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| Tag | Attribute | Type | Description |
| (0020,0026) | LUT Number | 2 | A number that identifies this LUT. |
| (0008,1140) | Referenced Image Sequence | 3 | A Sequence which provides reference to a set of Image SOP Class/Instance pairs to which this Look Up Table applies. One or more Items may be included in this Sequence. |
| (0008,1150) | >Referenced SOP Class UID | 1C | Required if Referenced Image Sequence (0008,1140) is sent. |
| (0008,1155) | >Referenced SOP Instance UID | 1C | Required if Reference Image Sequence (0008,1140) is sent. |