Add Definitions for all DCM Controlled Terms or Replace with Terms from External Lexicon STATUS Letter Ballot Date of Last Update 2014/09/08 Person Assigned David Clunie Submitter Name David Clunie Submission Date 2014/03/14 Correction Number CP-1379 Log Summary: Add Definitions for all DCM Controlled Terms or Replace with Terms from External Lexicon Name of Standard PS3.16 2013 Rationale for Correction: Some DCM controlled terms have no definitions; this is poor practice, and may result in ambiguity in interpretation and and misuse Add definitions for all DCM controlled terms that are sufficiently precise and consistent with their current context of use in PS3.3 or PS3.16, yet general enough to be re-usable in other contexts for which there is no suitable controlled term in DCM or other coding schemes used with DICOM. Those DCM controlled terms that have no definition but have already been retired and replaced with concepts from other coding schemes are not given definitions; those that have been retired and replaced by other DCM terms (i.e., duplicates) are given the definition of their replacement. Some DCM terms should be retired and replaced with terms from other sources. In most cases, DCM terms that have been retired and have no definitions are not addressed in this CP. Correction Wording:

Amend DICOM PS3.16 Content Mapping Resource - Annex D as follows:

Amend DICOM PS3.16 Content Mapping Resource - Annex B DCMR Context Groups as follows:

Type: Extensible Version: 20020904yyyymmdd

Organizational Roles

Coding Scheme Designator	Code Value	Code Meaning	SNOMED-CT Concept ID	UMLS Concept Unique ID
SRT	J-0016E	Medical Practitioner	158965000	C1306754
DCMSRT	121081J-004E8	Physician	309343006	C0031831
DCMSRT	121082J-07100	Nurse	106292003	C0028661
DCMSRT	121083J-00187	Radiologic Technologist	159016003	C0402007
DCMSRT	121084J-00187	Radiographer	159016003	C0402007
DCMUMLS	121085C1144859	Intern		C1144859
DCMSRT	121086J-005E6	Resident	405277009	C1320928
DCMSRT	121087J-00172	Registrar	158971006	C0401974
DCM	121088	Fellow
DCMSRT	121089J-005E8	Attending [Consultant]	405279007	C1320929
SRT	J-0050A	Consultant	309390008	C0586911
DCMSRT	121090J-0714A	Scrub nurse	415506007	C1531952
DCMSRT	121091J-00556	Surgeon	304292004	C0582175
DCM	121092	Sonologist
DCMUMLS	121093C1954848	Sonographer		C1954848
DCMUMLS	121105C2985483	Radiation Physicist		C2985483
UMLS	C1708969	Medical Physicist		C1708969

The distinction between a "physician" and a "surgeon" and a "medical practitioner" is subject to regional variation. In the US, "physician" is often equated with "medical practitioner", and a "surgeon" is considered to be a "physician". In the UK, a "surgeon" is a "medical practitioner" but is not a "physician". In SNOMED, "physician" and "surgeon" are distinct siblings with no direct relationship, and both are children of "medical practitioner". It is recomended that "medical practitioner" be used rather than "physician" when there is uncertainty over whether the person is or is not a "surgeon". There is no distinction between a "radiographer" and a "radiologic technologist", hence the same SNOMED concept is used for both, and "radiologic technologist" is provided as a synonym for use in the US. In the US, the medical practitioner not in training responsible for the care of a hospital patient is referred to as an "attending". In the UK they are referrered to as a "consultant". Though these two concepts are essentially the same, they are separate concepts in SNOMED, which defines no explicit relationship between them.

Type: Extensible Version: 20081028yyyymmdd

Performing Roles

Coding Scheme Designator	Code Value	Code Meaning	SNOMED-CT Concept ID	UMLS Concept Unique ID
DCM	121094	Performing
DCMUMLS	121095C1709880	Referring Physician		C1709880
DCM	121096	Requesting
DCM	121097	Recording
DCM	121098	Verifying
DCM	121099	Assisting
DCMSRT	121100J-0714B	Circulating Nurse	413854007	C1531633
DCM	121101	Standby
DCM	113850	Irradiation Authorizing
DCM	113851	Irradiation Administering