CP-1689

CP-1689 Correct codes and meanings <informaltable rules="all" frame="box"> <tr> <td rowspan="1" colspan="1" valign="top"><para>Status</para></td> <td rowspan="1" colspan="1" valign="top"><para>Letter Ballot</para></td> </tr> <tr> <td rowspan="1" colspan="1" valign="top"><para>Date of Last Update</para></td> <td rowspan="1" colspan="1" valign="top"><para>2017/06/21</para></td> </tr> <tr> <td rowspan="1" colspan="1" valign="top"><para>Person Assigned</para></td> <td rowspan="1" colspan="1" valign="top"><para>David Clunie</para><para><link xl:href="mailto:dclunie@dclunie.com"/></para></td> </tr> <tr> <td rowspan="1" colspan="1" valign="top"><para>Submitter Name</para></td> <td rowspan="1" colspan="1" valign="top"><para>Luuk Oostveen</para><para><link xl:href="mailto:luuk_oostveen@hotmail.com"/></para></td> </tr> <tr> <td rowspan="1" colspan="1" valign="top"><para>Submission Date</para></td> <td rowspan="1" colspan="1" valign="top"><para>2016/11/29</para></td> </tr> </informaltable> <informaltable rules="all" frame="box"> <tr> <td rowspan="1" colspan="1" valign="top"><para>Correction Number CP-1689</para></td> </tr> <tr> <td rowspan="1" colspan="1" valign="top"><para>Log Summary: Correct codes and meanings</para></td> </tr> <tr> <td rowspan="1" colspan="1" valign="top"> <para>Name of Standard</para> <para>PS3.16</para> </td> </tr> <tr> <td rowspan="1" colspan="1" valign="top"><para>Rationale for Correction:</para> <para>Some coded concepts have different code meanings for the same code value in different uses.</para> <para>Some of these are incorrect codes for the intended concept. Correct them.</para> <para><emphasis role="italic">[Ed. Note. Most of the replacement codes are already in the SNOMED subset, but the following concepts need to be added: 363676003, 260473000, 385524004, 371934000, 278307001, 44488008 ]</emphasis></para> </td> </tr> <tr> <td rowspan="1" colspan="1" valign="top">Correction Wording:</td> </tr> </informaltable> </chapter> <chapter> <title/> <informaltable rules="all" frame="box"> <tr> <td> <para><emphasis role="italic">Amend DICOM PS3.16 as follows (changes to existing text are bold and <emphasis role="bold"><emphasis role="underline">underlined</emphasis></emphasis> for additions and <emphasis role="bold"><emphasis role="strikethrough">struckthrough</emphasis></emphasis> for removals):</emphasis></para> </td> </tr> </informaltable> <section label="TID 3507" status="3" xml:id="sect_TID_3507"> <title>Ventricular Pressure Measurement

Ventricular Pressure Measurement
	NL	Rel with Parent	VT	Concept Name	VM	Req Type	Condition	Value Set Constraint
7	>	CONTAINS	INCLUDE	D	1	MC	IFF $LocationValue selected in row 2 is (T-32400D4-31120, SRT, "Common Ventricle")	$Measurement = EV (122194, DCM, "Ventricular Systolic blood pressure") $Units = D
8	>	CONTAINS	INCLUDE	D	1	MC	IFF $LocationValue selected in row 2 is (T-32400D4-31120, SRT, "Common Ventricle")	$Measurement = EV (122191, DCM, "Ventricular End Diastolic pressure") $Units = D

Abstract Priors Type: Extensible Version: 20060126yyyymmdd

Abstract Priors
Coding Scheme Designator	Code Value	Code Meaning	SNOMED-CT Concept ID	UMLS Concept Unique ID
SRT	G-7292 R-40553	On admission	128954007 278307001	C1292431 C0457453

Normality Codes Type: Extensible Version: 20030327yyyymmdd

Normality Codes
Coding Scheme Designator	Code Value	Code Meaning	SNOMED-CT Concept ID	UMLS Concept Unique ID
SRT	G-A385 R-0039B	Normality Undetermined	82334004 371934000	C0205258 C1299401

Normal Range Values Type: Extensible Version: 20030327yyyymmdd

Normal Range Values
Coding Scheme Designator	Code Value	Code Meaning	SNOMED-CT Concept ID	UMLS Concept Unique ID
SRT	R-0038B	Normal Range Upper Limit	371933006	C1299400
SRT	R-10041 R-41F90	Normal Range Lower Limit	386124003 385524004	C1272580 C1272773

Present-Absent Type: Non-Extensible Version: 20050110yyyymmdd

Present-Absent
Coding Scheme Designator	Code Value	Code Meaning	SNOMED-CT Concept ID	UMLS Concept Unique ID
SRT	G-A203	Present	52101004	C0150312
SRT	R-4089B	Absent	272519000	C0442733
SRT	R-40271 R-0038A	Presence Undetermined	260245000 373068000	C0442719 C3536725

In a previous version of this Context Group (R-40271, SRT, "Findings values") was used incorrectly to mean "Presence Undetermined"; there is no SNOMED CT concept that specifically means that the "presence" (of a finding) is undetermined, so the more general "undetermined" concept is used.

Normal-Abnormal This Context Group is a subset of . Type: Extensible Version: 20030327yyyymmdd

Normal-Abnormal
Coding Scheme Designator	Code Value	Code Meaning	SNOMED-CT Concept ID	UMLS Concept Unique ID
SRT	G-A460	Normal	17621005	C0205307
SRT	R-42037	Abnormal	263654008	C0205161
SRT	G-A385 R-0039B	Normality Undetermined	82334004 371934000	C0205258 C1299401

Electrophysiology Anatomic Locations Type: Extensible Version: 20160314yyyymmdd

Electrophysiology Anatomic Locations
Coding Scheme Designator	Code Value	Code Meaning	SNOMED-CT Concept ID	UMLS Concept Unique ID
SRT	T-32400 D4-31120	Common ventricle	21814001 45503006	C0018827 C0152424

Peripheral Pulse Locations Type: Extensible Version: 20030327yyyymmdd

Peripheral Pulse Locations
Coding Scheme Designator	Code Value	Code Meaning	SNOMED-CT Concept ID	UMLS Concept Unique ID
SRT	T-45100 T-45010	Carotid Artery	32062004 69105007	C0162859 C0007272

Ventricular Source Locations Type: Extensible Version: 20030327yyyymmdd

Ventricular Source Locations
Coding Scheme Designator	Code Value	Code Meaning	SNOMED-CT Concept ID	UMLS Concept Unique ID
SRT	T-32400 D4-31120	Common ventricle	21814001 45503006	C0018827 C0152424

Procedure Intent Type: Extensible Version: 20160314yyyymmdd

Procedure Intent
Coding Scheme Designator	Code Value	Code Meaning	SNOMED-CT Concept ID	UMLS Concept Unique ID
SRT	R-40644	Forensic Intent	447295008	C2960804
SRT	R-40644 R-40642	Palliative Intent	447295008 363676003	C2960804 C1285530

Cath Diagnosis Type: Extensible Version: 20160314yyyymmdd

Cath Diagnosis
Coding Scheme Designator	Code Value	Code Meaning	SNOMED-CT Concept ID	UMLS Concept Unique ID
SRT DCM	R-10042 ddd001	Arrhythmia Evaluation	386125002	C1272581

Projection Eponymous Name Type: Extensible Version: 20070524yyyymmdd

Projection Eponymous Name
Coding Scheme Designator	Code Value	Code Meaning	SNOMED-CT Concept ID	UMLS Concept Unique ID
SRT	R-102AE R-407B0	Waters	414165007 260473000	C1532733 C0442243

Breed Type: Extensible Version: 20160314yyyymmdd

Breed
Coding Scheme Designator	Code Value	Code Meaning	SNOMED-CT Concept ID	UMLS Concept Unique ID
SRT	L-8BA68	Lobi cattle breed	133492008	C1297645
SRT	L-8BA68	Mere cattle breed	133492008	C1297645

Specimen Stains Type: Extensible Version: 20160314yyyymmdd

Specimen Stains
Coding Scheme Designator	Code Value	Code Meaning	SNOMED-CT Concept ID	UMLS Concept Unique ID
SRT	C-22848 C-22849	bismark brown R stain	85190005 44488008	C0303871 C0303872
SRT	C-22848	bismark brown Y stain	85190005	C0303871

Fetal Long Bone Anatomic Sites Type: Extensible Version: 20141110yyyymmdd

Fetal Long Bone Anatomic Sites
Coding Scheme Designator	Code Value	Code Meaning	SNOMED-CT Concept ID	UMLS Concept Unique ID
SRT	T-12750	Fibula	87342007	C0016068
SRT	T-12750 T-12420	Radius	87342007 62413002	C0016068 C0034627

Specimen Staining Type: Extensible Order: Significant Root: No

Specimen Staining
	VT	Concept Name	VM	Req Type	Condition	Value Set Constraint
1	CODE	DT (G-C350, SRT, "Using substance")	1-n	MC	IF Row 2 not present	D
2	TEXT	DT (G-C350, SRT, "StainUsing substance")	1	MC	IF Row 1 not present

DICOM Controlled Terminology Definitions (Normative)

DICOM Controlled Terminology Definitions
Code Value	Code Meaning	Definition	Notes
121054	Absent		Retired. Replaced by (R-4089B, SRT, "Absent")
121059	Presence Undetermined	Presence or absence of a property is undetermined	Retired. Replaced by (R-4089BR-0038A, SRT, "Undetermined")
ddd001	Arrhythmia Evaluation

SNOMED Retired Codes

SNOMED Codes Retired from DICOM Use
Retired Code Value	Code Meaning	Replacement Code	Notes
L-8BA68	Mere cattle breed		No replacement. L-8BA68 remains in use as "Lobi cattle breed". Potential replacement L-8BB55 is inactive in SNOMED CT (Ambiguous).
G-A385	Normality Undetermined	R-0039B	Replacement code has meaning of "Normality undetermined (qualifier value)". G-A385 remains in use as "Indeterminate".
G-7292	On admission	R-40553	Replacement code has meaning of "On admission (qualifier value)". G-7292 remains in use as "Procedure phase".
C-22848	bismark brown R stain	C-22849	Replacement code has meaning of "Bismark brown R stain (substance)". C-22848 remains in use as "bismark brown Y stain".

<informaltable rules="all" frame="box"> <tr> <td> <para><emphasis role="italic">Amend DICOM PS3.17 as follows (changes to existing text are bold and <emphasis role="bold"><emphasis role="underline">underlined</emphasis></emphasis> for additions and <emphasis role="bold"><emphasis role="strikethrough">struckthrough</emphasis></emphasis> for removals):</emphasis></para> </td> </tr> </informaltable> <section label="N.3.5" status="3" xml:id="sect_N.3.5"> <title>Left Ventricle Output Measurements in the Left Ventricle section have context of Left Ventricle and do not require a Finding Site modifier (G-C0E3, SRT, "Finding Site") = (T-35400T-32600, SRT, "Left Ventricle") to specify the site. The Finding Site modifier appears for more specificity.

Measurement Terminology Composition Concept Name of Modifier Value Set (G-C036, SRT, "Measurement Method") (G-C0E3, SRT, "Finding Site") (G-C048, SRT, "Flow Direction") (R-4089AR-40899, SRT, "Respiratory Cycle Point") (R-4089A, SRT, "Cardiac Cycle Point") (121401, DCM, "Derivation")