DICOM Attribute

Tiles Overlap (0048,0304)

Keyword
TilesOverlap
VR
CS
VM
1

Definition

Whether or not tiles in this Instance overlap with one or more adjacent tiles in the same Instance. Shall be NONE if this Attribute is present and Dimension Organization Type (0020,9311) is present with a Value of TILED_FULL. Enumerated Values: ALL All tiles overlap with at least one adjacent tile SOME Some tiles overlap with at least one adjacent tile UNDEFINED Some tiles might overlap NONE No tiles overlap If the Value is NONE, then a receiving application to which this matters does not need to check the position of every tile in this respect, since it can be assured that no tiles overlap. If the Value is UNDEFINED or SOME or ALL, or the Attribute is absent, then a receiving application might need to check the position of every tile.

From NEMA PS3.3 §C.8.12.14.

Attribute Metadata

Tag
(0048,0304)
Keyword
TilesOverlap
Name
Tiles Overlap
Value Representation (VR)
CS
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 CS with multiplicity 1.

Used in 1 Module

This attribute uses the CS 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 TilesOverlap or the broader (0048,0304) context: