Rationale for Correction:The ethnic group or race of a patient is only described as a text string rather then a coded concept, when there are well-defined coded concepts available, as used in SR. Add a code sequence attribute.Note that in DICOM the concept "ethnic group" is used in a general sense, and is equivalent to the social construct of a group, SCT:415229000 Racial Group, and not the US-specific US OMB Directive 15 (Hispanic or not) manner.Also change context group reference in SR subject context from Defined to Baseline, to allow other codes to be used as necessary.[Open Issue: Should more than one Item be permitted to allow for more specific description of mixed race?][Open Issue; Are there HL7V2 fields and FHIR elements for this that correspond and/or value sets.- e.g., see US extension.][Ed.Note: Also change C.13.2 references that should be to C.2.3 Patient Demographic Module rather than C.2.2 Patient Identification Module where appropriate.]
Correction Wording:
Amend DICOM PS3.3 as follows (changes to existing text
are bold and underlined for additions and struckthrough for
removals):
Patient Demographic Module
Patient Demographic Module Attributes
Attribute Name
Tag
Attribute Description
...
Ethnic Group
(0010,2160)
Ethnic group or race of Patient.
Ethnic Group Code Sequence
(0010,eee1)
Ethnic group or race of Patient.Only a single Item is permitted in this Sequence.
Attributes that may be used to identify and describe the Patient, Study and Series that are the subject of this Film Session.Only a single Item is permitted in this Sequence.
...
>Ethnic Group
(0010,2160)
See for description.
Ethnic Group Code Sequence
(0010,eee1)
See for description.Only a single Item is permitted in this Sequence.
Amend DICOM PS3.16 as follows (changes to existing text are bold and underlined for additions and struckthrough for removals):
Subject Context, PatientIdentifies (and optionally describes) a patient who is the subject.Type:ExtensibleOrder:SignificantRoot:No
Subject Context, Patient
NL
Rel with Parent
VT
Concept Name
VM
Req Type
Condition
Value Set Constraint
...
9
CODE
EV (415229000, SCT, "Racial group")
1
U
Defaults to Value of Ethnic Group Code Sequence (0010,eee1) of the , or if absent,
the coded equivalent of the text Value of Ethnic Group (0010,2160) of the , which is defined as "race or ethnic group"DB
For reference unchanged, PS3.16:
Racial GroupThis Context Group is intended to be a set of values that is the union of concepts used in various jurisdictions. It does not distinguish race from ethnic group.Resources:
HTML |
FHIR JSON |
FHIR XML |
IHE SVS XML
Keyword:RacialGroupFHIR Keyword:dicom-cid-6099-RacialGroupType:ExtensibleVersion:20201115UID:1.2.840.10008.6.1.1278