D replace with a non-zero length value that may be a dummy value and consistent with the VR
Z replace with a zero length value, or a non-zero length value that may be a dummy value and consistent with the VR
X remove
K keep (unchanged for non-sequence attributes, cleaned for sequences)
C clean, that is replace with values of similar meaning known not to contain identifying information and consistent with the VR
U replace with a non-zero length UID that is internally consistent within a set of Instances
Z/D Z unless D is required to maintain IOD conformance (Type 2 versus Type 1)
X/Z X unless Z is required to maintain IOD conformance (Type 3 versus Type 2)
X/D X unless D is required to maintain IOD conformance (Type 3 versus Type 1)
X/Z/D X unless Z or D is required to maintain IOD conformance (Type 3 versus Type 2 versus Type 1)
X/Z/U* X unless Z or replacement of contained instance UIDs (U) is required to maintain IOD conformance (Type 3 versus Type 2 versus Type 1 sequences containing UID references)