A set of equipment may share a common acquisition synchronization environment, which is identified by a Synchronization Frame of Reference UID. All SOP Instances that share the same Synchronization Frame of Reference UID shall be temporally related to each other. If a Synchronization Frame of Reference UID is present, all SOP Instances in the Series must share the same Frame of Reference.
The UTC Synchronization UID, 1.2.840.10008.15.1.1, may be used when the equipment is synchronized to the international standard UTC. In this case the quality of synchronization may be determined by means of the Time Distribution Protocol (0018,1802) and NTP Source Address (0018,1803).
Notes: 1. The Synchronization Frame of Reference UID defines an equipment synchronization environment, and does not need to be changed for each unrelated acquisition. SOP Instances may therefore share a Synchronization Frame of Reference UID, but be clinically unrelated (e.g., apply to different patients).
2. When a synchronization environment is recalibrated, a new UID must be issued.
3. The method of distributing the Synchronization Frame of Reference UID to multiple devices is not specified.
Time may originate with a primary source (e.g., a national standards bureau) and be distributed through a chain of secondary distribution systems until reaching the imaging equipment. Time Distribution Protocol (0018,1802) specifies the immediate (last link) method used by the equipment to receive time from the immediately prior Time Source (0018,1801). It does not specify the ultimate time reference from which the Time Source may derive its synchronization.
Note: The time value distributed through the specified Time Distribution Protocol may need to be corrected to align with UTC. For example, GPS does not compensate for leap seconds.
The Synchronization Channel (0018,106C) is specified as a pair of values (M,C), where the first value is the ordinal of the sequence item of the Waveform Sequence (5400,0100) attribute (i.e., the Multiplex Group), and the second value is the ordinal of the sequence item of the Channel Definition Sequence (003A,0200) attribute (i.e., the Waveform Channel Number) within the multiplex group.
The Acquisition Time Synchronized (0018,1800) attribute specifies whether the Acquisition DateTime (0008,002A) attribute of the Waveform Identification Module or the General Image Module represents an accurate synchronized timestamp for the acquisition of the waveform and/or image data. For triggered multi-frame images, the Acquisition DateTime applies to the trigger for the first image frame (see attribute Image Trigger Delay (0018.1067) in the Cine Module).
Note: The degree of precision of the Acquisition DateTime and its accuracy relative to the external clock are not specified, but need to be appropriate for the clinical application.
For IODs that include the SR Document Content Module, the Acquisition Time Synchronized (0018,1800) attribute specifies whether the Observation DateTime (0040,A032) attribute of Items in the Content Sequence (0040,A730) of the SR Document Content Module represents an accurate synchronized timestamp for the Item.