DICOM PS3.15 2020c - Security and System Management Profiles

E.3.4 Clean Structured Content Option

Instances of Structured Report SOP Classes may contain identifiable information in a Content Sequence (0040,A730) encoded in Content Items. Instances of other SOP Classes may contain structured content encoded in a similar manner in the Acquisition Context Sequence (0040,0555) or Specimen Preparation Sequence (0040,0610).

When this Option is specified in addition to an Application Level Confidentiality Profile, any information encoded in SR Content Items or Acquisition Context or Specimen Preparation Sequence Items corresponding to the Attribute information specified to be removed by the Profile and any other Options specified shall also be removed.

Note

  1. For example, the "observer" responsible for a diagnostic imaging report may be explicitly identified in Observation Content related Content Items in an SR.

  2. A de-identifier that does not implement this option creates significant risk when attempting to de-identity a Structured Report unless it is only used to de-identify instances that are known to have no identifying information in the Content Sequence.

  3. As this Standard and external coding schemes are maintained, the codes specified as Concept Name Codes may change. The previous codes are considered Retired but implementations may continue to send them and de-identifiers will be expected to be able to continue to recognize and de-identify Content Items with the Retired codes, including the Code Value and Coding Scheme Designator, even if the current Standard does not publish them.

    A notable example is the change throughout the Standard from using "SNOMED-RT style" code values with a Coding Scheme Designator of "SRT", "SNM3" or "99SDM", to the use of SNOMED CT numeric code values with a Coding Scheme Designator of "SCT". A mapping of retired to new SNOMED codes is found in PS3.16 Annex XXX.

Table E.3.4-1. Application Level Confidentiality Profile Clean Structured Content Option Content Item Concept Name Codes

Code Meaning

Code Value

Coding Scheme Designator

Value Type

Retd. (from PS3.16)

In Std. Tpl. (from PS3.16)

Basic Prof.

Rtn. UIDs Opt.

Rtn. Dev. Id. Opt.

Rtn. Inst. Id. Opt.

Rtn. Pat. Chars. Opt.

Rtn. Long. Full Dates Opt.

Rtn. Long. Modif. Dates Opt.

Clean Desc. Opt.

Accession Number

121022

DCM

TEXT

N

Y

X

Acquired Image

113795

DCM

IMAGE

N

Y

D

K

Acquisition Date

126201

DCM

DATE

N

Y

X

K

C

Acquisition Protocol

125203

DCM

TEXT

N

Y

X

C

Acquisition Time

126202

DCM

TIME

N

Y

X

K

C

Activity Session

C67447

NCIt

TEXT

N

Y

X

C

Administration of radiopharmaceutical

440252007

SCT

TEXT

N

Y

D

C

Admission DateTime

15

NCDR [2.0b]

DATETIME

N

Y

X

K

C

Anatomic Identifier

112050

DCM

TEXT

N

Y

X

C

Anesthesia Finish Time

398164008

SCT

DATETIME

N

Y

X

K

C

Anesthesia Start Time

398325003

SCT

DATETIME

N

Y

X

K

C

Best illustration of finding

121080

DCM

IMAGE

N

Y

X

K

Best illustration of finding

121080

DCM

WAVEFORM

N

Y

X

K

Calibration DateTime

113723

DCM

DATETIME

N

Y

D

K

C

Calibration Protocol

113720

DCM

TEXT

N

Y

X

C

Calibration Responsible Party

113724

DCM

TEXT

N

Y

D

C

Catheterization Operator

76

NCDR [2.0b]

PNAME

N

Y

D

Cath Lab Procedure Log

121120

DCM

COMPOSITE

N

Y

X

K

Clinical Report

371524004

SCT

COMPOSITE

N

Y

X

K

Clinical Report

371524004

SCT

TEXT

N

Y

X

C

Comment

121106

DCM

TEXT

N

Y

X

C

Complication of Procedure

116224001

SCT

TEXT

N

Y

X

C

Component ID

112347

DCM

TEXT

N

Y

D

Conclusion

121077

DCM

TEXT

N

Y

X

C

Content Date

111018

DCM

DATE

N

Y

X/D

K

C

Content Time

111019

DCM

TIME

N

Y

X/D

K

C

Current procedure evidence

122073

DCM

COMPOSITE

N

Y

X

K

Date of last menstrual period

11955-2

LN

DATE

N

Y

X

K

C

DateTime Concern Noted

121431

DCM

DATETIME

N

Y

X

K

C

DateTime Concern Resolved

121432

DCM

DATETIME

N

Y

X

K

C

DateTime Ended

111527

DCM

DATETIME

N

Y

X

K

C

DateTime of Death

122165

DCM

DATETIME

N

Y

X

K

C

DateTime of Intervention

122105

DCM

DATETIME

N

Y

X

K

C

DateTime of last evaluation

111536

DCM

DATETIME

N

Y

X

K

C

DateTime of processing

111702

DCM

DATETIME

N

Y

X

K

C

DateTime of Recording of Log Entry

121125

DCM

DATETIME

N

Y

X

K

C

DateTime problem observed

111535

DCM

DATETIME

N

Y

X

K

C

DateTime Problem Resolved

121433

DCM

DATETIME

N

Y

X

K

C

DateTime Started

111526

DCM

DATETIME

N

Y

X/D

K

C

Degree of Freedom ID

112363

DCM

TEXT

N

Y

D

Derived Fiducial

112357

DCM

UIDREF

N

Y

D

K

Derived Planning Data

112373

DCM

COMPOSITE

N

Y

X

K

Derived Planning Images

112372

DCM

COMPOSITE

N

Y

X

K

Description of Change

111021

DCM

TEXT

N

Y

X

C

Description of Material

121145

DCM

TEXT

N

Y

X

C

Device Description

120999

DCM

TEXT

N

Y

X

K

Device Name

113877

DCM

TEXT

N

Y

X

K

Device Observer Name

121013

DCM

TEXT

N

Y

X

K

Device Observer Physical Location During Observation

121017

DCM

TEXT

N

Y

X

K

Device Observer Serial Number

121016

DCM

TEXT

N

Y

X

K

Device Observer UID

121012

DCM

UIDREF

N

Y

X/D

K

K

Device Serial Number

113880

DCM

TEXT

N

Y

X/D

K

Device Subject Name

121193

DCM

TEXT

N

Y

D

K

Device Subject Physical Location during observation

121197

DCM

TEXT

N

Y

X

K

Device Subject Serial Number

121196

DCM

TEXT

N

Y

X

K

Device Subject UID

121198

DCM

UIDREF

N

Y

X

K

K

Discharge DateTime

122163

DCM

DATETIME

N

Y

X

K

C

Dose Image

121342

DCM

IMAGE

N

Y

X

K

Drug administered

122083

DCM

TEXT

N

Y

X/D

C

Drug end

122082

DCM

DATETIME

N

Y

X

K

C

Drug start

122081

DCM

DATETIME

N

Y

X

K

C

ECG Finding

271921002

SCT

TEXT

N

Y

X/D

C

EDD

11778-8

LN

DATE

N

Y

X

K

C

End of X-Ray Irradiation

113810

DCM

DATETIME

N

Y

D

K

C

Equipment Identification

121122

DCM

TEXT

N

Y

X

K

C

Event UID Used

128429

DCM

UIDREF

N

Y

D

K

Fellow

121088

DCM

PNAME

N

Y

X

Fetus ID

11951-1

LN

TEXT

N

Y

D

Filler Number

121021

DCM

TEXT

N

Y

X

Finding

121071

DCM

TEXT

N

Y

X/D

C

Finding Site

363698007

SCT

TEXT

N

Y

D

C

Frame of Reference UID

112227

DCM

UIDREF

N

Y

X/D

K

Glucose Measurement Date

127857

DCM

DATE

N

Y

D

K

C

Glucose Measurement Time

127858

DCM

TIME

N

Y

D

K

C

History

11329-0

LN

TEXT

N

Y

X

C

Identification of the X-Ray Source

113832

DCM

TEXT

N

Y

D

K

Identifier

125010

DCM

TEXT

N

Y

X

Identifier within Person Observer's Role

128775

DCM

TEXT

N

Y

X

Identifying Segment

112229

DCM

IMAGE

N

Y

D

K

Illustration of Finding

125201

DCM

IMAGE

N

Y

X

K

Illustration of ROI

121200

DCM

IMAGE

N

Y

X

K

Image Acquired

121138

DCM

IMAGE

N

Y

D

K

Imaging Start DateTime

122712

DCM

DATETIME

N

Y

D

K

C

Implant Assembly Template

112366

DCM

COMPOSITE

N

Y

X

K

Impression Description

111033

DCM

TEXT

N

Y

D

C

Indications for Procedure

18785-6

LN

TEXT

N

Y

D

C

Intervention attempt identifier

121154

DCM

TEXT

N

Y

D

Irradiation Authorizing

113850

DCM

PNAME

N

Y

D

Irradiation Event Label

113605

DCM

TEXT

N

Y

X

Irradiation Event UID

113769

DCM

UIDREF

N

Y

D

K

Issuer of Identifier

110190

DCM

TEXT

N

Y

X

Issuer of Parent Specimen Identifier

111706

DCM

TEXT

N

Y

X

Issuer of Specimen Identifier

111724

DCM

TEXT

N

Y

X

Key Object Description

113012

DCM

TEXT

N

Y

X

C

LV Wall Motion Segmental Findings

18118-0

LN

TEXT

N

Y

X

C

Manufacturer Implant Template

112371

DCM

COMPOSITE

N

Y

D

K

Mating Feature ID

112352

DCM

TEXT

N

Y

D

Mating Feature Set ID

112351

DCM

TEXT

N

Y

D

Medication Type

111516

DCM

TEXT

N

Y

X

C

Mother of fetus

121036

DCM

PNAME

N

Y

X

Organization Name

113873

DCM

TEXT

N

Y

X

K

Original Source

111040

DCM

COMPOSITE

N

Y

D

K

Parent Specimen Identifier

111705

DCM

TEXT

N

Y

D

Patient Data Used During Planning

112361

DCM

COMPOSITE

N

Y

X

K

Patient Image

112354

DCM

IMAGE

N

Y

X

K

Patient Model

113815

DCM

TEXT

N

Y

D

C

Patient Presentation

121110

DCM

TEXT

N

Y

X

C

Patient Radiation Dose Model Data

128425

DCM

COMPOSITE

N

Y

X

K

Patient Radiation Dose Model Data

128425

DCM

IMAGE

N

Y

X

K

Patient Radiation Dose Model Data

128425

DCM

UIDREF

N

Y

X

K

Patient Radiation Dose Model Reference

128426

DCM

TEXT

N

Y

X

C

Patient State

109054

DCM

TEXT

N

Y

X

C

Patient Transferred From

122128

DCM

TEXT

N

Y

X

K

Performed Procedure Step SOP Instance UID

121126

DCM

UIDREF

N

Y

D

K

Performing Physician

121114

DCM

PNAME

N

Y

D

Person administering drug/contrast

121152

DCM

PNAME

N

Y

X

Person ID

113871

DCM

TEXT

N

Y

X

Person ID Issuer

113872

DCM

TEXT

N

Y

X

Person Name

113870

DCM

PNAME

N

Y

D

Person Observer's Login Name

128774

DCM

TEXT

N

Y

X

Person Observer's Organization Name

121009

DCM

TEXT

N

Y

X

K

Person Observer Name

121008

DCM

PNAME

N

Y

D

Physician Note

121173

DCM

TEXT

N

Y

X

C

Placer Number

121020

DCM

TEXT

N

Y

X

Prescription Identifier

113516

DCM

TEXT

N

Y

X

Prior report for current patient

122075

DCM

COMPOSITE

N

Y

X

K

Procedure Action ID

121124

DCM

TEXT

N

Y

X/D

Procedure DateTime

122146

DCM

DATETIME

N

Y

X/D

K

C

Procedure DateTime

52

NCDR [2.0b]

DATETIME

N

Y

D

K

C

Procedure Description

121065

DCM

TEXT

N

Y

X/D

C

Procedure Number in this admission

53

NCDR [2.0b]

TEXT

N

Y

X

Procedure Result

122177

DCM

TEXT

N

Y

X

C

Procedure Study Component UID

121019

DCM

UIDREF

N

Y

X

K

Procedure Study Instance UID

121018

DCM

UIDREF

N

Y

X

K

Procedure Time Base

122701

DCM

DATETIME

N

Y

X

K

C

Processing step description

111703

DCM

TEXT

N

Y

X

C

Protocol Time Point Identifier

126071

DCM

TEXT

N

Y

X

C

Pulse Sequence Name

128230

DCM

TEXT

N

Y

X

C

Quoted Source

121002

DCM

COMPOSITE

N

Y

D

K

Radiation Dose Composite Parameters

128436

DCM

COMPOSITE

N

Y

D

K

Radiation Dose Estimate Name

128403

DCM

TEXT

N

Y

D

C

Radiation Dose Representation Data

128414

DCM

COMPOSITE

N

Y

D

K

Radiation Dose Representation Data

128414

DCM

IMAGE

N

Y

D

K

Radionuclide Identifier

113514

DCM

TEXT

N

Y

X

Radiopharmaceutical Administration Event UID

113503

DCM

UIDREF

N

Y

D

K

Radiopharmaceutical Dispense Unit Identifier

113511

DCM

TEXT

N

Y

X

Radiopharmaceutical Lot Identifier

113512

DCM

TEXT

N

Y

X

Radiopharmaceutical Start DateTime

123003

DCM

DATETIME

N

Y

X/D

K

C

Radiopharmaceutical Stop DateTime

123004

DCM

DATETIME

N

Y

X

K

C

Reagent Vial Identifier

113513

DCM

TEXT

N

Y

X

Real World Value Map used for measurement

126100

DCM

COMPOSITE

N

Y

X

K

Reason for Proceeding

113907

DCM

TEXT

N

Y

X

C

Recent Physical Activity

113552

DCM

TEXT

N

Y

X

C

Recommendation

121075

DCM

TEXT

N

Y

X

C

Recommended Follow-up Date

111054

DCM

DATE

N

Y

X/D

K

C

Referenced Segment

121191

DCM

IMAGE

N

Y

X/D

K

Referenced Segmentation Frame

121214

DCM

IMAGE

N

Y

D

K

Related Patient Data Not Used During Planning

112364

DCM

COMPOSITE

N

Y

X

K

Room Identification

121121

DCM

TEXT

N

Y

X

Sampling DateTime

111469

DCM

DATETIME

N

Y

D

K

C

Selected Region Description

111058

DCM

TEXT

N

Y

D

C

Series Instance UID

112002

DCM

UIDREF

N

Y

D

K

Series or Instance used for Water Equivalent Diameter estimation

113985

DCM

UIDREF

N

Y

D

K

Service Delivery Location

121434

DCM

TEXT

N

Y

X

K

Service Performer

121435

DCM

PNAME

N

Y

X

Service Performer

121435

DCM

TEXT

N

Y

X

Social History

160476009

SCT

TEXT

N

Y

X

C

Source image for segmentation

121233

DCM

IMAGE

N

Y

D

K

Source of Measurement

121112

DCM

IMAGE

N

Y

D

K

Source of Measurement

121112

DCM

WAVEFORM

N

Y

X

K

Source series for segmentation

121232

DCM

UIDREF

N

Y

D

K

Spatial Fiducials

128447

DCM

COMPOSITE

N

Y

X

K

Spatial Registration

112353

DCM

COMPOSITE

N

Y

X

K

Spatial Registration Reference

128444

DCM

COMPOSITE

N

Y

D

K

Specimen Container Identifier

111700

DCM

TEXT

N

Y

X

Specimen Identifier

121041

DCM

TEXT

N

Y

X

Specimen UID

121039

DCM

UIDREF

N

Y

X

K

SR Instance Used

128416

DCM

COMPOSITE

N

Y

D

K

Start DateTime

398201009

SCT

DATETIME

N

Y

D

K

C

Start of X-Ray Irradiation

113809

DCM

DATETIME

N

Y

D

K

C

Station AE Title

110119

DCM

TEXT

N

Y

X

K

ST Elevation Onset DateTime

122173

DCM

DATETIME

N

Y

X

K

C

Stop DateTime

397898000

SCT

DATETIME

N

Y

D

K

C

Stress Protocol

109056

DCM

TEXT

N

Y

X

C

Study Date

111060

DCM

DATE

N

Y

X/D

K

C

Study Instance UID

110180

DCM

UIDREF

N

Y

D

K

Study Time

111061

DCM

TIME

N

Y

X/D

K

C

Subject Age

121033

DCM

NUM

N

Y

X

K

Subject Birth Date

121031

DCM

DATE

N

Y

X

Subject ID

121030

DCM

TEXT

N

Y

X/D

Subject Name

121029

DCM

PNAME

N

Y

D

Subject Sex

121032

DCM

CODE

N

Y

X

K

Subject Time Point Identifier

126070

DCM

TEXT

N

Y

X

C

Subject UID

121028

DCM

UIDREF

N

Y

X

K

Summary

121111

DCM

TEXT

N

Y

X

C

Supporting Information

112359

DCM

COMPOSITE

N

Y

X

K

Time Point

C2348792

UMLS

TEXT

N

Y

X/D

C

Tracking Unique Identifier

112040

DCM

UIDREF

N

Y

D

K

Unique Device Identifier

74711-3

LN

TEXT

N

Y

X

K

Unique Device Identifiers

121000

DCM

CONTAINER

N

Y

X

K

User Selected Fiducial

112356

DCM

UIDREF

N

Y

D

K

Waveform Acquired

121143

DCM

WAVEFORM

N

Y

D

K

X-Ray Attenuator Model Data

128470

DCM

COMPOSITE

N

Y

X

K

X-Ray Attenuator Model Data

128470

DCM

IMAGE

N

Y

X

K

X-Ray Attenuator Model Data

128470

DCM

UIDREF

N

Y

X

K

X-Ray Radiation Dose Report

113701

DCM

COMPOSITE

N

Y

X

K


DICOM PS3.15 2020c - Security and System Management Profiles