DICOM Attribute

Dose Summation Type (3004,000A)

Keyword
DoseSummationType
VR
CS
VM
1

Definition

Type of dose summation. Defined Terms: PLAN dose calculated for entire delivery of all fraction groups of RT Plan MULTI_PLAN dose calculated for entire delivery of 2 or more RT Plans PLAN_OVERVIEW dose calculated with respect to plan overview parameters FRACTION dose calculated for entire delivery of a single Fraction Group within RT Plan BEAM dose calculated for entire delivery of one or more Beams within RT Plan BRACHY dose calculated for entire delivery of one or more Brachy Application Setups within RT Plan FRACTION_SESSION dose calculated for a single session ("fraction") of a single Fraction Group within RT Plan BEAM_SESSION dose calculated for a single session ("fraction") of one or more Beams within RT Plan BRACHY_SESSION dose calculated for a single session ("fraction") of one or more Brachy Application Setups within RT Plan CONTROL_POINT dose calculated for one or more Control Points within a Beam for a single fraction RECORD dose calculated for RT Beams Treatment Record

From NEMA PS3.3 §C.8.8.3.

Attribute Metadata

Tag
(3004,000A)
Keyword
DoseSummationType
Name
Dose Summation Type
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

  • BEAM rtdose.dcm

Extracted from pydicom test fixtures (MIT, de-identified).

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 DoseSummationType or the broader (3004,000A) context: