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A Composite IOD is an Information Object Definition which represents parts of several entities included in the DICOM Model of the Real-World. This Model is introduced in Section 7 in PS 3.3. Such an IOD includes Attributes which are not inherent in the Real-World Object that the IOD represents but rather are inherent in related Real-World Objects.
These related Real-World Objects provide a complete context for the exchanged information. When an instance of a Composite IOD is communicated, this entire context is exchanged between Application Entities. Relationships between Composite IOD Instances shall be conveyed in this contextual information.