Conformant Application Entities shall include in the DICOMDIR File the Basic Directory IOD containing Directory Records at the Patient and the subsidiary Study and Series levels, appropriate to the SOP Classes in the File Set.
All DICOM files in the File Set incorporating SOP Instances defined for the specific Application Profile shall be referenced by Directory Records.
Note: DICOMDIRs with no directory information are not allowed by this Application Profile.
All implementations shall include the DICOM Media Storage Directory in the DICOMDIR file. There shall only be one DICOMDIR file per File Set. The DICOMDIR file shall be in the root directory of the medium. The Patient ID at the patient level shall be unique for each patient directory record in one File Set.
File Set Creators and Updaters are required to generate the mandatory elements specified in PS 3.3.
Table H.3-2 in Annex H STD-GEN-DVD and STD-GEN-SEC-DVD Additional DICOMDIR Keys specifies the additional associated keys that shall also be applicable to the profiles defined in this Annex. At each directory record level other additional data elements can be added, but it is not required that File Set Readers be able to use them as keys. Refer to the Basic Directory IOD in PS 3.3.