,00C6))
TRMT_PORTFILM = portal image acquisition with
treatment port (the source Attribute Name Tag Type
Description of radiation is specified by Radiation Type
(300A,00C6))
CONTINUATION = continuation of interrupted treatment
SETUP = no treatment beam was applied for this RT
Beam. To be used for specifying the gantry, couch, and
other machine positions where X-ray set-up images or
measurements were taken.
> Treatment (3008,002A) 1 Conditions under which treatment was terminated. Import/Export supported.
Termination Status Enumerated Values:
NORMAL = treatment terminated normally
OPERATOR = operator terminated treatment
MACHINE = machine terminated treatment
UNKNOWN = status at termination unknown
> Treatment (3008,002B) 3 Treatment machine termination code. This code is Import/Export supported.
Termination Code dependent upon the particular application and equipment.

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Attribute Name Tag T Attribute Description Varian System Database

> Treatment (3008,002C) 2 Conditions under which treatment was verified by a Import/Export supported.
Verification Status verification system.
Enumerated Values:
VERIFIED = treatment verified
VERIFIED_OVR = treatment verified with at least one
out-of-range value overridden
NOT_VERIFIED = treatment verified manually
> Specified Primary (3008,0032) 3 Desired machine setting of primary meterset in units Roundtrip supported.
Meterset specified by Primary Dosimeter Unit (300A,00B3).
> Specified (3008,0033) 3 Desired machine setting of secondary meterset. Roundtrip supported.
Secondary Meterset
> Delivered Primary (3008,0036) 3 Machine setting actually delivered as recorded by primary Import supported.
Meterset meterset in units specified by Primary Dosimeter Unit
(300A,00B3).
> Delivered (3008,0037) 3 Machine setting actually delivered as recorded by Roundtrip supported.
Secondary Meterset secondary meterset.
> Related (3243,XX28) 3 Only allowed, if Treatment Delivery Type (300A,00CE) id
Referenced Beam OPEN_PORTFILM or TRMT_PORTFILM
Number
> Specified (3008,003A) 3 Treatment Time set (sec). Roundtrip supported.
Treatment Time
> Delivered (3008,003B) 3 Treatment Time actually delivered (sec). Roundtrip supported.
Treatment Time
> Treatment (3251,XX00) 3 A textual description which can be supplied by the
Machine Note treatment machine for describe technical details.
> Number of Control (300A,0110) 1 Number of control points in Beam. Import/Export supported. Internal
Points representation is different from
DICOM.

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IOD Details, RT Ion Beams Session Record – C.8.8.26

Attribute Name Tag T Attribute Description Varian System Database

> Ion Control Point (3008,0041) 1 Introduces sequence of beam control points for current Export:
Delivery Sequence ion treatment beam. The number of items shall be Generally only the first and last control
identical to the Attribute Name Tag Type Description point is included, if a motorized wedge
value of Number of Control Points (300A,0110). See is present then four control points are
section C.8.8.21.1. included.
>> Referenced (300C,00F0) 1 Uniquely identifies Control Point specified by Control Import/Export supported.
Control Point Index Point Index (300A,0112) within the Beam referenced by
Referenced Beam Number (300C,0006).
>> Treatment (3008,0024) 1 Date administration of treatment beam began. Import/Export supported.
Control Point Date Import: Value of first control point.
Export: Sent for all control points.
>> Treatment (3008,0025) 1 Time administration of treatment beam began. Import/Export supported.
Control Point Time Import: Value of first control point.
Export: Sent for all control points.
>> Specified (3008,0042) 2 Desired machine setting for current control point in units Import/Export supported.
Meterset specified by Primary Dosimeter Unit (300A,00B3).
>> Delivered (3008,0044) 1 Machine setting actually delivered at current control point Import/Export supported.
Meterset in units specified by Primary Dosimeter Unit (300A,00B3).
>> Meterset Rate (3008,0045) 3 The specified speed of delivery of the specified dose in Roundtrip supported.
Set units specified by Primary Dosimeter Unit (300A,00B3)
per minute.
>> Meterset Rate (3008,0046) 3 The delivered speed of delivery of the specified dose in Import/Export supported.
Delivered units specified by Primary Dosimeter Unit (300A,00B3)
per minute.
>> Nominal Beam (300A,0114) 1C Nominal Beam Energy at control point in MeV per Import/Export supported.
Energy nucleon. Defined at nozzle entrance before all Beam Value of first control point.
Modifiers. Required for Control Point 0 of Ion Control
Point Delivery Sequence (3008,0041) or if Nominal Beam
Energy (300A,0114) changes during beam
administration, and KVp (0018,0060) is not present.

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Attribute Name Tag T Attribute Description Varian System Database

>> KVP (0018,0060) 1C Peak kilo voltage output of the setup X-Ray generator Roundtrip supported.
used. Required for Control Point 0 of Ion Control Point
Delivery Sequence (3008,0041), or if KVp changes
during setup, and Nominal Beam Energy (300A,0114) is
not present.
>> Ion Wedge (300A,03AC) 1C Introduces sequence of Wedge positions for current Roundtrip supported.
Position Sequence control point. Required for first item of Ion Control Point
Sequence if Number of Wedges (300A,00D0) is non-
zero, and in subsequent control points if Wedge Position
(300A,0118) or Wedge Thin Edge Position (300A,00DB)
changes during beam. The number of items shall be
identical to the value of Number of Wedges (300A,00D0).
The number of items shall be identical to the value of
Number of Wedges Attribute Name Tag Type Description
(300A,00D0).
>>> Referenced (300C,00C0) 1 Uniquely references Wedge described by Wedge Roundtrip supported.
Wedge Number Number (300A,00D2) in Wedge Sequence (300A,00D1).
>>> Wedge Position (300A,0118) 1 Position of Wedge at current control point. Roundtrip supported.
Enumerated Values:
IN, OUT.
>>> Wedge Thin (300A,00DB) 1C Closest distance from the central axis of the beam along Roundtrip supported.
Edge Position a wedge axis to the thin edge as projected to the
machine isocentric plane (mm). Value is positive is the
wedge does not cover the central axis, negative if it does.
Required if Wedge Type (300A,00D3) of the wedge
referenced by Referenced Wedge Number (300C,00C0)
is PARTIAL_STANDARD or PARTIAL_MOTORIZ. See
section C.8.8.25.6.4.
>> Beam Limiting (300A,011A) 1C Introduces sequence of beam limiting Sequence device
Device Position (collimator) jaw or leaf (element) positions. Required if
Sequence Ion Beam Limiting Device Sequence (300A,03A4) is
included and for first item of Control Point Sequence, or if
Beam Limiting Device changes during Beam. One or
more items shall be included in this sequence.

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IOD Details, RT Ion Beams Session Record – C.8.8.26

Attribute Name Tag T Attribute Description Varian System Database

>>> RT Beam (300A,00B8) 1 Type of beam limiting device (collimator). The value of Import supported. Internal
Limiting Device this attribute shall correspond to RT Beam Limiting representation is different from
Type Device Type (300A,00B8) defined in an item of Ion Beam DICOM.
Limiting Device Sequence (300A,03A4). Enumerated
Values: X = symmetric jaw pair in IEC X direction Y =
symmetric jaw pair in IEC Y direction ASYMX =
asymmetric jaw pair in IEC X direction ASYMY =
asymmetric pair in IEC Y direction MLCX = multileaf
(multi-element) jaw pair in IEC X direction MLCY =
multileaf (multi-element) jaw pair in IEC Y direction.
>>> Leaf/Jaw (300A,011C) 1 Positions of beam limiting device (collimator) leaf Import/Export supported.
Positions (element) or jaw pairs (in mm) in IEC BEAM LIMITING
DEVICE coordinate axis appropriate to RT Beam Limiting
Device Type (300A,00B8), e.g. X-axis for MLCX, Y-axis
for MLCY. Contains 2N values, where N is the Number of
Leaf/Jaw Pairs (300A,00BC) in Ion Beam Limiting Device
Sequence (300A,03A4). Values shall be listed in IEC leaf
(element) subscript order 101, 102, ... 1N, 201, 202, ...
2N. See section C.8.8.25.3.
>> Range Shifter (300A,0360) 1C Introduces sequence of Range Shifter settings for the Roundtrip supported.
Settings Sequence current control point. One or more items may be included
in this sequence. Required for Control Point 0 of Ion
Control Point Delivery Sequence (3008,0041) or if Range
Shifter Setting (300A,0362) changes during beam
administration, and Number of Range Shifters
(300A,0312) is non-zero.
>>> Referenced (300C,0100) 1 Uniquely references Range Shifter described by Range Roundtrip supported.
Range Shifter Shifter Number (300A,0316) in Range Shifter Sequence
Number (300A,0314).
>>> Range Shifter (300A,0362) 1 Machine specific setting attribute for the range shifter. Roundtrip supported.
Setting The specific encoding of this value should be
documented in a Conformance Statement. See section
C.8.8.25.5.

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Attribute Name Tag T Attribute Description Varian System Database

>> Lateral (300A,0370) 1C Introduces sequence of Lateral Spreading Device Roundtrip supported.
Spreading Device settings for the current control point. One or more items
Settings Sequence may be included in this sequence. Required for Control
Point 0 of Ion Control Point Delivery Sequence
(3008,0041) or if Lateral Spreading Device Setting
(300A,0372) changes during beam administration, and
Number of Lateral Spreading Devices (300A,0330) is
non-zero.
>>> Referenced (300C,0102) 1 Uniquely references Lateral Spreading Device described Roundtrip supported.
Lateral Spreading by Lateral Spreading Device Number (300A,0334) in
Device Number Lateral Attribute Name Tag Type Description Spreading
Device Sequence (300A,0332).
>>> Lateral (300A,0372) 1 Machine specific setting attribute for the lateral spreading Roundtrip supported.
Spreading Device device. The specific encoding of this value should be
Setting documented in a Conformance Statement. See section
C.8.8.25.5.
>> Range Modulator (300A,0380) 1C Introduces sequence of Range Modulator Settings for Roundtrip supported.
Settings Sequence current control point. Required for Control Point 0 of Ion
Control Point Delivery Sequence (3008,0041), or if
Range Modulator Settings change during beam
administration, and Number of Range Modulators
(300A,0340) is nonzero.
>>> Referenced (300C,0104) 1 Uniquely references Range Modulator described by Roundtrip supported.
Range Modulator Range Modulator Number (300A,0344) in Range
Number Modulator Sequence (300A,0342).
>>> Range (300A,0382) 1C Start position defines the range modulator position at Roundtrip supported.
Modulator Gating which the beam is switched on.
Start Value Required if Range Modulator Type (300A,0348) of the
range modulator referenced by Referenced Range
Modulator Number (300C,0104) is WHL_MODWEIGHTS
or WHL_FIXEDWEIGHTS

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Attribute Name Tag T Attribute Description Varian System Database

>>> Range (300A,0384) 1C Stop position defines the range modulator position at Roundtrip supported.
Modulator Gating which the beam is switched off.
Stop Value Required if Range Modulator Type (300A,0348) of the
range modulator referenced by Referenced Range
Modulator Number (300C,0104) is WHL_MODWEIGHTS
or WHL_FIXEDWEIGHTS
>> Gantry Angle (300A,011E) 1C Treatment machine gantry angle, i.e. orientation of IEC Import/Export supported.
GANTRY coordinate system with respect to IEC FIXED
REFERENCE coordinate system (degrees). Required for
Control Point 0 of Ion Control Point Delivery Sequence
(3008,0041) or if Gantry Angle changes during beam
administration.
>> Gantry Rotation (300A,011F) 1C Direction of Gantry Rotation when viewing gantry from Import/Export supported.
Direction isocenter, for segment beginning at current Control Point. Value of first control point.
Required for Control Point 0 of Ion Control Point Delivery
Sequence (3008,0041), or if Gantry Rotation Direction
changes during beam administration.
Enumerated Values:
Attribute Name Tag Type Description CW = clockwise
CC = counter-clockwise
NONE = no rotation
>> Gantry Pitch (300A,014A) 2C Gantry Pitch Angle. i.e. the rotation of the IEC GANTRY Roundtrip supported.
Angle coordinate system about the X-axis of the IEC GANTRY
coordinate system (degrees). Required for first item of
Control Point Sequence, or if Gantry PitchRotation Angle
changes during Beam. See C.8.8.25.6.5.

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Attribute Name Tag T Attribute Description Varian System Database

>> Gantry Pitch (300A,014C) 2C Direction of Gantry PitchAngle when viewing along the Roundtrip supported.
Rotation Direction positive X-axis of the IEC GANTRY coordinate system,
for segment following Control Point. Required for first
item of Control Point Sequence, or if Gantry
PitchRotation Direction changes during Beam. See
C.8.8.14.8 and C.8.8.25.6.5.
Enumerated Values:
CW = clockwise
CC = counter-clockwise
NONE = no rotation
>> Beam Limiting (300A,0120) 1C Beam Limiting Device (collimator) angle, i.e. orientation Import/Export supported.
Device Angle of IEC BEAM LIMITING DEVICE coordinate system with Value of first control point.
respect to IEC GANTRY coordinate system (degrees).
Required for Control Point 0 of Ion Control Point Delivery
Sequence (3008,0041) or if beam limiting device
(collimator) angle changes during beam administration.
>> Beam Limiting (300A,0121) 1C Direction of Beam Limiting Device Rotation when viewing Import: Warning if value in first control
Device Rotation beam limiting device (collimator) from radiation source, point is not NONE.
Direction for segment beginning at current Control Point. Required
for Control Point 0 of Ion Control Point Delivery
Sequence (3008,0041) or if Beam Limiting Device
Rotation Direction changes during beam administration.
Enumerated Values:
CW = clockwise
CC = counter-clockwise
NONE = no rotation
>> Scan Spot Tune (300A,0390) 1C User-supplied or machine code identifier for machine Roundtrip supported.
ID configuration to produce beam spot. This may be the
nominal spot size or some other machine specific value.
Attribute Name Tag Type Description
Required if Scan Mode (300A,0308) is MODULATED.

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IOD Details, RT Ion Beams Session Record – C.8.8.26

Attribute Name Tag T Attribute Description Varian System Database

>> Number of Scan (300A,0392) 1C Number of spot positions used to specify scanning Roundtrip supported.
Spot Positions pattern for current segment beginning at control point.
Required if Scan Mode (300A,0308) is MODULATED.
>> Scan Spot (300A,0394) 1C The x and y coordinates of the scan spots are defined as Roundtrip supported.
Position Map projected onto the machine isocentric plane in the IEC
GANTRY coordinate system (mm). Required if Scan
Mode (300A,0308) is MODULATED. Contains 2N values
were N is the Number of Scan Spot Positions
(300A,0392).
>> Scan Spot (3008,0047) 1C A data set of metersets delivered to the scan spot Roundtrip supported.
Metersets Delivered positions. The order of metersets matches the positions
in Scan Spot Position Map (300A,0394). The sum
contained in all metersets shall match the difference of
the Delivered Meterset of the current control point to the
following control point. Required if Scan Mode
(300A,0308) is MODULATED.
>> Scanning Spot (300A,0398) 3 The Scanning Spot Size as calculated using the Full Roundtrip supported.
Size Width Half Maximum (FWHM). Specified by a numeric
pair - the size measured in air at isocenter in IEC
GANTRY X direction followed by the size in the IEC
GANTRY Y direction (mm).
>> Number of (300A,039A) 1C The intended number of times the scan pattern given by Roundtrip supported.
Paintings Scan Spot Position Map (300A,0394) and Scan Spot
Meterset Weights (300A,0396) in the Referenced RT
Plan was to be applied at the current control point.
Note:
The actual number of paintings is not known or recorded.
The Scan Spot Metersets Delivered (3008,0047) contains
the sum of all complete and partial repaints.
Required if Scan Mode (300A,0308) is MODULATED.

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Attribute Name Tag T Attribute Description Varian System Database

>> Patient Support (300A,0122) 1C Patient Support angle, i.e. orientation of IEC PATIENT Import/Export supported.
Angle SUPPORT (turntable) coordinate system with respect to Value of first control point.
IEC FIXED REFERENCE coordinate system (degrees).
Required for Control Point 0 of Ion Control Point Delivery
Sequence (3008,0041) or if Patient Support Angle
changes during beam administration.
>> Patient Support (300A,0123) 1C Direction of Patient Support Rotation when viewing table
Rotation Direction from above, for segment Attribute Name Tag Type
Description beginning at current Control Point. Required
for Control Point 0 of Ion Control Point Delivery
Sequence (3008,0041), or if Patient Support Rotation
Direction changes during beam administration.
Enumerated Values:
CW = clockwise
CC = counter-clockwise
NONE = no rotation
>> Patient Support (300A,0140) 2C Table Top Pitch Angle, i.e. the rotation of the IEC TABLE Import/Export supported.
Pitch Angle TOP coordinate system about the X-axis of the IEC Import: Value of control point with
TABLE TOP coordinate system (degrees). Required for index 0.
first item of Control Point Sequence, or if Table Top Pitch
Angle changes during Beam. See section C.8.8.25.6.2.
>> Patient Support (300A,0142) 2C Direction of Table Top Pitch Rotation when viewing the Roundtrip supported.
Pitching Direction table along the positive X-axis of the IEC TABLE TOP
coordinate system, for segment following Control Point.
Required for first item of Control Point Sequence, or if
Table Top Pitch Rotation Direction changes during Beam.
See C.8.8.14.8 and C.8.8.25.6.2.
Enumerated Values:
CW = clockwise
CC = counter-clockwise
NONE = no rotation

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IOD Details, RT Ion Beams Session Record – C.8.8.26

Attribute Name Tag T Attribute Description Varian System Database

>> Patient Support (300A,0144) 2C Table Top Roll Angle, i.e. the rotation of the IEC TABLE Import/Export supported.
Roll Angle TOP coordinate system about the Y-axis of the IEC Import: Value of control point with
TABLE TOP coordinate system (degrees). Required for index 0.
first item of Control Point Sequence, or if Table Top Roll
Angle changes during Beam. See section C.8.8.25.6.2.
>> Patient Support (300A,0146) 2C Direction of Table Top Roll Rotation when viewing the Roundtrip supported.
Rolling Direction table along the positive Y-axis of the IEC TABLE TOP
coordinate system, for segment following Control Point.
Required for first item of Control Point Sequence, or if
Table Top Roll Rotation Direction changes during Beam.
See C.8.8.14.8 and C.8.8.25.6.2.
Enumerated Values:
CW = clockwise
CC = counter-clockwise
NONE = no rotation Attribute Name Tag Type Description
>> Head Fixation (300A,0148) 3 Angle (in degrees) of the head fixation for eye treatments Roundtrip supported.
Angle with respect to the Table Top Pitch Angle (300A,0140)
coordinate system. Positive head fixation angle is the
same direction as positive Table Top Pitch. See section
C.8.8.25.6.4.
>> Table Top (300A,0128) 2C Table Top Vertical position in IEC TABLE TOP Import/Export supported.
Vertical Position coordinate system (mm). This value is interpreted as an
absolute, rather than relative, Table setting. Required for
Control Point 0 of Ion Control Point Delivery Sequence
(3008,0041) or if Table Top Vertical Position changes
during beam administration.
>> Table Top (300A,0129) 2C Table Top Longitudinal position in IEC TABLE TOP Import/Export supported.
Longitudinal coordinate system (mm). This value is interpreted as an
Position absolute, rather than relative, Table setting. Required for
Control Point 0 of Ion Control Point Delivery Sequence
(3008,0041) or if Table Top Longitudinal Position
changes during beam administration.

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Attribute Name Tag T Attribute Description Varian System Database

>> Table Top (300A,012A) 2C Table Top Lateral position in IEC TABLE TOP coordinate Import/Export supported.
Lateral Position system (mm). This value is interpreted as an absolute,
rather than relative, Table setting. Required for Control
Point 0 of Ion Control Point Delivery Sequence
(3008,0041) or if Table Top Lateral Position changes
during beam administration.
>> Snout Position (300A,030D) 2C Axial position of the snout (in mm) measured from Export supported.
isocenter to the downstream side of the snout (without
consideration of variable length elements such as blocks,
MLC and/or compensators). Required for Control Point 0
of Ion Control Point Delivery Sequence (3008,0041) or if
Snout Position changes during beam administration.
>> Corrected (3008,0068) 3 Introduces a sequence of items describing corrections Roundtrip supported.
Parameter made to any attributes prior to delivery of the next control
Sequence point. The sequence may contain one or more items.
>>> Parameter (3008,0061) 1 Contains the Data Element Tag of the parent sequence Roundtrip supported.
Sequence Pointer containing the attribute that was corrected. The value is
limited in scope to the Treatment Session Ion Beam
Sequence (3008,0021) and all nested sequences therein.
>>> Parameter Item (3008,0063) 1 Contains the ones-based sequence item index of the Roundtrip supported.
Index corrected attribute within its Attribute Name Tag Type
Description parent sequence as indicated by Parameter
Sequence Pointer (3008,0061).
>>> Parameter (3008,0065) 1 Contains the Data Element Tag of the attribute that was Roundtrip supported.
Pointer corrected.
>>> Correction (3008,006A) 1 The value that was added the value referenced by the Roundtrip supported.
Value Parameter Sequence Pointer (3008,0061), Parameter
Item Index (3008,0063) and Parameter Pointer
(3008,0065).
>> Override (3008,0060) 3 Introduces sequence of parameters that were overridden
Sequence during the administration of the beam segment
immediately prior to the current control point. The
sequence may contain one or more items.

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IOD Details, PET Series – C.8.9.1

Attribute Name Tag T Attribute Description Varian System Database

>>> Parameter (3008,0061) 1 Contains the Data Element Tag of the parent sequence Roundtrip supported.
Sequence Pointer containing the attribute that was overriden. The value is
limited in scope to the Treatment Session Ion Beam
Sequence (3008,0021) and all nested sequences therein.
>>> Override (3008,0062) 1 Contains the Data Element Tag of the attribute that was Import/Export supported. Internal
Parameter Pointer overridden. representation is different from
DICOM.
>>> Parameter Item (3008,0063) 1 Contains the ones-based sequence item index of the Roundtrip supported.
Index overriden attributes within it's parent sequence. The value
is limited in scope to the Treatment Session Ion Beam
Sequence (3008,0021) and all nested sequences therein.
>>> Operators’ (0008,1070) 2 Name of operator who authorized override. Import/Export supported. Internal
Name representation is different from
DICOM.
>>> Override (3008,0066) 3 User-defined description of reason for override of Roundtrip supported.
Reason parameter specified by Override Parameter Pointer
(3008,0062).

C.2.42 PET Series – C.8.9.1

Complete roundtrip, covering all attributes of this module, is guaranteed for IODs listed below. Other IODs have roundtrip capabilities as specified
on attribute level.
• Positron Emission Tomography Image

Attribute Name Tag T Attribute Description Varian System Database

Series Date (0008,0021) 1 Date the Series started. See C.8.9.1.1.2 for Import/Export supported.
specialization.
Series Time (0008,0031) 1 Time the Series started. See C.8.9.1.1.2 for Import/Export supported.
specialization.

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Attribute Name Tag T Attribute Description Varian System Database

Units (0054,1001) 1 Pixel value units. See C.8.9.1.1.3 for explanation. Roundtrip supported.
Defined terms:
CNTS, NONE, CM2, PCNT, CPS, BQML, MGMINML,
UMOLMINML, MLMING, MLG, 1CM, UMOLML,
PROPCNTS, PROPCPS, MLMINML, MLML, GML,
STDDEV
Counts Source (0054,1002) 1 The primary source of counts. The primary source leads Roundtrip supported.
to the underlying image Units (0054,1001), as opposed to
secondary sources which are used during reconstruction
correction.
Enumerated Values: EMISSION
TRANSMISSION
Series Type (0054,1000) 1 A multi-valued indicator of the type of Series. See Roundtrip supported.
C.8.9.1.1.4 for explanation. Value 1
Enumerated Values:
STATIC
DYNAMIC
GATED
WHOLE BODY Value 2
Enumerated Values:
IMAGE
REPROJECTION
Reprojection (0054,1004) 2C Method for projecting volumetric data onto planar Roundtrip supported.
Method projection. Required if Series Type (0054,1000), Value 2
is REPROJECTION.
Defined terms:
SUM
MAX PIXEL
Number of R-R (0054,0061) 1C The maximum number of R-R Intervals that may exist in Roundtrip supported.
Intervals this Series. Required if Series Type (0054,1000), Value 1
is GATED.

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IOD Details, PET Series – C.8.9.1

Attribute Name Tag T Attribute Description Varian System Database

Number of Time (0054,0071) 1C The maximum number of Time Slots that may exist in this Roundtrip supported.
Slots Series. Required if Series Type (0054,1000), Value 1 is
GATED.
Number of Time (0054,0101) 1C The maximum number of Time Slices that may exist in Roundtrip supported.
Slices this Series. Required if Series Type (0054,1000), Value 1
is DYNAMIC.
Number of Slices (0054,0081) 1 The maximum number of Slices that may exist in this Roundtrip supported.
Series.
Corrected Image (0028,0051) 2 A value that indicates which, if any, corrections have Roundtrip supported.
been applied to the images in this series.
Defined terms:
DECY = decay corrected
ATTN = attenuation corrected
SCAT = scatter corrected
DTIM = dead time corrected
MOTN = gantry motion corrected (e.g. wobble, clamshell)
PMOT = patient motion corrected
CLN = count loss normalization (correction for count loss
in gated Time Slots).
RAN = randoms corrected
RADL = non-uniform radial sampling corrected
DCAL = sensitivity calibrated using dose calibrator
NORM = detector normalization
Randoms (0054,1100) 3 Type of randoms correction processing. Roundtrip supported.
Correction Method Defined terms:
NONE = no randoms correction
DLYD = delayed event subtraction
SING = singles estimation

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Attribute Name Tag T Attribute Description Varian System Database

Attenuation (0054,1101) 3 A textual description of the attenuation correction Roundtrip supported.

Correction Method processing. e.g. measured vs. calculated, transmission
source type (ring, line, point), assumed patient geometry
(polygon, ellipse, segmented, attenuation coefficient,
skull thickness), post-injection transmission, smoothing.
Scatter Correction (0054,1105) 3 A textual description of the scatter correction processing. Roundtrip supported.
Method e.g. convolution- subtraction, dual energy window, model-
based, use of attenuation data.
Decay Correction (0054,1102) 1 The real-world event to which images in this Series were Roundtrip supported.
decay corrected. See C.8.9.1.1.5 for explanation.
Defined terms:
NONE = no decay correction
START = acquisition start time
ADMIN = radiopharmaceutical administration time
Reconstruction (0018,1100) 3 Diameter, in mm, of the region within which the data was Roundtrip supported.
Diameter used in creating the reconstruction of the image. Data
may exist outside this region and portions of the patient
may exist outside this region.
Convolution Kernel (0018,1210) 3 Textual description of the convolution kernel(s) used to Roundtrip supported.
reconstruct the data (e.g. name, cutoff,
radial/axial/angular, mathematical form, DC handling)
Reconstruction (0054,1103) 3 Textual description of reconstruction processing, e.g. 2D Roundtrip supported.
Method filtered backprojection, 2D iterative, 3D PROMIS, 3D
FAVOR, 3D iterative.
Detector Lines of (0054,1104) 3 Textual description of which detector lines of response Roundtrip supported.
Response Used were used, mashed, or otherwise processed during
tomographic reconstruction.

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IOD Details, PET Series – C.8.9.1

Attribute Name Tag T Attribute Description Varian System Database

Acquisition Start (0018,0073) 3 Description of how the data collection was started. Roundtrip supported.
Condition Defined terms:
DENS = density (counts/sec)
RDD = relative density difference (change in counts/sec)
MANU = manual
TIME = time
AUTO = automatic, when ready
TRIG = physiological trigger
See C.8.9.1.1.6 for explanation.
Acquisition Start (0018,0074) 3 Count density, change in count density, or physiological Roundtrip supported.
Condition Data triggers causing data collection to start.
Acquisition (0018,0071) 3 Description of how the data collection for the series was Roundtrip supported.
Termination stopped.
Condition Defined terms:
CNTS = counts
DENS = density (counts/sec)
RDD = relative density difference (change in counts/sec)
MANU = manual
OVFL = data overflow
TIME = time
TRIG = physiological trigger
See C.8.4.9.1.3 for explanation.
Acquisition (0018,0075) 3 Number of counts, count density, change in count Roundtrip supported.
Termination density, or physiological triggers causing the termination.
Condition Data
Field of View Shape (0018,1147) 3 Shape of the field of view of the PET camera. Roundtrip supported.
Defined Terms:
CYLINDRICAL RING
HEXAGONAL
MULTIPLE PLANAR

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Attribute Name Tag T Attribute Description Varian System Database

Field of View (0018,1149) 3 Dimensions of the field of view, in mm. Transverse Roundtrip supported.
Dimension(s) detector diameter followed by axial width.
Gantry/Detector Tilt (0018,1120) 3 Angle of tilt in degrees of the gantry. See C.8.9.1.1.7 for Roundtrip supported.
explanation.
Gantry/Detector (0018,1121) 3 Angle of slew in degrees of the gantry. Positive slew is Roundtrip supported.
Slew moving the gantry on the patient's left toward the patient's
superior, when the patient is supine.
Type of Detector (0054,0202) 3 Describes the detector motion during acquisition. Roundtrip supported.
Motion Defined Terms:
NONE = stationary gantry STEP AND SHOOT =
Interrupted motion, acquire only while stationary
CONTINUOUS = Gantry motion and acquisition are
simultaneous and continuous
WOBBLE = wobble motion
CLAMSHELL = clamshell motion
Collimator Type (0018,1181) 2 Collimator Type. Defined Terms: NONE = no collimator Roundtrip supported.
RING = transverse septa
Collimator/Grid (0018,1180) 3 Label describing the collimator used. Roundtrip supported.
Name
Axial Acceptance (0054,1200) 3 Maximum axial angle accepted, in degrees. Roundtrip supported.
Axial Mash (0054,1201) 3 Number of adjacent axial lines of response mashed Roundtrip supported.
together. See C.8.9.1.1.8 for explanation.
Transverse Mash (0054,1202) 3 Number of adjacent transverse lines of response mashed Roundtrip supported.
together. See C.8.9.1.1.9 for explanation.
Detector Element (0054,1203) 3 Size of an individual detector element, in mm. Transverse Roundtrip supported.
Size dimension followed by axial dimension. For a discrete
crystal, this is the crystal size. For a continuous detector,
this is the pixel bin size.
Coincidence (0054,1210) 3 The width of the coincidence timing window, in nsec. The Roundtrip supported.
Window Width maximum time difference accepted between two single
events.

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IOD Details, PET Image – C.8.9.4

Attribute Name Tag T Attribute Description Varian System Database

Energy Window (0054,0013) 3 Sequence of Repeating Items that describes the energy Roundtrip supported.
Range Sequence windows used for this Series. This sequence may contain
zero or more items. See C.8.9.1.1.10 for explanation.
> Energy Window (0054,0014) 3 The lower limit of the energy window, in KeV. Roundtrip supported.
Lower Limit
> Energy Window (0054,0015) 3 The upper limit of the energy window, in KeV. Roundtrip supported.
Upper Limit
Secondary Counts (0054,1220) 3 Array defining the type of additional counts accumulated Roundtrip supported.
Type during acquisition.
Defined terms: DLYD = delayed events
SCAT = scattered events in secondary window
SING = singles
DTIM = events lost due to deadtime

C.2.43 PET Image – C.8.9.4

Complete roundtrip, covering all attributes of this module, is guaranteed for IODs listed below. Other IODs have roundtrip capabilities as specified
on attribute level.
• Positron Emission Tomography Image

Attribute Name Tag T Attribute Description Varian System Database

Image Type (0008,0008) 1 Image identification characteristics. See C.8.9.4.1.1 for Roundtrip supported.
specialization.
Samples per Pixel (0028,0002) 1 Number of samples (planes) in this image. This value Roundtrip supported.
shall be 1.
Photometric (0028,0004) 1 Specifies the intended interpretation of the pixel data. Roundtrip supported.
Interpretation See C.8.9.4.1.2 for specialization.
Bits Allocated (0028,0100) 1 Number of bits allocated for each pixel sample. Each Roundtrip supported.
sample shall have the same number of bits allocated.
Enumerated values: 16.

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Attribute Name Tag T Attribute Description Varian System Database

Bits Stored (0028,0101) 1 Number of bits stored for each pixel sample. Each Roundtrip supported.
sample shall have the same number of bits stored. The
value shall be the same as the value in Bits Allocated
(0028,0100).
High Bit (0028,0102) 1 Most significant bit for pixel sample data. Each sample Roundtrip supported.
shall have the same high bit. Shall be one less than the
value in Bits Stored (0028,0101).
Rescale Intercept (0028,1052) 1 The value b in relationship between stored values (SV) Roundtrip supported.
and pixel value units (U) defined in Units (0054,1001): U
= m*SV+b. The Rescale Intercept is always zero for PET
images.
Rescale Slope (0028,1053) 1 m in the equation specified in Rescale Intercept Roundtrip supported.
(0028,1052).
Frame Reference (0054,1300) 1 The time that the pixel values in the image occurred. Roundtrip supported.
Time Frame Reference Time is the offset, in msec, from the
Series reference time. See explanation in C.8.9.4.1.5.
Trigger Time (0018,1060) 1C Time interval, in msec, from the start of the trigger to the Roundtrip supported.
beginning of data acquisition for this image. Required if
Series Type (0054,1000), Value 1 is GATED.
Frame Time (0018,1063) 1C Nominal duration per individual frame, in msec. Required Roundtrip supported.
if Series Type (0054,1000), Value 1 is GATED. See
C.8.9.4.1.3 for explanation.
Low R-R Value (0018,1081) 1C R-R interval lower limit for beat rejection, in msec. Roundtrip supported.
Required if Series Type (0054,1000), Value 1 is GATED
and Beat Rejection Flag (0018,1080) is Y.
High R-R Value (0018,1082) 1C R-R interval upper limit for beat rejection, in msec. Roundtrip supported.
Required if Series Type (0054,1000), Value 1 is GATED
and Beat Rejection Flag (0018,1080) is Y.

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IOD Details, PET Image – C.8.9.4

Attribute Name Tag T Attribute Description Varian System Database

Lossy Image (0028,2110) 1C Specifies whether an Image has undergone lossy Roundtrip supported.
Compression compression.
Enumerated values:
00 = Image has NOT been subjected to lossy
compression.
01 = Image has been subjected to lossy compression.
See C.7.6.1.1.5.
Required if Lossy Compression has been performed on
the image.
Image Index (0054,1330) 1 An index identifying the position of this image within a Roundtrip supported.
PET Series. See C.8.9.4.1.9 for explanation.
Acquisition Date (0008,0022) 2 The date the acquisition of data that resulted in this Roundtrip supported.
image started. See C.8.9.4.1.4 for specialization.
Acquisition Time (0008,0032) 2 The time the acquisition of data that resulted in this Roundtrip supported.
image started. See C.8.9.4.1.4 for specialization.
Actual Frame (0018,1242) 2 Elapsed time of the data acquisition for this image, in Roundtrip supported.
Duration msec. See C.8.9.4.1.6 for explanation.
Nominal Interval (0018,1062) 3 Average duration of accepted beats, in msec, of the R-R Roundtrip supported.
interval.
Intervals Acquired (0018,1083) 3 Number of heartbeats that fall within Low R-R Value Roundtrip supported.
(0018,1081) and High R-R Value (0018,1082), and were
therefore accepted and contribute coincidence events to
this R-R Interval.
Intervals Rejected (0018,1084) 3 Number of heartbeats that fall outside Low R-R Value Roundtrip supported.
(0018,1081) and High R-R Value (0018,1082), and do not
contribute coincidence events to this R-R Interval.
However, they may contribute coincidence events to
other R-R Intervals.
Primary (Prompts) (0054,1310) 3 The sum of events that occur in the primary event Roundtrip supported.
Counts channel. The counts include Trues +Scatter+ Randoms if
Accumulated Randoms Correction Method (0054,1100) is NONE;
otherwise the counts are Trues +Scatter.

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 IOD Details, PET Image – C.8.9.4

Attribute Name Tag T Attribute Description Varian System Database

Secondary Counts (0054,1311) 3 Sum of counts accumulated in secondary channels. See Roundtrip supported.
Accumulated C.8.9.4.1.7 for explanation.
Slice Sensitivity (0054,1320) 3 The slice-to-slice sensitivity correction factor that was Roundtrip supported.
Factor used to correct this image. The value shall be one if no
slice sensitivity correction was applied.
Decay Factor (0054,1321) 1C The decay factor that was used to scale this image. Roundtrip supported.
Required if Decay Correction (0054,1102) is other than
NONE. If decay correction is applied, all images in the
Series shall be decay corrected to the same time.
Dose Calibration (0054,1322) 3 Factor that was used to scale this image from counts/sec Roundtrip supported.
Factor to Bq/ml using a dose calibrator. The value shall be one if
no dose calibration was applied. See C.8.9.4.1.8 for
explanation.
Scatter Fraction (0054,1323) 3 An estimate of the fraction of acquired counts that were Roundtrip supported.
Factor due to scatter and were corrected in this image. The
value shall be zero if no scatter correction was applied.
Dead Time Factor (0054,1324) 3 The average dead time correction factor that was applied Roundtrip supported.
to this image. The value shall be one if no dead time
correction was applied.
Anatomic Region (0008,2218) 3 Sequence that identifies the anatomic region of interest in Roundtrip supported.
Sequence this Instance (i.e. external anatomy, surface anatomy, or
general region of the body).
Only a single Item shall be permitted in this sequence.
> Code Value (0008,0100) 1C See Section 8.1. Required if a sequence item is present. Roundtrip supported.
> Coding Scheme (0008,0102) 1C See Section 8.2. Required if a sequence item is present. Roundtrip supported.
Designator
> Coding Scheme (0008,0103) 1C See Section 8.2. Required if a sequence item is present Roundtrip supported.
Version and the value of Coding Scheme Designator (0008,0102)
is not sufficient to identify the Code Value (0008,0100)
unambiguously.
> Code Meaning (0008,0104) 1C See Section 8.3. Required if a sequence item is present. Roundtrip supported.

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IOD Details, PET Image – C.8.9.4

Attribute Name Tag T Attribute Description Varian System Database

> Anatomic Region (0008,2220) 3 Sequence of Items that modifies the anatomic region of Roundtrip supported.
Modifier Sequence interest of this Instance One or more Items may be
included in this Sequence.
>> Code Value (0008,0100) 1C See Section 8.1. Required if a sequence item is present. Roundtrip supported.
>> Coding Scheme (0008,0102) 1C See Section 8.2. Required if a sequence item is present. Roundtrip supported.
Designator
>> Coding Scheme (0008,0103) 1C See Section 8.2. Required if a sequence item is present Roundtrip supported.
Version and the value of Coding Scheme Designator (0008,0102)
is not sufficient to identify the Code Value (0008,0100)
unambiguously.
>> Code Meaning (0008,0104) 1C See Section 8.3. Required if a sequence item is present. Roundtrip supported.
Primary Anatomic (0008,2228) 3 Sequence of Items that identifies the primary anatomic Roundtrip supported.
Structure Sequence structure(s) of interest in this Instance.
One or more Items may be included in this Sequence.
> Code Value (0008,0100) 1C See Section 8.1. Required if a sequence item is present. Roundtrip supported.
> Coding Scheme (0008,0102) 1C See Section 8.2. Required if a sequence item is present. Roundtrip supported.
Designator
> Coding Scheme (0008,0103) 1C See Section 8.2. Required if a sequence item is present Roundtrip supported.
Version and the value of Coding Scheme Designator (0008,0102)
is not sufficient to identify the Code Value (0008,0100)
unambiguously.
> Code Meaning (0008,0104) 1C See Section 8.3. Required if a sequence item is present. Roundtrip supported.
> Primary Anatomic (0008,2230) 3 Sequence of Items that modifies the primary anatomic Roundtrip supported.
Structure Modifier structure of interest in this Instance.
Sequence One or more Items may be included in this Sequence.
>> Code Value (0008,0100) 1C See Section 8.1. Required if a sequence item is present. Roundtrip supported.
>> Coding Scheme (0008,0102) 1C See Section 8.2. Required if a sequence item is present. Roundtrip supported.
Designator

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 IOD Details, PET Image – C.8.9.4

Attribute Name Tag T Attribute Description Varian System Database

>> Coding Scheme (0008,0103) 1C See Section 8.2. Required if a sequence item is present Roundtrip supported.
Version and the value of Coding Scheme Designator (0008,0102)
is not sufficient to identify the Code Value (0008,0100)
unambiguously.
>> Code Meaning (0008,0104) 1C See Section 8.3. Required if a sequence item is present. Roundtrip supported.
Slice Progression (0054,0500) 3 Describes the anatomical direction that slices are Roundtrip supported.
Direction progressing as the slices are considered in order (as
defined by the Slice Index. See section C.8.9.4.1.9 for a
definition of Slice Index). Meaningful only for cardiac
images. When View Code Sequence (0054,0220)
indicates a short axis view, then
Enumerated Values are:
APEX_TO_BASE
BASE_TO_APEX
View Code (0054,0220) 3 Sequence that describes the projection of the anatomic Roundtrip supported.
Sequence region of interest. Only a single Item shall be permitted in
this sequence.
> Code Value (0008,0100) 1C See Section 8.1. Required if a sequence item is present. Roundtrip supported.
> Coding Scheme (0008,0102) 1C See Section 8.2. Required if a sequence item is present. Roundtrip supported.
Designator
> Coding Scheme (0008,0103) 1C See Section 8.2. Required if a sequence item is present Roundtrip supported.
Version and the value of Coding Scheme Designator (0008,0102)
is not sufficient to identify the Code Value (0008,0100)
unambiguously.
> Code Meaning (0008,0104) 1C See Section 8.3. Required if a sequence item is present. Roundtrip supported.
> View Modifier (0054,0222) 2C View Modifier. Roundtrip supported.
Code Sequence Required if needed to fully specify the View. Only a single
Item shall be permitted in this sequence.
>> Code Value (0008,0100) 1C See Section 8.1. Required if a sequence item is present. Roundtrip supported.
>> Coding Scheme (0008,0102) 1C See Section 8.2. Required if a sequence item is present. Roundtrip supported.
Designator

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IOD Details, Curve – C.10.2

Attribute Name Tag T Attribute Description Varian System Database

>> Coding Scheme (0008,0103) 1C See Section 8.2. Required if a sequence item is present Roundtrip supported.
Version and the value of Coding Scheme Designator (0008,0102)
is not sufficient to identify the Code Value (0008,0100)
unambiguously.
>> Code Meaning (0008,0104) 1C See Section 8.3. Required if a sequence item is present. Roundtrip supported.

C.2.44 Curve – C.10.2

Attribute Name Tag T Attribute Description Varian System Database

Curve Dimensions (5000,0005) 1 Number of dimensions for these data. The dimensions Import/Export supported.
may be any number from 1 to n. Import: Warning if value is not 2. In this
case the curve will be discarded.
Export: 2
Number of Points (50XX,0010) 1 Number of data points in this Curve Import/Export supported.
Supported values: 1 if Type of Data
(50xx,0020) is LABEL, otherwise any
number.
Type of Data (50XX,0020) 1 Type of data in this curve. See C.10.2.1.1 for Defined Import/Export supported.
Terms. Supported values:
ROI
POLY
LABEL
Data Value (50XX,0103) 1 Data representation of the curve data points. See Import/Export supported.
Representation C.10.2.2 for Enumerated Values and further explanation. Import: All values are supported
Export: 0003H (floating point double)
Curve Data OW or (50XX,3000) 1 Curve data. See C.10.2.1.4 for further explanation. Import/Export supported. Internal
OB representation is different from
DICOM.

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 IOD Details, Curve – C.10.2

Attribute Name Tag T Attribute Description Varian System Database

Curve Description (50XX,0022) 3 User-defined comments about the Curve Import/Export supported.
If Type of Data (50xx,0020) is ROI or
POLY this value is shown as the Name
of the curve. If Type of Data
(50xx,0020) is LABEL this value
represents the label's text.
Axis Units (50XX,0030) 3 Units of measure for the axes. See C.10.2.1.3 for Defined Import/Export supported.
Terms. Only PIXL\PIXL is supported. If a
different value is encountered during
import a warning message will be
issued and the curve will not be
imported.
Axis Labels (50XX,0040) 3 Text labels for each axis. One label for each axis. Import/Export supported.
Import: Used to identify the structure
type assigned to a curve. This defines
material and rendering options. If
unavailable structure type "User
Defined" will be used.
Minimum (50XX,0104) 3 The minimum value in the set of data. One value for each *** not supported ***
Coordinate Value dimension.
Maximum (50XX,0105) 3 The maximum value in the set of data. One value for *** not supported ***
Coordinate Value each dimension.
Curve Range (50XX,0106) 3 A minimum-maximum pair for each dimension for defining *** not supported ***
the range of the curve representation, in the same units
as Axis Units.
Curve Data (50XX,0110) 1C Specifies the format of the Curve Data. *** not supported ***
Descriptor Required if any dimensions of the data are described by
interval spacing. See C.10.2.1.5 for further explanation.
Coordinate Start (50XX,0112) 1C The starting point of a one dimensional data list. *** not supported ***
Value Required if Curve Data Descriptor is used. One value for
each dimension. The Value Representation is given in
Data Value Representation (50xx,0103).

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IOD Details, Waveform Identification – C.10.8

Attribute Name Tag T Attribute Description Varian System Database

Coordinate Step (50XX,0114) 1C The interval spacing between two successive points. *** not supported ***
Value Required if Curve Data Descriptor is used. One value for
each dimension. The Value Representation is given in
Data Value Representation (50xx,0103).
Curve Label (50XX,2500) 3 A user defined text string which may be used to label or Import/Export supported.
name this curve. Will be shown as the ID of a curve on
the GUI. If unavailable a default ID like
"Curve_NNN" will be generated, where
NNN is a unique number.
Curve Referenced (50XX,2600) 3 A Sequence which provides reference to a set of related *** not supported ***
Overlay Sequence overlays used to generate this curve.
> Referenced SOP (0008,1150) 1 Uniquely identifies the referenced SOP Class. Required if *** not supported ***
Class UID Referenced Overlay Sequence (50xx,2600) is sent.
> Referenced SOP (0008,1155) 1 Uniquely identifies the referenced SOP Instance. *** not supported ***
Instance UID Required if Referenced Overlay Sequence (50xx,2600) is
sent.
> Referenced (50XX,2610) 1 The Group number of the related overlay. *** not supported ***
Overlay Group Required if Referenced Overlay Sequence (50xx,2600) is
sent.

C.2.45 Waveform Identification – C.10.8

Complete roundtrip, covering all attributes of this module, is guaranteed for IODs listed below. Other IODs have roundtrip capabilities as specified
on attribute level.
• Motion Management Protocol
• Motion Management Waveform

Attribute Name Tag T Attribute Description Varian System Database

Instance Number (0020,0013) 1 A number that identifies this Waveform. Roundtrip supported.

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 IOD Details, Waveform Identification – C.10.8

Attribute Name Tag T Attribute Description Varian System Database

Content Date (0008,0023) 1 The date the Waveform data was created. Import/Export supported.
Content Time (0008,0033) 1 The time the Waveform data was created. Import/Export supported.
Waveform Label (3283,XX50) 3 User-defined label for tracking waveform. Import/Export supported.
Waveform Name (3283,XX51) 3 User-defined name for tracking waveform. Import/Export supported.
Waveform (3283,XX52) 3 User-defined description for tracking waveform. Import/Export supported.
Description
Acquisition Datetime (0008,002A) 1 The date and time that the acquisition of data that Roundtrip supported.
resulted in this waveform started; the reference
timestamp for the Multiplex Group Time Offset
(0018,1068) for a waveform multiplex group
Note:
The synchronization of this time with an external clock is
specified in the Synchronization Module in Acquisition
Time Synchronized (0018,1800).
Motion Management (3283,XX53) 3 Specifies the type of this tracking waveform data. Roundtrip supported.
Waveform Type Enumerated Value:

TREATMENT: The data have been acquired during a

treatment
SIMULATION: The data have been acquired during a
simulation
Referenced (0008,114A) 3 A sequence which provides reference to a set of SOP
Instance Sequence Class/Instance pairs significantly related to this
Waveform. One or more Items may be included in this
sequence.
> Referenced SOP (0008,1150) 1 Uniquely identifies the referenced SOP Class. Import/Export supported.
Class UID Supported values: SOP Class UID of
RT Plan or any image.

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IOD Details, Waveform Identification – C.10.8

Attribute Name Tag T Attribute Description Varian System Database

> Referenced SOP (0008,1155) 1 Uniquely identifies the referenced SOP Instance. Import export supported.
Instance UID Import: Relation to referenced instance
will be set up only if it already exists in
the Varian System Database.
> Purpose of (0040,A170) 3 Code describing the purpose of the reference to the Roundtrip supported.
Reference Code Instance(s). Only a single Item shall be permitted in this
Sequence sequence.
>> Code Value (0008,0100) 1C See Section 8.1. Required if a sequence item is present. Roundtrip supported.
>> Coding Scheme (0008,0102) 1C See Section 8.2. Required if a sequence item is present. Roundtrip supported.
Designator
>> Coding Scheme (0008,0103) 1C See Section 8.2. Required if a sequence item is present Roundtrip supported.
Version and the value of Coding Scheme Designator (0008,0102)
is not sufficient to identify the Code Value (0008,0100)
unambiguously.
>> Code Meaning (0008,0104) 1C See Section 8.3. Required if a sequence item is present. Roundtrip supported.
> Referenced (0008,1160) 3 References one or more image frames of a Multi-frame Roundtrip supported.
Frame Number Image SOP Instance referenced by Referenced SOP
Instance UID (0008,1155), identifying the frames that
were acquired at the timestamp specified below. May
only be used if Referenced SOP Instance UID
(0008,1155) references a multi-frame image.
> Timestamp (3283,XX54) 3 Specifies the timestamp (defined in the timestamp Import/Export supported.
channel of the waveform data) at which the referenced
frames were acquired. May only be used if Referenced
SOP Instance UID (0008,1155) references a single-frame
or multi-frame image.
> Referenced Beam (300C,0004) 3 Introduces sequence of one or more referenced beams.
Sequence May only be used if Referenced SOP Instance UID
(0008,1155) references a RT Plan.
>> Referenced (300C,0006) 1 Import: Relation to referenced beam
Beam Number will be set up only if it already exists in
the Varian System Database.

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 IOD Details, Waveform – C.10.9

C.2.46 Waveform – C.10.9

Complete roundtrip, covering all attributes of this module, is guaranteed for IODs listed below. Other IODs have roundtrip capabilities as specified
on attribute level.
• Motion Management Waveform

Attribute Name Tag T Attribute Description Varian System Database

Waveform (5400,0100) 1 Sequence of one or more Items, each representing one Roundtrip supported.
Sequence waveform multiplex group. Ordering of Items in this
Sequence is significant for external reference to specific
multiplex groups.
> Multiplex Group (0018,1068) 1C Offset time in milliseconds from a reference time (see Roundtrip supported.
Time Offset C.10.9.1.1).
Required if Acquisition Time Synchronized (0018,1800)
value is Y; may be present otherwise.
> Trigger Time (0018,1069) 1C Offset time in milliseconds from a synchronization trigger Roundtrip supported.
Offset to the first sample of a waveform multiplex group. May be
positive or negative. Required if waveform acquisition is
synchronized to a trigger.
> Trigger Sample (0018,106E) 3 Sample number whose time corresponds to a Roundtrip supported.
Position synchronization trigger (see C.10.9.1.2).
> Waveform (003A,0004) 1 See C.10.9.1.3. Enumerated values: ORIGINAL Roundtrip supported.
Originality DERIVED
> Number of (003A,0005) 1 Number of channels for this multiplex group. Roundtrip supported.
Waveform Channels
> Number of (003A,0010) 1 Number of samples per channel in this multiplex group. Roundtrip supported.
Waveform Samples
> Sampling (003A,001A) 1 Frequency in Hz Roundtrip supported.
Frequency

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IOD Details, Waveform – C.10.9

Attribute Name Tag T Attribute Description Varian System Database

> Sample Domain (3283,XX34) 3 Domain of the samples. Roundtrip supported.

Defined terms:
Time
Phase
> Multiplex Group (003A,0020) 3 Label for multiplex group Roundtrip supported.
Label
> Multiplex Group (3283,XX31) 3 Identification Number of Multiplex Group *** not supported ***
Number
> Channel Definition (003A,0200) 1 Sequence of one or more Items, with one Item per Roundtrip supported.
Sequence channel (see C.10.9.1.4). Ordering of Items in this
Sequence is significant for reference to specific channels.
>> Waveform (003A,0202) 3 Equipment physical channel number used for acquisition. Roundtrip supported.
Channel Number
>> Channel Label (003A,0203) 3 Text label for channel which may be used for display Roundtrip supported.
purposes
>> Channel Status (003A,0205) 3 One or more values for the status of this channel within Roundtrip supported.
this SOP Instance.
Defined terms:
OK
TEST DATA
DISCONNECTED
QUESTIONABLE
INVALID
UNCALIBRATED
UNZEROED Precise location of a change in status may
be noted in an Annotation.
>> Channel (3283,XX40) 3 A coded descriptor of the waveform channel (metric). Roundtrip supported.
Identification Only a single item shall be permitted in this sequence.
Sequence
>>> Code Value (0008,0100) 1 See Section 8.2. Required if a sequence item is present. *** not supported ***

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 IOD Details, Waveform – C.10.9

Attribute Name Tag T Attribute Description Varian System Database

>>> Coding (0008,0102) 1 See Section 8.1. Required if a sequence item is present. Roundtrip supported.
Scheme Designator
>>> Coding (0008,0103) 1C See Section 8.2. Required if a sequence item is present. Roundtrip supported.
Scheme Version
>>> Code Meaning (0008,0104) 1 See Section 8.2. Required if a sequence item is present Roundtrip supported.
and the value of Coding Scheme Designator (0008,0102)
is not sufficient to identify the Code Value (0008,0100)
unambiguously.
>> Channel (3283,XX41) 3 Sequence of one or more Items which further qualify the Roundtrip supported.
Identification waveform channel. Required if Channel Identification
Modifiers Sequence Sequence (3283,1040) does not fully specify the
semantics of the channel. Ordering of items in this
sequence may be semantically significant.
>>> Code Value (0008,0100) 1 See Section 8.2. Required if a sequence item is present *** not supported ***
and the value of Coding Scheme Designator (0008,0102)
is not sufficient to identify the Code Value (0008,0100)
unambiguously.
>>> Coding (0008,0102) 1 See Section 8.2. Required if a sequence item is present. *** not supported ***
Scheme Designator
>>> Coding (0008,0103) 1C See Section 8.2. Required if a sequence item is present *** not supported ***
Scheme Version and the value of Coding Scheme Designator (0008,0102)
is not sufficient to identify the Code Value (0008,0100)
unambiguously.
>>> Code Meaning (0008,0104) 1 See Section 8.3. Required if a sequence item is present. *** not supported ***
>> Signal Source (3283,XX42) 3 Denotes the type of the device which is used to track. Roundtrip supported.
Type This type is the same as the value of the tag Respiratory
Signal Source (0018,9171) in the RT Motion
Synchronization Sequence in the Patient Setup Module in
the RT Plan IOD.

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IOD Details, Waveform – C.10.9

Attribute Name Tag T Attribute Description Varian System Database

>> Signal Source ID (3283,XX0B) 3 The id of the device which is used to track. This id is the Roundtrip supported.
same as the Respiratory Signal Source ID (300A,xxxx) in
the RT Motion Synchronization Sequence in the Patient
Setup Module in the RT Plan IOD, if present there.
>> Tracked Object (3283,XX43) 3 Additional identifier that can be used to distinguish Roundtrip supported.
Id tracking channels of multiple targets (e.g. multiple seeds)
whose position/orientation is tracked individually but at
the same time.
>> Source (003A,020A) 3 A sequence which provides reference to a DICOM Roundtrip supported.
Waveform waveform from which this channel was derived. One or
Sequence more Items may be included in this Sequence.
>>> Referenced (0008,1150) 1C Identifies the referenced SOP Class. Required if a Roundtrip supported.
SOP Class UID Sequence Item is present.
>>> Referenced (0008,1155) 1C Identifies the referenced SOP Instance. Required if a Roundtrip supported.
SOP Instance UID Sequence Item is present.
>>> Referenced (0040,A0B0) 1C Identifies the waveform multiplex group and channel Roundtrip supported.
Waveform Channels within the referenced SOP Instance. Pair of values (M,C).
Required if a Sequence Item is present.
>> Channel (003A,020C) 3 Additional description of waveform channel derivation Roundtrip supported.
Derivation
Description
>> Channel (003A,0210) 1C Nominal numeric value of unit quantity of sample. Roundtrip supported.
Sensitivity Required if samples represent defined (not arbitrary)
units.
>> Channel (003A,0211) 1C A coded descriptor of the Units of measure for the Roundtrip supported.
Sensitivity Units Channel Sensitivity. Only a single Item shall be permitted
Sequence in this sequence. (see C.10.9.1.4.2)
Required if Channel Sensitivity (003A,0210) is present.
>>> Code Value (0008,0100) 1C See Section 8.1. Required if a sequence item is present. Roundtrip supported.
>>> Coding (0008,0102) 1C See Section 8.2. Required if a sequence item is present. Roundtrip supported.
Scheme Designator

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 IOD Details, Waveform – C.10.9

Attribute Name Tag T Attribute Description Varian System Database

>>> Coding (0008,0103) 1C See Section 8.2. Required if a sequence item is present Roundtrip supported.
Scheme Version and the value of Coding Scheme Designator (0008,0102)
is not sufficient to identify the Code Value (0008,0100)
unambiguously.
>>> Code Meaning (0008,0104) 1C See Section 8.3. Required if a sequence item is present. Roundtrip supported.
>> Channel (003A,0212) 1C Multiplier to be applied to encoded sample values to Roundtrip supported.
Sensitivity match units specified in Channel Sensitivity (003A,0210)
Correction Factor (e.g., based on calibration data) (see C.10.9.1.4.2)
Required if Channel Sensitivity (003A,0210) is present.
>> Channel (003A,0213) 1C Offset of encoded sample value 0 from actual 0 using the Roundtrip supported.
Baseline units defined in the Channel Sensitivity Units Sequence
(003A,0211). Required if Channel Sensitivity (003A,0210)
is present.
>> Channel Time (003A,0214) 1C Offset of first sample of channel from waveform multiplex Roundtrip supported.
Skew group start time, in seconds (see C.10.9.1.4.3)
Required if Channel Sample Skew is not present.
>> Channel Sample (003A,0215) 1C Offset of first sample of channel from waveform multiplex Roundtrip supported.
Skew group start time, in samples (see C.10.9.1.4.3)
Required if Channel Time Skew is not present.
>> Channel Offset (003A,0218) 3 Additional offset of first sample of channel to be used in Roundtrip supported.
aligning multiple channels for presentation or analysis, in
seconds (see C.10.9.1.4.3)
>> Waveform Bits (003A,021A) 1 Number of significant bits within the waveform samples Roundtrip supported.
Stored (see C.10.9.1.4.4)
>> Filter Low (003A,0220) 3 Nominal 3dB point of lower frequency of pass band; in Hz Roundtrip supported.
Frequency
>> Filter High (003A,0221) 3 Nominal 3dB point of upper frequency of pass band; in Roundtrip supported.
Frequency Hz
>> Notch Filter (003A,0222) 3 Center frequency of notch filter(s); in Hz Roundtrip supported.
Frequency

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IOD Details, Modality LUT – C.11.1

Attribute Name Tag T Attribute Description Varian System Database

>> Notch Filter (003A,0223) 3 Nominal 3dB bandwidth of notch filter(s); in Hz Roundtrip supported.
Bandwidth
>> Channel (5400,0110) 3 Minimum valid sample value as limited by the acquisition Roundtrip supported.
Minimum Value OB equipment (see C.10.9.1.4.5)
or OW
>> Channel (5400,0112) 3 Maximum valid sample value as limited by the acquisition Roundtrip supported.
Maximum Value OB equipment (see C.10.9.1.4.5)
or OW
> Waveform Bits (5400,1004) 1 Size of each waveform data sample within the Waveform Roundtrip supported.
Allocated Data; see section C.10.9.1.5
> Waveform Sample (5400,1006) 1 Data representation of the waveform data points. See Roundtrip supported.
Interpretation C.10.9.1.5.
> Waveform (5400,100A) 1C Value of waveform samples inserted in channels when Roundtrip supported.
Padding Value input is absent or invalid. Required if acquisition
equipment inserts padding. See C.10.9.1.6.
> Waveform Data (5400,1010) 1 Encoded data samples - channel multiplexed See section Roundtrip supported.
OB or OW C.10.9.1.7

C.2.47 Modality LUT – C.11.1

Complete roundtrip, covering all attributes of this module, is guaranteed for IODs listed below. Other IODs have roundtrip capabilities as specified
on attribute level.
• RT Image (multi frame only)

Attribute Name Tag T Attribute Description Varian System Database

Modality LUT (0028,3000) 1C Defines a sequence of Modality LUTs. Only one Item *** DICOM validation only ***
Sequence may be present. Shall not be present if Rescale Intercept
(0028,1052) is present.

374 of 410 Varian System Server DICOM Conformance Statement, VA8804D3CS

 IOD Details, Modality LUT – C.11.1

Attribute Name Tag T Attribute Description Varian System Database

> LUT Descriptor (0028,3002) 1C Specifies the format of the LUT Data in this Sequence. *** not supported ***
US or See C.11.1.1 for further explanation. Required if the
Modality LUT Sequence (0028,3000) is sent.
> LUT Explanation (0028,3003) 3 Free form text explanation of the meaning of the LUT. *** not supported ***
> Modality LUT (0028,3004) 1C Specifies the output values of this Modality LUT. See *** not supported ***
Type C.11.1.1.2 for further explanation. Required if the
Modality LUT Sequence (0028,3000) is sent.
> LUT Data US or (0028,3006) 1C LUT Data in this Sequence. Required if the Modality LUT *** not supported ***
Sequence (0028,3000) is sent.
Rescale Intercept (0028,1052) 1C The value b in relationship between stored values (SV) Import/Export supported.
and the output units specified in Rescale Type
(0028,1054). Output units = m*SV + b. Required if
Modality LUT Sequence (0028,3000) is not present. Shall
not be present otherwise.
Rescale Slope (0028,1053) 1C m in the equation specified by Rescale Intercept Import/Export supported.
(0028,1052). Required if Rescale Intercept is present.
Rescale Type (0028,1054) 1C Specifies the output units of Rescale Slope (0028,1053) Import/Export supported.
and Rescale Intercept (0028,1052). See C.11.1.1.2 for Defined Terms supported additionally:
further explanation. Required if Rescale Intercept is
CU = Calibration Units
present.
Gy/MU = Gray per MU
RD = Relative Dose

For portal dose images roundtrip is

supported for CU, Gy/MU and RD. All
other values are mapped to US.
For all other images all values are
supported.

Varian System Server DICOM Conformance Statement, VA8804D3CS 375 of 410

IOD Details, VOI LUT – C.11.2

C.2.48 VOI LUT – C.11.2

Complete roundtrip, covering all attributes of this module, is guaranteed for IODs listed below. Other IODs have roundtrip capabilities as specified
on attribute level.
• Positron Emission Tomography Image
• RT Image (multi frame only)

Attribute Name Tag T Attribute Description Varian System Database

VOI LUT Sequence (0028,3010) 1C Defines a sequence of VOI LUTs. One or more Items *** not supported ***
shall be present. Required if Window Center (0028,1050)
is not present. May be present otherwise.
> LUT Descriptor (0028,3002) 1 Specifies the format of the LUT Data in this Sequence. *** not supported ***
US or See C.11.2.1.1 for further explanation.
> LUT Explanation (0028,3003) 3 Free form text explanation of the meaning of the LUT. *** not supported ***
> LUT Data US or (0028,3006) 1 LUT Data in this Sequence.. *** not supported ***
Window Center (0028,1050) 1C Window Center for display. See C.11.2.1.2 for further Import/Export supported.
explanation. Required if VOI LUT Sequence (0028,3010) Only the first value of the multi-value
is not present. May be present otherwise. field is read/written.
Window Width (0028,1051) 1C Window Width for display. See C.11.2.1.2 for further Import/Export supported.
explanation. Required if Window Center (0028,1050) is Only the first value of the multi-value
sent. field is read/written.
Window Center & (0028,1055) 3 Free form explanation of the meaning of the Window *** not supported ***
Width Explanation Center and Width. Multiple values correspond to multiple
Window Center and Width values.
VOI LUT Function (0028,1056) 3 Describes a VOI LUT function to apply to the values of *** not supported ***
Window Center (0028,1050) and Window Width
(0028,1051). See C.11.2.1.3 for further explanation.
Defined terms: LINEAR SIGMOID When this attribute is
not present, the interpretation of the values of Window
Center (0028,1050) and Window Width (0028,1051) is
linear as in C.11.2.1.2.

376 of 410 Varian System Server DICOM Conformance Statement, VA8804D3CS

 IOD Details, SOP Common – C.12.1

C.2.49 SOP Common – C.12.1

Complete roundtrip, covering all attributes of this module, is guaranteed for IODs listed below. Other IODs have roundtrip capabilities as specified
on attribute level.
• Positron Emission Tomography Image
• RT Image (multi frame only)
• RT Beams Treatment Record (except manually recorded treatments)
• RT Ion Beams Treatment Record (except manually recorded treatments)
• Motion Management Protocol
• Motion Management Waveform

Attribute Name Tag T Attribute Description Varian System Database

SOP Class UID (0008,0016) 1 Uniquely identifies the SOP Class. See C.12.1.1.1 for
further explanation. See also PS 3.4.
SOP Instance UID (0008,0018) 1 Uniquely identifies the SOP Instance. See C.12.1.1.1 for Import/Export supported.
further explanation. See also PS 3.4.
Specific Character (0008,0005) 1C Character Set that expands or replaces the Basic *** DICOM validation only ***
Set Graphic Set. Supported character set depends on
Required if an expanded or replacement character set is client operating system version. No
used. See C.12.1.1.2 for Defined Terms. character translation is performed
other than reading/writing contents of
DICOM string attributes in
corresponding Varian System
Database attributes.
Also no support for multiple character
sets within a single attribute.
Instance Creation (0008,0012) 3 Date the SOP Instance was created. Import/Export supported.
Date
Instance Creation (0008,0013) 3 Time the SOP Instance was created. Import/Export supported.
Time
Instance Creator (0008,0014) 3 Uniquely identifies device which created the SOP *** DICOM validation only ***
UID Instance.

Varian System Server DICOM Conformance Statement, VA8804D3CS 377 of 410

IOD Details, SOP Common – C.12.1

Attribute Name Tag T Attribute Description Varian System Database

Related General (0008,001A) 3 Uniquely identifies a Related General SOP Class for the *** not supported ***
SOP Class UID SOP Class of this Instance. See PS 3.4.
Original Specialized (0008,001B) 3 The SOP Class in which the Instance was originally *** not supported ***
SOP Class UID encoded, but which has been replaced during a fall-back
conversion to the current Related General SOP Class.
See PS 3.4.
Coding Scheme (0008,0110) 3 Sequence of items that map values of Coding Scheme *** not supported ***
Identification Designator (0008,0102) to an external coding system
Sequence registration, or to a private or local coding scheme. One
or more items may be present in the sequence.
> Coding Scheme (0008,0102) 1 The value of a Coding Scheme Designator, used in this *** not supported ***
Designator SOP Instance, which is being mapped.
> Coding Scheme (0008,0112) 1C The name of the external registry where further definition *** not supported ***
Registry of the identified coding scheme may be obtained.
Required if coding scheme is registered.
Defined term:
HL7
> Coding Scheme (0008,010C) 1C The coding scheme UID identifier. *** not supported ***
UID Required if coding scheme is identified by an ISO 8824
object identifier compatible with the UI VR.
> Coding Scheme (0008,0114) 2C The coding scheme identifier as defined in an external *** not supported ***
External ID registry. Required if coding scheme is registered and
Coding Scheme UID (0008,010C) is not present.
> Coding Scheme (0008,0115) 3 The coding scheme full common name *** not supported ***
Name
> Coding Scheme (0008,0103) 3 The coding scheme version associated with the Coding *** not supported ***
Version Scheme Designator (0008,0102).
> Responsible (0008,0116) 3 Name of the organization responsible for the Coding *** not supported ***
Organization Scheme. May include organizational contact information.

378 of 410 Varian System Server DICOM Conformance Statement, VA8804D3CS

 IOD Details, SOP Common – C.12.1

Attribute Name Tag T Attribute Description Varian System Database

Timezone Offset (0008,0201) 3 Contains the offset from UTC to the timezone for all DA *** not supported ***
From UTC and TM Attributes present in this SOP Instance. Encoded
as an ASCII string in the format "&ZZZZ". The
components of this string, from left to right, are & = "+" or
"-", and ZZZZ = Hours and Minutes of offset.
Notes:
1. This encoding is the same as described in PS 3.5 for
the DT Value Representation.
2. This Attribute does not apply to values with a DT Value
Representation, which may contain an explicitly encoded
timezone.
3. The corrected time may cross a 24 hour boundary. For
example, if Local Time = 1.00 a.m. and Offset = +0200,
then UTC = 11.00 p.m. (23.00) the day before.
4. The "+" sign may not be omitted. Time earlier than
UTC is expressed as a negative offset.
Note:
For example: UTC = 5.00 a.m. Local Time = 3.00 a.m.
Offset = -0200 The local timezone offset is undefined if
this Attribute is absent.
Contributing (0018,A001) 3 Sequence of Items containing descriptive attributes of *** not supported ***
Equipment related equipment which has contributed to the
Sequence acquisition, creation or modification of the composite
instance. One or more Items may be included in this
Sequence. See C.12.1.1.5 for further explanation.
> Purpose of (0040,A170) 1 Describes the purpose for which the related equipment is *** not supported ***
Reference Code being reference. Only a single Item shall be permitted in
Sequence this sequence. See C.12.1.1.5 for further explanation.
>> Code Value (0008,0100) 1C See Section 8.1. Required if a sequence item is present. *** not supported ***
>> Coding Scheme (0008,0102) 1C See Section 8.2. Required if a sequence item is present. *** not supported ***
Designator

Varian System Server DICOM Conformance Statement, VA8804D3CS 379 of 410

IOD Details, SOP Common – C.12.1

Attribute Name Tag T Attribute Description Varian System Database

>> Coding Scheme (0008,0103) 1C See Section 8.2. Required if a sequence item is present *** not supported ***
Version and the value of Coding Scheme Designator (0008,0102)
is not sufficient to identify the Code Value (0008,0100)
unambiguously.
>> Code Meaning (0008,0104) 1C See Section 8.3. Required if a sequence item is present. *** not supported ***
> Manufacturer (0008,0070) 1 Manufacturer of the equipment that contributed to the *** not supported ***
composite instance.
> Institution Name (0008,0080) 3 Institution where the equipment that contributed to the *** not supported ***
composite instance is located.
> Institution Address (0008,0081) 3 Address of the institution where the equipment that *** not supported ***
contributed to the composite instance is located.
> Station Name (0008,1010) 3 User defined name identifying the machine that *** not supported ***
contributed to the composite instance.
> Institutional (0008,1040) 3 Department in the institution where the equipment that *** not supported ***
Department Name contributed to the composite instance is located.
> Manufacturer’s (0008,1090) 3 Manufacturer's model name of the equipment that *** not supported ***
Model Name contributed to the composite instance.
> Device Serial (0018,1000) 3 Manufacturer's serial number of the equipment that *** not supported ***
Number contributed to the composite instance.
> Software (0018,1020) 3 Manufacturer's designation of the software version of the *** not supported ***
Version(s) equipment that contributed to the composite instance.
> Spatial Resolution (0018,1050) 3 The inherent limiting resolution in mm of the acquisition *** not supported ***
equipment for high contrast objects for the data gathering
and reconstruction technique chosen. If variable across
the images of the series, the value at the image center.
> Date of Last (0018,1200) 3 Date when the image acquisition device calibration was *** not supported ***
Calibration last changed in any way. Multiple entries may be used for
additional calibrations at other times. See C.7.5.1.1.1 for
further explanation.

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 IOD Details, SOP Common – C.12.1

Attribute Name Tag T Attribute Description Varian System Database

> Time of Last (0018,1201) 3 Time when the image acquisition device calibration was *** not supported ***
Calibration last changed in any way. Multiple entries may be used.
See C.7.5.1.1.1 for further explanation.
> Contribution Date (0018,A002) 3 The Date & Time when the equipment contributed to the *** not supported ***
Time composite instance.
> Contribution (0018,A003) 3 Description of the contribution the equipment made to the *** not supported ***
Description composite instance.
Instance Number (0020,0013) 3 A number that identifies this Composite object instance. *** not supported ***
SOP Instance (0100,0410) 3 A flag that indicates the storage status of the SOP *** not supported ***
Status Instance. Not Specified (NS) implies that this SOP
Instance has no special storage status, and hence no
special actions need be taken. Original (OR) implies that
this is the primary SOP instance for the purpose of
storage, but that it has not yet been authorized for
diagnostic use. Authorized Original (AO) implies that this
is the primary SOP instance for the purpose of storage,
which has been authorized for diagnostic use. Any copies
of an Authorized Original should be given the status of
Authorized Copy. Authorized Copy (AC) implies that this
is a copy of an Authorized Original SOP Instance.
Enumerated Values:
NS, OR, AO, AC
Note:
Proper use of these flags is specified in Security Profiles.
Implementations that do not conform to such Security
Profiles may not necessarily handle these flags properly.
SOP Authorization (0100,0420) 3 The date and time when the SOP Instance Status *** not supported ***
Date and Time (0100,0410) was set to AO.
SOP Authorization (0100,0424) 3 Any comments associated with the setting of the SOP *** not supported ***
Comment Instance Status (0100,0410) to AO.
Authorization (0100,0426) 3 The certification number issued to the Application Entity *** not supported ***
Equipment that set the SOP Instance Status (0100,0410) to AO.
Certification Number

Varian System Server DICOM Conformance Statement, VA8804D3CS 381 of 410

IOD Details, SOP Common – C.12.1

Attribute Name Tag T Attribute Description Varian System Database

MAC Parameters (4FFE,0001) 3 A sequence of one or more items that describe the *** not supported ***
Sequence parameters used to calculate a MAC for use in Digital
Signatures.
> MAC ID Number (0400,0005) 1 A number used to identify this MAC Parameters *** not supported ***
Sequence item.
> MAC Calculation (0400,0010) 1 The Transfer Syntax UID used to encode the values of *** not supported ***
Transfer Syntax UID the Data Elements included in the MAC calculation. Only
Transfer Syntaxes that explicitly include the VR and use
Little Endian encoding shall be used. Notes:
Certain Transfer Syntaxes, particularly those that are
used with compressed data, allow the fragmentation of
the pixel data to change. If such fragmentation changes,
Digital Signatures generated with such Transfer Syntaxes
could become invalid.
> MAC Algorithm (0400,0015) 1 The algorithm used in generating the MAC to be *** not supported ***
encrypted to form the Digital Signature. Defined Terms:
RIPEMD160
MD5
SHA1. Note: Digital Signature Security Profiles (see PS
3.15) may require the use of a restricted subset of these
terms.
> Data Elements (0400,0020) 1 A list of Data Element Tags in the order they appear in *** not supported ***
Signed the Data Set which identify the Data Elements used in
creating the MAC for the Digital Signature. See Section
C.12.1.1.3.1.1.
Digital Signatures (FFFA,FFFA) 3 Sequence holding one or more Digital Signatures. *** not supported ***
Sequence
> MAC ID Number (0400,0005) 1 A number used to identify which MAC Parameters *** not supported ***
Sequence item was used in the calculation of this Digital
Signature.
> Digital Signature (0400,0100) 1 A UID that can be used to uniquely reference this *** not supported ***
UID signature.

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 IOD Details, SOP Common – C.12.1

Attribute Name Tag T Attribute Description Varian System Database

> Digital Signature (0400,0105) 1 The date and time the Digital Signature was created. The *** not supported ***
DateTime time shall include an offset (i.e., time zone indication)
from Coordinated Universal Time.
Note: This is not a certified timestamp, and hence is not
completely verifiable. An application can compare this
date and time with those of other signatures and the
validity date of the certificate to gain confidence in the
veracity of this date and time.
> Certificate Type (0400,0110) 1 The type of certificate used in (0400,0115). Defined *** not supported ***
Term: X509_1993_SIG Note: Digital Signature Security
Profiles (see PS 3.15) may require the use of a restricted
subset of these terms.
> Certificate of (0400,0115) 1 A certificate that holds the identity of the entity producing *** not supported ***
Signer this Digital Signature, that entity's public key or key
identifier, and the algorithm and associated parameters
with which that public key is to be used. Algorithms
allowed are specified in Digital Signature Security Profiles
(see PS 3.15). Notes:
1. As technology advances, additional encryption
algorithms may be allowed in future versions.
Implementations should take this possibility into account.
2. When symmetric encryption is used, the certificate
merely identifies which key was used by which entity, but
not the actual key itself. Some other means (e.g., a
trusted third party) must be used to obtain the key.
> Signature (0400,0120) 1 The MAC generated as described in Section 12.2.1.1 and *** not supported ***
encrypted using the algorithm, parameters, and private
key associated with the Certificate of the Signer
(0400,0115). See Section C.12.1.1.3.1.2.

Varian System Server DICOM Conformance Statement, VA8804D3CS 383 of 410

IOD Details, SOP Common – C.12.1

Attribute Name Tag T Attribute Description Varian System Database

> Certified (0400,0305) 1C The type of certified timestamp used in the Certified *** not supported ***
Timestamp Type Timestamp (0400,0310) Attribute. Required if Certified
Timestamp (0400,0310) is present. Defined Terms:
CMS_TSP û Internet X.509 Public Key Infrastructure
Time Stamp Protocol Note: Digital Signature Security
Profiles (see PS 3.15) may require the use of a restricted
subset of these terms.
> Certified (0400,0310) 3 A certified timestamp of the Digital Signature (0400,0120) *** not supported ***
Timestamp Attribute Value, which shall be obtained when the Digital
Signature is created. See Section C.12.1.1.3.1.3.
Encrypted Attributes (0400,0500) 1C Sequence of Items containing encrypted DICOM data. *** not supported ***
Sequence One or more Items shall be present. Required if
application level confidentiality is needed and certain
recipients are allowed to decrypt all or portions of the
Encrypted Attributes Data Set. See C.12.1.1.4.1.
> Encrypted (0400,0510) 1 Transfer Syntax used to encode the encrypted content. *** not supported ***
Content Transfer Only Transfer Syntaxes that explicitly include the VR and
Syntax UID use Little Endian encoding shall be used.
> Encrypted (0400,0520) 1 Encrypted data. See C.12.1.1.4.2. *** not supported ***
Content
HL7 Structured (0040,A390) 1C Sequence of items defining mapping and/or access *** not supported ***
Document mechanism for HL7 Structured Documents referenced
Reference from the current SOP Instance. One or more Items may
Sequence be included in this sequence. See C.12.1.1.6.
Required if HL7 Structured Documents are referenced
within the Instance.
> Referenced SOP (0008,1150) 1 Unique identifier for the class of HL7 Structured *** not supported ***
Class UID Document.
> Referenced SOP (0008,1155) 1 Unique identifier for the HL7 Structured Document as *** not supported ***
Instance UID used in DICOM instance references.

384 of 410 Varian System Server DICOM Conformance Statement, VA8804D3CS

 IOD Details, Common Instance Reference – C.12.2

Attribute Name Tag T Attribute Description Varian System Database

> HL7 Instance (0040,E001) 1 Instance Identifier of the referenced HL7 Structured *** not supported ***
Identifier Document, encoded as a UID (OID or UUID),
concatenated with a caret ("^") and Extension value (if
Extension is present in Instance Identifier).
> Retrieve URI (0040,E010) 3 Retrieval access path to HL7 Structured Document. *** not supported ***
Includes fully specified scheme, authority, path, and
query in accordance with RFC 2396

C.2.50 Common Instance Reference – C.12.2

Attribute Name Tag T Attribute Description Varian System Database

Referenced Series (0008,1115) 1 Sequence of Items each of which includes the Attributes
Sequence of one Series. One or more Items shall be present.
> Series Instance (0020,000E) 1 Unique identifier of the Series containing the referenced Import/Export supported.
UID Instances. Only referenced images are handled.
> Referenced (0008,114A) 1 Sequence of Items each providing a reference to an
Instance Sequence Instance that is part of the Series defined by Series
Instance UID (0020,000E) in the enclosing Item. One or
more Items shall be present.
>> Referenced SOP (0008,1150) 1 Uniquely identifies the referenced SOP Class. Import/Export supported.
Class UID Only referenced images are handled.
>> Referenced SOP (0008,1155) 1 Uniquely identifies the referenced SOP Instance. Import/Export supported.
Instance UID Only referenced images are handled.
Studies Containing (0008,1200) 1C Sequence of items each identifying a Study other than
Other Referenced the Study of which this Instance is a part, which Studies
Instances contain Instances that are referenced elsewhere in this
Instance. One or more Items shall be present. Required if
this Instance references Instances in other Studies.

Varian System Server DICOM Conformance Statement, VA8804D3CS 385 of 410

IOD Details, Spatial Registration Series – C.20.1

Attribute Name Tag T Attribute Description Varian System Database

> Study Instance (0020,000D) 1 Unique identifier of the Study containing the referenced Import/Export supported.
UID Instances. Only referenced images are handled.
> Referenced (0008,1115) 1 Sequence of Items each of which includes the Attributes
Series Sequence of one Series. One or more Items shall be present.
>> Series Instance (0020,000E) 1 Unique identifier of the Series containing the referenced Import/Export supported.
UID Instances. Only referenced images are handled.
>> Referenced (0008,114A) 1 Sequence of Items each providing a reference to an
Instance Sequence Instance that is part of the Series defined by Series
Instance UID (0020,000E) in the enclosing Item. One or
more Items shall be present.
>>> Referenced (0008,1150) 1 Uniquely identifies the referenced SOP Class. Import/Export supported.
SOP Class UID Only referenced images are handled.
>>> Referenced (0008,1155) 1 Uniquely identifies the referenced SOP Instance. Import/Export supported.
SOP Instance UID Only referenced images are handled.

C.2.51 Spatial Registration Series – C.20.1

Attribute Name Tag T Attribute Description Varian System Database

Modality (0008,0060) 1 Modality type. Import/Export supported.

Enumerated Value:
REG

C.2.52 Spatial Registration – C.20.2

Attribute Name Tag T Attribute Description Varian System Database

Content Date (0008,0023) 1 The date the content creation started. Import/Export supported.

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 IOD Details, Spatial Registration – C.20.2

Attribute Name Tag T Attribute Description Varian System Database

Content Time (0008,0033) 1 The time the content creation started. Import/Export supported.
Instance Number (0020,0013) 1 A number that identifies this instance Import/Export supported.
Content Label (0070,0080) 1 A label that is used to identify this registration. Import/Export supported.
Content Description (0070,0081) 2 A description of this registration. Import/Export supported.
Content Creator’s (0070,0084) 2 Name of operator performing the registration (such as a Import/Export supported.
Name technologist or physician).
Registration (0070,0308) 1 A sequence of one or more registration items. Each item
Sequence defines a spatial registration to the referenced images in
that item. All referenced images are in the same spatial
frame of reference or atlas.
> Frame of (0020,0052) 1C Identifies a Frame of Reference that may or may not be Import/Export supported.
Reference UID an image set (e.g. atlas or physical space). See
C.7.4.1.1.1 for further explanation. Required if
Referenced Image Sequence (0008,1140) is absent. May
be present otherwise.
> Referenced Image (0008,1140) 1C Identifies the set of images registered in this sequence
Sequence item. One or more items shall be present. Required if
Frame of Reference UID (0020,0052) is absent. May be
present otherwise.
>> Referenced SOP (0008,1150) 1 Uniquely identifies the referenced SOP Class. Import/Export supported.
Class UID
>> Referenced SOP (0008,1155) 1 Uniquely identifies the referenced SOP Instance. Import/Export supported.
Instance UID
>> Referenced (0008,1160) 1 Identifies the frame numbers within the Referenced SOP *** not supported ***
Frame Number Instance to which the reference applies. The first frame
shall be denoted as frame number 1.
Note: This Attribute may be multi-valued.
Required if the Referenced SOP Instance is a multi-frame
image and the reference does not apply to all frames.

Varian System Server DICOM Conformance Statement, VA8804D3CS 387 of 410

IOD Details, Spatial Registration – C.20.2

Attribute Name Tag T Attribute Description Varian System Database

> Matrix (0070,0309) 1 A sequence that specifies one spatial registration. Exactly
Registration one item shall be present
Sequence
>> Frame of (3006,00C8) 3 User description or comments about the Transformation Import/Export supported.
Reference Comment registration.
Transformation
Comment
>> Registration (0070,030D) 2 Describes the information input into the registration
Type Code process. Only one item may be present.
Sequence
>>> Code Value (0008,0100) 1C See Section 8.1. Required if a sequence item is present. Import/Export supported.
>>> Coding (0008,0102) 1C See Section 8.2. Required if a sequence item is present. Import/Export supported.
Scheme Designator
>>> Coding (0008,0103) 1C See Section 8.2. Required if a sequence item is present Import/Export supported.
Scheme Version and the value of Coding Scheme Designator (0008,0102)
is not sufficient to identify the Code Value (0008,0100)
unambiguously.
>>> Code Meaning (0008,0104) 1C See Section 8.3. Required if a sequence item is present. Import/Export supported.
>> Matrix Sequence (0070,030A) 1 One or more items shall be present. Each item specifies Import/Export supported. Internal
a transformation. The item order is significant and representation is different from
corresponds to matrix multiplication order. See DICOM.
C.20.2.1.1. Import: Zero or more items are
accepted.
Export: Always one item is exported
which incorporates the combination of
all matrices of the original sequence.
>>> Frame of (3006,00C6) 1 A 4x4 homogeneous transformation matrix that registers Import/Export supported.
Reference the referenced images to the local RCS. Matrix elements
Transformation shall be listed in row-major order. See C.20.2.1.1.
Matrix

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 IOD Details, Extended Interface – Private

Attribute Name Tag T Attribute Description Varian System Database

>>> Frame of (0070,030C) 1 Type of Frame of Reference Transformation Matrix Import/Export supported.
Reference (3006,00C6). Import: Rejected if not RIGID.
Transformation Defined terms: Export: RIGID
Matrix Type
RIGID
RIGID_SCALE
AFFINE
See C.20.2.1.2
>> Registration Sub (3275,XX00) 3 Identifies the application or application context in which Import/Export supported.
Type this registration object has been created.
> Used Fiducials (0070,0314) 3 The fiducials used to determine the Frame of Reference *** DICOM validation only ***
Sequence Transformation Matrix. One or more Items may be
present.
>> Fiducial UID (0070,031A) 1 The UID that identifies the fiducial used as registration *** DICOM validation only ***
input.

C.2.53 Extended Interface – Private

Attribute Name Tag T Attribute Description Varian System Database

Extended Interface (3253,XX02) 1 Identifier string defining format of Extended Interface Import/Export supported. Internal
Format Data (3253,xx00). Applications should be able to representation is different from
unambiguously map this string to an XML schema DICOM.
definition. RT Plan and RT Ion Plan may contain
following value "ExtendedIF".
Extended Interface (3253,XX00) 1 Contains private extensions as an XML stream. Schema
Data of XML is defined by Extended Interface Format
(3253,xx02).
Extended Interface (3253,XX01) 1 Length of XML stream contained in Extended Interface
Length Data (3253,xx00). Usually is equal to attribute length of
Extended Interface Data (3253,xx00) if length is even and
is one less than attribute length if length is odd.

Varian System Server DICOM Conformance Statement, VA8804D3CS 389 of 410

IOD Details, Tolerance – Private

C.2.54 Tolerance – Private

Attribute Name Tag T Attribute Description Varian System Database

Tolerance Channel (3283,XX10) 1 Sequence of one or more items. Exactly one item shall Roundtrip supported.
Sequence be present per channel (see C.10.9.1.4).
> Tolerance (3283,XX11) 1 Identification number of the Tolerance Channel. The Roundtrip supported.
Channel Number value of Tolerance Channel Number (3283,xx11) shall be
unique within the Tracking Waveform or Tracking
Protocol in which it is created.
> Channel Label (003A,0203) 3 Text label for channel which may be used for display Roundtrip supported.
purposes
> Channel (3283,XX40) 3 A coded descriptor of the waveform channel (metric). Roundtrip supported.
Identification Only a single item shall be permitted in this sequence.
Sequence
>> Code Value (0008,0100) 1 See Section 8.1. Required if a sequence item is present. Roundtrip supported.
>> Coding Scheme (0008,0102) 1 See Section 8.2. Required if a sequence item is present. Roundtrip supported.
Designator
>> Coding Scheme (0008,0103) 1C See Section 8.2. Required if a sequence item is present Roundtrip supported.
Version and the value of Coding Scheme Designator (0008,0102)
is not sufficient to identify the Code Value (0008,0100)
unambiguously.
>> Code Meaning (0008,0104) 1 See Section 8.3. Required if a sequence item is present. Roundtrip supported.
> Channel (3283,XX41) 3 Sequence of one or more Items which further qualify the Roundtrip supported.
Identification waveform channel. Required if Channel Identification
Modifiers Sequence Sequence (3283,xx40) does not fully specify the
semantics of the channel. Ordering of items in this
sequence may be semantically significant.
>> Code Value (0008,0100) 1 See Section 8.1. Required if a sequence item is present. Roundtrip supported.
>> Coding Scheme (0008,0102) 1 See Section 8.2. Required if a sequence item is present. Roundtrip supported.
Designator

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 IOD Details, Tolerance – Private

Attribute Name Tag T Attribute Description Varian System Database

>> Coding Scheme (0008,0103) 1C See Section 8.2. Required if a sequence item is present Roundtrip supported.
Version and the value of Coding Scheme Designator (0008,0102)
is not sufficient to identify the Code Value (0008,0100)
unambiguously.
>> Code Meaning (0008,0104) 1 See Section 8.3. Required if a sequence item is present. Roundtrip supported.
> Signal Source (3283,XX42) 3 Denotes the type of the device which is used to track. Roundtrip supported.
Type This type is the same as the value of the tag Respiratory
Signal Source (0018,9171) in the RT Motion
Synchronization Sequence in the Patient Setup Module in
the RT Plan IOD.
> Signal Source ID (3283,XX0B) 3 The id of the device which is used to track. This id is the Roundtrip supported.
same as the Respiratory Signal Source ID (300A,xxxx) in
the RT Motion Synchronization Sequence in the Patient
Setup Module in the RT Plan IOD, if present there.
> Tracked Object Id (3283,XX43) 3 Additional identifier that can be used to distinguish Roundtrip supported.
tracking channels of multiple targets (e.g. multiple seeds)
whose position/orientation is tracked individually but at
the same time.
> Channel (003A,0210) 1C Nominal numeric value of unit quantity of sample. Roundtrip supported.
Sensitivity Required if samples represent defined (not arbitrary)
units.
> Channel (003A,0211) 1C A coded descriptor of the Units of measure for the Roundtrip supported.
Sensitivity Units Channel Sensitivity. Only a single Item shall be permitted
Sequence in this sequence. (see C.10.9.1.4.2) Required if Channel
Sensitivity (003A,0210) is present.
>> Code Value (0008,0100) 1 See Section 8.1. Required if a sequence item is present. Roundtrip supported.
>> Coding Scheme (0008,0102) 1 See Section 8.2. Required if a sequence item is present. Roundtrip supported.
Designator
>> Coding Scheme (0008,0103) 1C See Section 8.2. Required if a sequence item is present Roundtrip supported.
Version and the value of Coding Scheme Designator (0008,0102)
is not sufficient to identify the Code Value (0008,0100)
unambiguously.

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IOD Details, Tolerance – Private

Attribute Name Tag T Attribute Description Varian System Database

>> Code Meaning (0008,0104) 1 See Section 8.3. Required if a sequence item is present. Roundtrip supported.
> Channel (003A,0212) 1C Multiplier to be applied to encoded sample values to Roundtrip supported.
Sensitivity match units specified in Channel Sensitivity (003A,0210)
Correction Factor (e.g., based on calibration data) (see C.10.9.1.4.2)
Required if Channel Sensitivity (003A,0210) is present.
> Channel Baseline (003A,0213) 1C Offset of encoded sample value 0 from actual 0 using the Roundtrip supported.
units defined in the Channel Sensitivity Units Sequence
(003A,0211). Required if Channel Sensitivity (003A,0210)
is present.
Threshold (3283,XX20) 3 Sequence containing tolerances that are constant over Roundtrip supported.
Sequence time/phase.
> Referenced (3283,XX21) 1 Uniquely identifies the tolerance channel specified by Roundtrip supported.
Tolerance Channel Tolerance Channel Number (3283,xx11) in Tolerance
Number Channel Sequence (3283,xx10) in Tolerance Module.
> Threshold Group (3283,XX22) 1C Used to group two or more channels in a multiplex group Roundtrip supported.
Number together. (See Note 4)
Required if there are two or more tolerance channels in
the same multiplex group having the same channel
identification and modifiers.
> Threshold Value (3283,XX23) 1 The tolerance threshold value. Roundtrip supported.
> Threshold Type (3283,XX24) 1 A coded descriptor of the type of the threshold. Roundtrip supported.
Sequence
>> Code Value (0008,0100) 1 See Section 8.1. Required if a sequence item is present. Roundtrip supported.
>> Coding Scheme (0008,0102) 1 See Section 8.2. Required if a sequence item is present. Roundtrip supported.
Designator
>> Coding Scheme (0008,0103) 1C See Section 8.2. Required if a sequence item is present Roundtrip supported.
Version and the value of Coding Scheme Designator (0008,0102)
is not sufficient to identify the Code Value (0008,0100)
unambiguously.
>> Code Meaning (0008,0104) 1 See Section 8.3. Required if a sequence item is present. Roundtrip supported.

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 IOD Details, Tolerance – Private

Attribute Name Tag T Attribute Description Varian System Database

> Relative (3283,XX25) 1C Term that identifies relative to which point a relative Roundtrip supported.
Reference Value threshold is defined (see note 1).
Type Required only for thresholds where the Threshold Type
Sequence (3283,xx24) contains the term
RelativeThreshold.
Defined Terms:
ABSMIN - the smallest value in the waveform
ABSMAX - the largest value in the waveform
CALCMIN - A calculated minimal value over a certain
time
CALCMAX - A calculated maximal value over a certain
time
CALCAVG - A calculated average value over a certain
time
VIRTISO - the position of the virtual isocenter (position of
isocenter in respect to planned field aperture applied to
actual field aperture position)
REFPHASE - the reference phase
REFCURVE - the value of the reference curv e at the
current phase position
> Detected Relative (3283,XX26) 3 Position of the point identified in Relative Reference Roundtrip supported.
Reference Value Value Type. Set only if value can be retrieved
unambiguously from existing waveform data (i.e. only set
in a Tracking Waveform IOD). (see note 1)
> Relative (3283,XX27) 3 Offset between the position to which the threshold is Roundtrip supported.
Reference Value related to and the point identified in Relative Reference
Offset Value Type.
> Referenced Beam (300C,0004) 3 Sequence containing zero or more items representing the Roundtrip supported.
Sequence beams where this threshold applies. If not present, the
threshold apply to all beams of the referenced plan.

Varian System Server DICOM Conformance Statement, VA8804D3CS 393 of 410

IOD Details, Tolerance – Private

Attribute Name Tag T Attribute Description Varian System Database

>> Referenced (300C,0006) 1 Uniquely identifies the corresponding treatment beam Roundtrip supported.
Beam Number specified by Beam Number (300A,00C0) within Beam
Sequence in RT Beams Module within the RT Plan
referenced by Referenced SOP Instance UID
(0008,1155) in the Referenced Instance Sequence
(0008,114A) in the Waveform Identification module.
Tolerance Region (3283,XX30) 3 Sequence containing tolerance curves. Roundtrip supported.
Sequence
> Multiplex Group (3283,XX31) 1 Identification Number of Multiplex Group. Roundtrip supported.
Number
> Multiplex Group (003A,0020) 3 Label for multiplex group. Roundtrip supported.
Label
> Multiplex Group (3283,XX32) 1 Offset time/phase from a reference time/phase (see note Roundtrip supported.
Offset 1).
In milliseconds if Sample Domain is Time, In radian if
Sample Domain is Phase.
> Number of (3283,XX33) 3 Number of samples per channel in this multiplex group. Roundtrip supported.
Tolerance Samples
> Sample Domain (3283,XX34) 3 Domain of the samples (See Note 2). Roundtrip supported.
Defined terms:
Time
Phase
> Sampling (3283,XX35) 3 Frequency in Hz if Sample Domain is Time, Frequency in Roundtrip supported.
Frequency sample per radian if Sample Domain is Phase.
> Number of (3283,XX36) 3 Number of channels for this multiplex group. Roundtrip supported.
Tolerance Channels
> Referenced (3283,XX37) 1 Sequence of one or more Items, with one Item per Roundtrip supported.
Channel Sequence channel (see C.10.9.1.4). Ordering of Items in this
Sequence is significant for reference to specific channels.

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 IOD Details, Tolerance – Private

Attribute Name Tag T Attribute Description Varian System Database

>> Referenced (3283,XX21) 1 Uniquely identifies the tolerance channel specified by Roundtrip supported.
Tolerance Channel Tolerance Channel Number (3283,xx10) in Tolerance
Number Channel Sequence (3283,xx11) in Tolerance Module.
>> Threshold Group (3283,XX22) 1C Used to group two or more channels in a multiplex group Roundtrip supported.
Number together (see Note 4).
Required if there are two or more tolerance channels in
the same multiplex group having the same channel
identification and modifiers.
>> Channel Time (003A,0214) 1C Offset of first sample of channel from waveform multiplex Roundtrip supported.
Skew group start time, in seconds (see C.10.9.1.4.3). Required
if Channel Sample Skew is not present.
>> Channel Sample (003A,0215) 1C Offset of first sample of channel from waveform multiplex Roundtrip supported.
Skew group start time, in samples (see C.10.9.1.4.3). Required
if Channel Time Skew is not present.
>> Channel Offset (003A,0218) 3 Additional offset of first sample of channel to be used in Roundtrip supported.
aligning multiple channels for presentation or analysis, in
seconds (see C.10.9.1.4.3).
>> Waveform Bits (003A,021A) 1 Number of significant bits within the waveform samples Roundtrip supported.
Stored (see C.10.9.1.4.4).
>> Channel (5400,0110) 3 Minimum valid sample value as limited by the acquisition Roundtrip supported.
Minimum Value OB equipment (see C.10.9.1.4.5).
or OW
>> Channel (5400,0112) 3 Maximum valid sample value as limited by the acquisition Roundtrip supported.
Maximum Value OB equipment (see C.10.9.1.4.5).
or OW
>> Threshold Type (3283,XX24) 1 A coded descriptor of the type of the threshold. Roundtrip supported.
Sequence
>>> Code Value (0008,0100) 1 See Section 8.1. Required if a sequence item is present. Roundtrip supported.
>>> Coding (0008,0102) 1 See Section 8.2. Required if a sequence item is present. Roundtrip supported.
Scheme Designator

Varian System Server DICOM Conformance Statement, VA8804D3CS 395 of 410

IOD Details, Tolerance – Private

Attribute Name Tag T Attribute Description Varian System Database

>>> Coding (0008,0103) 1C See Section 8.2. Required if a sequence item is present Roundtrip supported.
Scheme Version and the value of Coding Scheme Designator (0008,0102)
is not sufficient to identify the Code Value (0008,0100)
unambiguously.
>>> Code Meaning (0008,0104) 1 See Section 8.3. Required if a sequence item is present. Roundtrip supported.
>> Relative (3283,XX25) 1C Term that identifies relative to which point a relative Roundtrip supported.
Reference Value threshold is defined (see note 1).
Type Required only for thresholds where the Threshold Type
Sequence (3283,xx24) contains the term
RelativeThreshold.
Defined Terms:
ABSMIN - the smallest value in the waveform
ABSMAX - the largest value in the waveform
CALCMIN - A calculated minimal value over a certain
time
CALCMAX - A calculated maximal value over a certain
time
CALCAVG - A calculated average value over a certain
time
VIRTISO - the position of the virtual isocenter (position of
isocenter in respect to planned field aperture applied to
actual field aperture position)
REFPHASE - the reference phase
REFCURVE - the value of the reference curv e at the
current phase position
>> Detected (3283,XX26) 3 Position of the point identified in Relative Reference Roundtrip supported.
Relative Reference Value Type. Set only if value can be retrieved
Value unambiguously from existing waveform data (i.e. only set
in a Tracking Waveform IOD). (see note 3)
>> Relative (3283,XX27) 3 Offset between the position to which the threshold is Roundtrip supported.
Reference Value related to and the point identified in Relative Reference
Offset Value Type.

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 IOD Details, Motion Management Protocol – Private

Attribute Name Tag T Attribute Description Varian System Database

>> Referenced (300C,0004) 3 Sequence containing zero or more items representing the Roundtrip supported.
Beam Sequence beams where this threshold applies. If not present, the
threshold apply to all beams of the referenced plan.
>>> Referenced (300C,0006) 1 Uniquely identifies the corresponding treatment beam Roundtrip supported.
Beam Number specified by Beam Number (300A,00C0) within Beam
Sequence in RT Beams Module within the RT Plan
referenced by Referenced SOP Instance UID
(0008,1155) in the Referenced Instance Sequence
(0008,114A) in the Waveform Identification module.
> Waveform Bits (5400,1004) 1 Size of each waveform data sample within the Waveform Roundtrip supported.
Allocated Data (see C.10.9.1.5).
> Waveform Sample (5400,1006) 1 Data representation of the waveform data points (see Roundtrip supported.
Interpretation C.10.9.1.5).
> Waveform (5400,100A) 1C Value of waveform samples inserted in channels when Roundtrip supported.
Padding Value input is absent or invalid. Required if acquisition
equipment inserts padding (see C.10.9.1.6).
> Waveform Data (5400,1010) 1 Encoded tolerance data samples for multiplexed channel Roundtrip supported.
OB or OW (see section C.10.9.1.7).

C.2.55 Motion Management Protocol – Private

Complete roundtrip, covering all attributes of this module, is guaranteed for IODs listed below. Other IODs have roundtrip capabilities as specified
on attribute level.
• Motion Management Protocol
• Motion Management Waveform

Attribute Name Tag T Attribute Description Varian System Database

Patient Position (0018,5100) 1 Planned respectively acquired Patient position relative to *** not supported ***
the equipment. See Section C.7.3.1.1.2 in Standard PS
3.3 for Defined Terms and further explanation.

Varian System Server DICOM Conformance Statement, VA8804D3CS 397 of 410

IOD Details, Motion Management Protocol – Private

Attribute Name Tag T Attribute Description Varian System Database

Table Top Vertical (300A,0128) 3 Table Top Vertical position in IEC TABLE TOP *** not supported ***
Position coordinate system (mm).
Table Top (300A,0129) 3 Table Top Longitudinal position in IEC TABLE TOP *** not supported ***
Longitudinal coordinate system (mm).
Position
Table Top Lateral (300A,012A) 3 Table Top Lateral position in IEC TABLE TOP coordinate *** not supported ***
Position system (mm).
Patient Support (300A,0122) 3 Patient Support angle, i.e. orientation of IEC PATIENT *** not supported ***
Angle SUPPORT (turntable) coordinate system with respect to
IEC FIXED REFERENCE coordinate system (degrees).
Table Top Pitch (3243,XX17) 3 Table Top Pitch Angle, i.e. the rotation of the IEC TABLE *** not supported ***
Angle TOP coordinate system about the X-axis of the IEC
TABLE TOP coordinate system (degrees).
Table Top Roll (3243,XX16) 3 Table Top Roll Angle, i.e. the rotation of the IEC TABLE *** not supported ***
Angle TOP coordinate system about the Y-axis of the IEC
TABLE TOP coordinate system (degrees).
Visual Coaching (3283,XX00) 1 Defined Terms: Roundtrip supported.
Type OFF
MANUAL
AUTOMATIC
Audio Coaching (3283,XX01) 1 Defined Terms: Roundtrip supported.
Type OFF
MANUAL
AUTOMATIC
Coaching Language (3283,XX02) 1C Language of audio coaching. Zero or one item may be Roundtrip supported.
Code Sequence included in the sequence.
Required to have one item if Audio Coaching Type (3283,
xx01) is MANUAL or AUTOMATIC.
> Code Value (0008,0100) 1 See Section 8.1. Required if a sequence item is present. Roundtrip supported.

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 IOD Details, Motion Management Protocol – Private

Attribute Name Tag T Attribute Description Varian System Database

> Coding Scheme (0008,0102) 1 See Section 8.2. Required if a sequence item is present. Roundtrip supported.
Designator
> Coding Scheme (0008,0103) 1C See Section 8.2. Required if a sequence item is present Roundtrip supported.
Version and the value of Coding Scheme Designator (0008,0102)
is not sufficient to identify the Code Value (0008,0100)
unambiguously.
> Code Meaning (0008,0104) 1 See Section 8.3. Required if a sequence item is present. Roundtrip supported.
Voice Type (3283,XX03) 3 Voice type of audio coaching. Roundtrip supported.
Enumerated Values:
FEMALE
MALE
Coaching Display (3283,XX04) 1C Display type of visual coaching. Roundtrip supported.
Type Defined Terms:
SLIDER
DYNAMICDISPLAY
Required if Visual Coaching Type (3283, xx00) is
MANUAL or AUTOMATIC.
Breathing (3283,XX05) 1 Enumerated Values: Roundtrip supported.
Technique FREEBREATHING
BREATHHOLD
Inhale Period (3283,XX06) 1C The inhale period used for coaching (in seconds). Roundtrip supported.
Required if:
Audio Coaching Type (3283, xx01) is MANUAL
or
Audio Coaching Type (3283, xx01) is AUTOMATIC and
Coaching Display Type (3283,xx04) is
DYNAMICDISPLAY

Varian System Server DICOM Conformance Statement, VA8804D3CS 399 of 410

IOD Details, Motion Management Protocol – Private

Attribute Name Tag T Attribute Description Varian System Database

Exhale Period (3283,XX07) 1C The inhale period used for coaching (in seconds). Roundtrip supported.
Required if:
Audio Coaching Type (3283, xx01) is MANUAL
or
Audio Coaching Type (3283, xx01) is AUTOMATIC and
Coaching Display Type (3283,xx04) is
DYNAMICDISPLAY
Breathhold Period (3283,XX08) 1C The period during which the patient should hold his Roundtrip supported.
breath, from end of inhale period until beginning of exhale
period (in seconds).
Required for coaching if Breathing Technique
(3283,xx05) is BREATHHOLD.
Motion Range (3283,XX09) 3 The motion range used for visual coaching (in mm). This Roundtrip supported.
is the difference between maximal Inhale and maximal
Exhale vertical position.
Required if Visual Coaching Type (3283, xx00) is
MANUAL.
Beam On Delay (3283,XX0D) 1C Beam on delay (in seconds) which is used to debounce Roundtrip supported.
the beam on signal.
Required for coaching if Breathing Technique
(3283,xx05) is BREATHHOLD.
Signal Source (3283,XX0A) 3 Sequence of one or more items identifying the source of Roundtrip supported.
Sequence the signal.
> Signal Source ID (3283,XX0B) 1 The identifier of the device or system that provides the Roundtrip supported.
signal.
Reference Curve (3283,XX0C) 3 Sequence of one or more items, containing a reference to
Sequence the Tracking Waveform which serves as a reference for
the gated treatment.
> Referenced SOP (0008,1150) 1 Uniquely identifies the referenced SOP Class. Import/Export supported.
Class UID Import: Rejected if not SOP Class UID
of Tracking Waveform (private).

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 IOD Details, Motion Management Protocol Series – Private

Attribute Name Tag T Attribute Description Varian System Database

> Referenced SOP (0008,1155) 1 Uniquely identifies the referenced SOP Instance. Import/Export supported.
Instance UID Import: Relation to referenced Tracking
Waveform is set up only if referended
Tracking Waveform is already present
in the Varian System Database.
> Referenced Beam (300C,0004) 3 Sequence containing zero or more items representing the
Sequence beams for which the above referenced Tracking
Waveform shall be the reference curve.
>> Referenced (300C,0006) 1 Uniquely identifies the corresponding treatment beam Import/Export supported.
Beam Number specified by Beam Number (300A,00C0) within Beam Import: Relation to referenced beam is
Sequence in RT Beams Module within the RT Plan set up only if referenced beam in plan
referenced by Referenced SOP Instance UID referenced by Referenced Instance
(0008,1155) in the Referenced Instance Sequence Sequence (0008,114A) of Waveform
(0008,114A) in the Waveform Identification module. Identification Module is already present
in the Varian System Database.

C.2.56 Motion Management Protocol Series – Private

Complete roundtrip, covering all attributes of this module, is guaranteed for IODs listed below. Other IODs have roundtrip capabilities as specified
on attribute level.
• Motion Management Protocol

Attribute Name Tag T Attribute Description Varian System Database

Modality (0008,0060) 1 Modality type. Import/Export supported.

Enumerated Value:
MOTIONMTPROTOCOL

Varian System Server DICOM Conformance Statement, VA8804D3CS 401 of 410

IOD Details, Motion Management Waveform Series – Private

C.2.57 Motion Management Waveform Series – Private

Complete roundtrip, covering all attributes of this module, is guaranteed for IODs listed below. Other IODs have roundtrip capabilities as specified
on attribute level.
• Motion Management Waveform

Attribute Name Tag T Attribute Description Handling

Modality (0008,0060) 1 Modality type. Import/Export supported.

Enumerated Value:
MOTIONMTWAVEFORM

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 Extended Interface

Appendix D Extended Interface

The following IODs have private Attributes containing an XML data structure for transporting structured non-DICOM data:
• RT Plan
• RT Ion Plan
• RT Beams Treatment Record
The following sections specify Attributes containing the XML data and describe the structure of the XML data.

D.1 RT Plan / RT Ion Plan

The XML data structure for RT Plan and RT Ion Plan IODs is contained in private Extended Interface Module which is optional in RT Plan and RT
Ion Plan IOD.
The structure of the XML data structure is described in the following table.
Column “Operational Mode” indicates the presence for certain XML nodes depending of the applications Operational Mode. All applications, except
Treatment Daemon (see [2]), always use ARIA 8.8 Operational Mode.
Legend for column “Operational Mode”:
 Attribute supported
 Attribute not supported
1) Present for Block, Compensator and empty Trays
1)* Present for empty Trays
2) Present only for empty Trays
Attributes not supported anymore in the Extended Interface XML data are covered by standard DICOM attributes.

Varian System Server DICOM Conformance Statement, VA8804D3CS 403 of 410

Extended Interface

Node Name Occurrence Data Node Description Operational Mode

Type
Min Max

ARIA 8.8 / QA
Vision 6.5

ARIA 8.0
ExtendedVAPlanInterface 0 1   
> Beams 0 1   
>> Beam 0 ∞   
>>> ReferencedBeamNumber 1 1 int Beam identifier   
>>> BeamExtension 1 1 Additional items provided from Vision to expand   
the features of RT Beams.
>>>> FieldType 1 1 string TREATMENT or SETUP   
>>>> RelatedTreatBeamNumber 0 1 int Relation from the image beams to the treatment   
and/or setup beams.
>>>> FieldOrder 1 1 int Order in which the fields are shown   
>>>> GantryRtnExtendedStart 0 1 int When true, gantry angle position is in the   
extended range, which means it has an over travel
(a Gantry can move most typical 400' and not only
360').
>>>> GantryRtnExtendedStop 0 1 int When true, gantry angle position is in the   
extended range, which means it has an over travel
(a Gantry can move most typical 400' and not only
360').
>>>> MUSubtraction 0 1 int MUSubtraction defines whether some MUs have   
to be subtracted from the related treatment beam
to take images in the before phase and/or after
phase.
>>>> FieldSetupPhotos 0 1   
>>>>> FieldSetupPhoto 0 2 Two setup photos max   

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 Extended Interface

Node Name Occurrence Data Node Description Operational Mode

Type
Min Max

ARIA 8.8 / QA
Vision 6.5

ARIA 8.0
>>>>>> SetupPhotoNumber 1 1 int Increasing number of setup photos. The value has   
to start from 1 and up.
>>>>>> SetupPhotoFormat 1 1 string The format of the pixel information. Supported   
values are 'JPG' and 'BMP'
>>>>>> SetupPhotoPicture 1 1 hex Pixel information of the photo in the corresponding   
binary format.
>>>>>> PhotoModified 1 1 string Photo has been modified.   
PhotoModified may have ‘true’ or ‘false’
>>>> CustomAddOns 0 1   
>>>>> CustomAddOn 0 4 1) 2) 
>>>>>> CustomAddOnType 1 1 string Three Add On Type to choose from: 1) 2) 
BLOCK
COMPENSATOR
TRAY
>>>>>> CustomCode 0 1 int Codes for accessory which may be custom made 1) 2) 
or factory made (in that case the internal code in
equal the custom code.)
>>>>>> ReferencedAddOnNumber 0 1 int Reference to the identification number of the Block 1) 2) 
or Compensator.
>>>>>> TraySpecification 0 1 In case the CustomAddOn is a tray, it gets 1)* 2) 
reported back through this node
>>>>>>> TrayID 1 1 string User-supplied identifier for tray. Max length is 16 1)* 2) 
characters.

Varian System Server DICOM Conformance Statement, VA8804D3CS 405 of 410

Extended Interface

Node Name Occurrence Data Node Description Operational Mode

Type
Min Max

ARIA 8.8 / QA
Vision 6.5

ARIA 8.0
>>>>>>> SourceTrayDistance 0 1 int The distance from source to slot. This information 1)* 2) 
is needed to distinguish the slot
> ToleranceTables 0 1   
>> ToleranceTable 0 ∞ Additional items provided from Vision to expand   
the features of Tolerance Tables with AutoSetup
capabilities
>>> ReferencedToleranceTableNumber 1 1 int Refers to the tolerance table in RT Tolerance   
Table module
>>> ToleranceTableExtension 1 1   
>>>> GantryRtnSetup 0 1 string Setup attributes may have following type:   
Automatic
Manual
Remote
>>>> CollRtnSetup 0 1 string   
>>>> CollXSetup 0 1 string   
>>>> CollYSetup 0 1 string   
>>>> PatientSupportAngleSetup 0 1 string   
>>>> CouchLngSetup 0 1 string   
>>>> CouchVrtSetup 0 1 string   
>>>> CouchLatSetup 0 1 string   
>>>> TableTopEccentricAngleSetup 0 1 string   
> DoseReferences 0 1   

406 of 410 Varian System Server DICOM Conformance Statement, VA8804D3CS

 Extended Interface

Node Name Occurrence Data Node Description Operational Mode

Type
Min Max

ARIA 8.8 / QA
Vision 6.5

ARIA 8.0
>> DoseReference 0 ∞   
>>> ReferencedDoseReferenceNumber 1 1 int Reference to the identification number of the Dose   
Reference (300A,0012) in the RT Prescription
module which is a representation of our reference
point
>>> DoseReferenceExtension 1 1 Additional items provided from Vision to expand   
the features of reference points.
>>>> DailyDoseLimit 0 1 decimal Unit is [Gy]   
>>>> SessionDoseLimit 0 1 decimal Unit is [Gy]   
>>>> Breakpoints 0 1   
>>>>> Breakpoint 0 ∞ Breakpoint extensions, since DICOM has just one   
DeliveryWarningDose without a description this is
needed.
>>>>>> BreakpointDose 1 1 decimal Unit is [Gy]   
>>>>>> BreakpointWarning 1 1 string Text which describes the breakpoint. Max length is   
254 characters

Table D-1: RT Plan / RT Ion Plan Extended Interface XML Structure

Varian System Server DICOM Conformance Statement, VA8804D3CS 407 of 410

Extended Interface

D.2 RT Beams Treatment Record

The XML data structure for RT Beams Session Record IOD is contained in RT Beams Session Record Module in private Treatment Session Beam
Data Attribute with tag (3261,102A).
The structure of the XML data structure is described in the following table.
Column “Operational Mode” indicates the presence for certain XML nodes depending of the applications Operational Mode. All applications, except
Treatment Daemon (see [2]), always use ARIA 8.8 Operational Mode.
Legend for column “Operational Mode”:
 Attribute supported
 Attribute not supported
Attributes not supported anymore in the Extended Interface XML data are covered by standard DICOM attributes.

Node Name Occurrence Data Node Description Operational Mode

Type
Min Max

ARIA 8.8 / QA
Vision 6.5

ARIA 8.0
RTBeamSessionRecordExtendedIF 0 1   
> DoseOverrides 0 1   
>> DoseOverride 0 ∞ There may be as many DoseOverride nodes as   
Reference Points.
>>> DoseOverrideType 1 1 string Type of dose overrides. Supported are:   
BREAKPOINT: Breakpoint dose limit overridden
DAILYDOSE: Daily dose limit overridden
SESSIONDOSE: Session dose limit overridden
TOTALDOSE:

408 of 410 Varian System Server DICOM Conformance Statement, VA8804D3CS

 Extended Interface

Node Name Occurrence Data Node Description Operational Mode

Type
Min Max

ARIA 8.8 / QA
Vision 6.5

ARIA 8.0
>>> Dose 0 1 decimal Contains the specific overridden/authorized dose   
for DoseOverrideType ‘BREAKPOINT’ at the
Reference Point referenced by Dose Reference
Number. Unit is [Gy]
>>> DoseReferenceNumber 1 1 non- References the Reference Point on which the   
negative dose was applied.
int
>>> OperatorsName 1 1 Operator Name who overrode/approved the   
specific doses.
>>>> FamilyName 0 1 string Max length is 64 characters.   
>>>> GivenName 0 1 string Max length is 64 characters   
>>>> MiddleName 0 1 string Max length is 64 characters   
>>>> Prefix 0 1 string Max length is 64 characters   
>>>> Suffix 0 1 string Max length is 64 characters   
> TraySpecifications 0 1   
>> TraySpecification 1 ∞ As many nodes as tray applied for the treated   
beam.
>>> TrayID 1 1 string That's the parameter which needs to be defined   
when a tray is defined/acquired. Max length is 16
characters
>>> SourceTrayDistance 0 1 int Radiation Source to attachment edge of tray   
assembly (mm).
> AdditionalOperators 0 1   

Varian System Server DICOM Conformance Statement, VA8804D3CS 409 of 410

Extended Interface

Node Name Occurrence Data Node Description Operational Mode

Type
Min Max

ARIA 8.8 / QA
Vision 6.5

ARIA 8.0
>> OperatorsName 1 2 If the ‘Show Sign Off Dialog’ is checked in   
ITAdmin -> MachineConfiguration -> Preferences,
the Sign Off Dialog will be shown after closing the
patient. Three OperatorsName may be entered in
this dialog. The first OperatorsName will be sent
through the standard attribute Operator Name
(0008,1070) in the RT Beams Session Record
module, the remaining two names if available will
be sent here in the Extended Interface
>>> FamilyName 0 1 string Max length is 64 characters.   
>>> GivenName 0 1 string Max length is 64 characters   
>>> MiddleName 0 1 string Max length is 64 characters   
>>> Prefix 0 1 string Max length is 64 characters   
>>> Suffix 0 1 string Max length is 64 characters   

Table D-2: RT Beams Treatment Record Extended Interface XML Structure

410 of 410 Varian System Server DICOM Conformance Statement, VA8804D3CS