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Network Working Group D. Clunie
Request for Comments: 3240 E. Cordonnier
Category: Informational DICOM Committee
February 2002


Digital Imaging and Communications in Medicine (DICOM) -
Application/dicom MIME Sub-type Registration

Status of this Memo

This memo provides information for the Internet community. It does
not specify an Internet standard of any kind. Distribution of this
memo is unlimited.

Copyright Notice

Copyright (C) The Internet Society (2002). All Rights Reserved.

Abstract

This document describes the registration of the MIME sub-type
application/dicom (Digital Imaging and Communications in Medicine).
The baseline encoding is defined by the DICOM Standards Committee in
"Digital Imaging and Communications in Medicine".

1. DICOM Definition

Digital Imaging and Communications in Medicine (DICOM) specifies
protocols and formats for the exchange of images, time-based
waveforms, reports, and associated information for medical
applications.

Individual DICOM objects (such as images) may be encapulsated in
files and exchanged by e-mail using the Media Type defined herein.
In addition, a set of DICOM files may be described by an index file,
DICOMDIR, which may accompany the files that it references.

2. IANA Registration

MIME media type name: Application

MIME subtype name: dicom








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Required parameters:

"id" is constructed from a DICOM File ID (see DICOM PS3.11). The
total length is limited to 71 characters. Each component is
limited to 8 characters. The delimiter is a forward slash "/".
There is never a leading delimiter (i.e., this is not a
traditional path from a root directory).

If a DICOMDIR (which provides an index of files) is included, then
it will refer to other DICOM files in the file set by use of this
File ID. The File ID is not encoded within each DICOM file. If a
DICOMDIR is not present, then the "id" parameter may be absent.
Note that the DICOMDIR will also have a Media Type of
application/dicom and is distinguished from other files by its ID
of "DICOMDIR".

For example:
"ROOTDIR/SUBDIR1/MRSCAN/A789FD07/19991024/ST00234/S00003/I00023"

Each component shall be character strings made of characters from
a subset of the G0 repertoire of ISO 8859. This subset consists
of uppercase alphabetic characters, numeric characters and
underscore. The following characters are permissable:

A, B, C, D, E, F, G, H, I, J, K, L, M, N, O, P, Q, R, S, T, U, V,
W, X, Y, Z (uppercase)
1, 2, 3, 4, 5, 6, 7, 8, 9, 0 and _ (underscore)

Optional parameters:

none

Encoding considerations:

The DICOM information is binary, therefore the encoding used shall
support lossless transfer of binary information. Typically, the
Content-Transfer-Encoding would be set to "Base64".

Multiple DICOM parts should be included as a Multipart/related
entity [2387]. Receiving agents shall also support multiple parts
as a Multipart/mixed entity. When multiple DICOM parts are
included, one of the parts may be a DICOMDIR, in which case, all
the files referred to by the DICOMDIR shall also be present. The
DICOMDIR is not required to be the first Application/dicom part
encoded in the message, in which case the optional "start"
parameter should refer to the content-id of the part containing
the DICOMDIR.




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Multiple DICOM Application/dicom parts may be included with other
types of parts as a Multipart/mixed entity.

Security considerations:

Application/dicom parts contain medical information, including
individual demographic information. Accordingly, their exchange
should be restricted to a secure network or within a secure
wrapper that protects a patient's right to confidentiality
according to local and national policy. The specific security
mechanisms are outside the scope of this proposal. Such
mechanisms as Secured MIME (S/MIME) [2633] or similar might be
appropriate.

Interoperability considerations:

Because DICOM information is specific to the medical (imaging)
domain, generic e-mail applications may not be able to interpret
the information.

The Media Type has been designed in order to allow for

(i) DICOM aware applications to interoperate,
(ii) generic applications to save the files in a form
recognizable as DICOM files, that a DICOM application may
subsequently use.

Published specification:

The Digital Imaging and Communications in Medicine (DICOM)
Standard is a standard of the DICOM Standards Committee, published
by the National Electrical Manufacturers Association (NEMA), 1300
N. 17th Street, Rosslyn, Virginia 22209 USA,
(http://medical.nema.org).

Applications which use this media:

Biomedical imaging applications.

Additional information:

1. Magic number(s): "DICM" after 128 byte preamble indicates DICOM
PS 3.10 file

2. File extension(s): ".dcm" is recommended for files saved to
disk (other than DICOMDIR)





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3. Macintosh file type code: Macintosh File Type "DICM" is
recommended

4. Object Identifiers: none

Person to contact for further information:

1. Name: Howard Clark
2. E-mail: how_clark@nema.org

Intended usage:

Common

Interchange of biomedical images.

Author/Change controller:

DICOM Standards Committee

3. References

[DICOM] DICOM Standards Committee, "Digital Imaging and
Communications in Medicine", 2001.

[2387] Levinson, E., "The MIME Multipart/Related Content-type", RFC
2387, August 1998.

[2633] Ramsdell, B., "S/MIME Version 3 Message Specification", RFC
2633, June 1999.





















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4. Authors' Addresses

David Clunie
RadPharm
943 Heiden Road
Bangor PA 18013
USA

Phone: +1-570-897-7123
Fax: +1-425-930-0171
EMail: dclunie@dclunie.com


Emmanuel Cordonnier
Etiam
20 rue du Pr J. Pecker
35000 Rennes
France

Phone: +33(0)299 14 33 88
Fax: +33(0)299 14 33 80
EMail: emmanuel.cordonnier@etiam.com





























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5. Full Copyright Statement

Copyright (C) The Internet Society (2002). All Rights Reserved.

This document and translations of it may be copied and furnished to
others, and derivative works that comment on or otherwise explain it
or assist in its implementation may be prepared, copied, published
and distributed, in whole or in part, without restriction of any
kind, provided that the above copyright notice and this paragraph are
included on all such copies and derivative works. However, this
document itself may not be modified in any way, such as by removing
the copyright notice or references to the Internet Society or other
Internet organizations, except as needed for the purpose of
developing Internet standards in which case the procedures for
copyrights defined in the Internet Standards process must be
followed, or as required to translate it into languages other than
English.

The limited permissions granted above are perpetual and will not be
revoked by the Internet Society or its successors or assigns.

This document and the information contained herein is provided on an
"AS IS" basis and THE INTERNET SOCIETY AND THE INTERNET ENGINEERING
TASK FORCE DISCLAIMS ALL WARRANTIES, EXPRESS OR IMPLIED, INCLUDING
BUT NOT LIMITED TO ANY WARRANTY THAT THE USE OF THE INFORMATION
HEREIN WILL NOT INFRINGE ANY RIGHTS OR ANY IMPLIED WARRANTIES OF
MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE.

Acknowledgement

Funding for the RFC Editor function is currently provided by the
Internet Society.



















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