DICOM Attribute

Image and Fluoroscopy Area Dose Product (0018,115E)

Keyword
ImageAndFluoroscopyAreaDoseProduct
VR
DS
VM
1

Definition

X-Ray dose, measured in dGy*cm*cm, to which the patient was exposed for the acquisition of the entire Irradiation Event from which this image was reconstructed. All of the images reconstructed from the same Irradiation Event will have the same Value for this Attribute, which is the total for the Irradiation Event, which is repeated in each image, regardless of whether or not the Irradiation Event UID (0008,3010) is present with a Value in the . I.e., the values for each image should not be summed. The sum of the area dose products of all encoded Irradiation Events may not result in the total area dose product to which the patient was exposed. This may be an estimated value based on assumptions about the Patient’s body size and habitus. This value is required by .

From NEMA PS3.3 §C.8.2.1.

Attribute Metadata

Tag
(0018,115E)
Keyword
ImageAndFluoroscopyAreaDoseProduct
Name
Image and Fluoroscopy Area Dose Product
Value Representation (VR)
DS
Value Multiplicity (VM)
1
Status
Active
Source
NEMA PS3.6 (table_6-1)

This attribute is part of the current DICOM Standard. Its value representation is DS with multiplicity 1.

Used in 3 Modules

This attribute uses the DS Value Representation. Multiplicity 1 governs how many values may be encoded.

Integration Notes

Real-world integration guidance for engineers implementing this attribute in Mirth Connect, FHIR gateways, HL7 v2 bridges, and cloud DICOM services. Authoritative source data where available; reference examples and operational notes where they add value.

FHIR Mapping

No direct FHIR ImagingStudy mapping published for this attribute. Some tags map indirectly via the Patient, Endpoint, or ImagingSelection resources — Phase 2b will expand coverage to those.

HL7 v2 Equivalent

No standard HL7 v2 equivalent published for this attribute. Imaging-only attributes (Image Pixel data, technical acquisition parameters, modality-specific values) typically have no HL7 v2 carrier.

Cloud DICOM Support

AWS HealthImaging, Azure DICOM, and GCP Healthcare DICOM coverage rolls out by attribute. The QIDO-RS matching keys + Patient/Study/Series core (~50 attributes) are documented; lower-traffic attributes will be added as Saga teams encounter them in production.

Real-World Sample Values

No representative sample value available — this attribute isn't present in the de-identified pydicom fixture set. Add a fixture covering this attribute to expand coverage.

Mirth Connect Example

JavaScript transformer snippets for the most-queried tags will be added as coverage expands.

Common Operational Errors

Operational error patterns for the most-queried tags will be added as coverage expands.

DICOM Integration Services

Saga IT builds production DICOM integrations across Mirth Connect, FHIR gateways, and cloud imaging platforms. If you're working with ImageAndFluoroscopyAreaDoseProduct or the broader (0018,115E) context: