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DICOM PS3 Series (NEMA / ISO 12052)

Digital Imaging and Communications in Medicine (DICOM)

SPEC // INSPECT: DICOM PS3 Series (NEMA / ISO 12052)REVIEWED: 2026-09-16
CATEGORYHealth IT Interoperability
JURISDICTIONINDUSTRY_CONSORTIUM
MANDATORY LEVELTECHNICAL_STANDARD
LIFECYCLE STATUSCURRENT
EXECUTIVE BRIEF SPECIFICATION PDFDISTRIBUTION LOCKED
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[AI // ARCHITECTURAL SUMMARY]

DICOM (Digital Imaging and Communications in Medicine) is the global standard for capturing, storing, transmitting, and viewing medical images across modalities (CT, MRI, PET, Ultrasound, X-Ray) and Picture Archiving and Communication Systems (PACS). It standardizes image data structures, rich clinical metadata headers, transfer syntaxes, and network protocols (C-STORE, C-FIND, C-MOVE, DICOMweb RESTful WADO-RS/STOW-RS).

Scope & Applicability

Applies to medical imaging modalities, PACS archives, diagnostic workstations, radiation therapy equipment, and cloud medical image analysis platforms.

Non-Coverage Boundaries

Does not define general clinical narrative documents (which use HL7 CDA/FHIR) or non-imaging electronic health records.

Key Clauses & Control Requirements

ps3-4-services

DICOM Service Class Specifications (DIMSE & DICOMweb)

Core operations: Storage (C-STORE), Query/Retrieve (C-FIND, C-MOVE, C-GET), and web RESTful endpoints (WADO-RS, STOW-RS, QIDO-RS).

ps3-10-media

Media Storage and File Format for Media Interchange

Standard file structure: 128-byte preamble, 'DICM' 4-byte prefix, and dataset tags with explicit/implicit Value Representations (VR).

[AUDIT // VERIFIABLE EVIDENCE CHECKLIST]

Required Regulatory & Audit Evidence Artifacts

  • [✓]Vendor DICOM Conformance Statement (DCS) detailing supported SOP Classes and Transfer Syntaxes
  • [✓]Network DICOM association negotiation and transfer logs
  • [✓]De-identification / Anonymization Profile validation test reports for clinical trials
[LEADERSHIP TAKEAWAY // CTO & VP OF ENGINEERING DIRECTIVE]
DICOM is not just a JPEG with metadata. It is a strict stateful network association protocol and clinical metadata schema. Dropped associations during large multi-slice transfers require resilient queue and retry architectures.
PRIMARY SOURCES & AUTHORITY

Frequently Asked Questions

What is a DICOM Conformance Statement (DCS)?

A formal technical document published by a vendor specifying exactly which DICOM Service Classes, Information Objects, and Transfer Syntaxes their software supports.