Clarify Admitting Diagnosis meaning and add other types of diagnosis

Visit Identification Module Attributes

Attribute Name	Tag	Attribute Description
...
Reason for Visit	(0032,1066)	Reason(s) for this visit by the patient to the facility or provider. This might or might not be the same value as Admitting Diagnoses Description (0008,1080).
Reason for Visit Code Sequence	(0032,1067)	Coded reason(s) for this visit by the patient to the facility or provider. If an HL7 message is available with a PV2 segment corresponding to this visit, potential codes may be found in Admit Reason PV2-3. This might or might not be the same codes used in Admitting Diagnoses Code Sequence (0008,1084). One or more Items are permitted in this Sequence.
>Include		No Baseline CID is defined.
...

Visit Admission Module Attributes

Attribute Name	Tag	Attribute Description
...
Admitting Diagnoses Description	(0008,1080)	Description of admitting diagnosis (diagnoses)the reason(s) the patient sought care.
Admitting Diagnoses Code Sequence	(0008,1084)	A Sequence that conveys the admitting diagnosis (diagnoses)The reason(s) the patient sought care. One or more Items shall be included in this Sequence.
>Include		No Baseline CID is defined.
Principal Diagnosis Code Sequence	(gggg,eee1)	Condition, that after investigation, was chiefly responsible for the visit. Only a single Item is permitted in this Sequence.
>Include		No Baseline CID is defined.
Primary Diagnosis Code Sequence	(gggg,eee2)	Most serious and/or resource-intensive condition during the visit. Only a single Item is permitted in this Sequence. The primary diagnosis may or may not be the same as the principal diagnosis. The use of the term "primary" in this context is not related to its different meaning in the context of cancer, i.e., it is not necessarily a condition that is a primary tumor, which might be encoded as the principal diagnosis, if appropriate.
>Include		No Baseline CID is defined.
Secondary Diagnoses Code Sequence	(gggg,eee3)	Conditions that coexist with the primary diagnosis, and that affect care during the visit. One or more Items are permitted in this Sequence.
>Include		No Baseline CID is defined.
Histological Diagnoses Code Sequence	(gggg,eee4)	Diagnoses that have been confirmed by anatomical histopathology of specimens removed from the subject. One or more Items are permitted in this Sequence.
>Include		No Baseline CID is defined.
...

Imaging Service Request Module Attributes

Attribute Name	Tag	Attribute Description
...
Reason for Visit	(0032,1066)	Reason(s) for this visit by the patient to the facility or provider. This might or might not be the same value as Admitting Diagnoses Description (0008,1080).
Reason for Visit Code Sequence	(0032,1067)	Coded reason(s) for this visit by the patient to the facility or provider. If an HL7 message is available with a PV2 segment corresponding to this visit, potential codes may be found in Admit Reason PV2-3. This might or might not be the same codes used in Admitting Diagnoses Code Sequence (0008,1084). One or more Items are permitted in this Sequence.
>Include		No Baseline CID is defined.

Patient Study Module Attributes

Attribute Name	Tag	Type	Attribute Description
Admitting Diagnoses Description	(0008,1080)	3	Description of the admitting diagnosis (diagnoses)the reason(s) the patient sought care.
Admitting Diagnoses Code Sequence	(0008,1084)	3	A Sequence that conveys the admitting diagnosis (diagnoses)The reason(s) the patient sought care. One or more Items are permitted in this Sequence.
>Include			No Baseline CID is defined.
Principal Diagnosis Code Sequence	(gggg,eee1)	3	Condition, that after investigation, was chiefly responsible for the visit. Only a single Item is permitted in this Sequence.
>Include			No Baseline CID is defined.
Primary Diagnosis Code Sequence	(gggg,eee2)	3	Most serious and/or resource-intensive condition during the visit. Only a single Item is permitted in this Sequence. The primary diagnosis may or may not be the same as the principal diagnosis. The use of the term "primary" in this context is not related to its different meaning in the context of cancer, i.e., it is not necessarily a condition that is a primary tumor, which might be encoded as the principal diagnosis, if appropriate.
>Include			No Baseline CID is defined.
Secondary Diagnoses Code Sequence	(gggg,eee3)	3	Conditions that coexist with the primary diagnosis, and that affect care during the visit. One or more Items are permitted in this Sequence.
>Include			No Baseline CID is defined.
Histological Diagnoses Code Sequence	(gggg,eee4)	3	Diagnoses that have been confirmed by anatomical histopathology of specimens removed from the subject. One or more Items are permitted in this Sequence.
>Include			No Baseline CID is defined.
...
Reason for Visit	(0032,1066)	3	Reason(s) for this visit by the patient to the facility or provider. This might or might not be the same value as Admitting Diagnoses Description (0008,1080).
Reason for Visit Code Sequence	(0032,1067)	3	Coded reason(s) for this visit by the patient to the facility or provider. If an HL7 message is available with a PV2 segment corresponding to this visit, potential codes may be found in Admit Reason PV2-3. This might or might not be the same codes used in Admitting Diagnoses Code Sequence (0008,1084). One or more Items are permitted in this Sequence.
>Include			No Baseline CID is defined.
...

Basic Film Session Relationship Module Attributes

Attribute Name	Tag	Attribute Description
...
Proposed Study Sequence	(2130,00A0)	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.
...
>Admitting Diagnoses Description	(0008,1080)	See for description.
...

Unified Procedure Step Relationship Module Attributes

Attribute Name	Tag	Attribute Description
...
Admitting Diagnoses Description	(0008,1080)	Description of admitting diagnosis (diagnoses) for the patientthe reason(s) the patient sought care.
Admitting Diagnoses Code Sequence	(0008,1084)	Coded admitting diagnosis (diagnoses) for the patientThe reason(s) the patient sought care. One or more Items shall be included in this Sequence.
>Include		No Baseline CID is defined.
Principal Diagnosis Code Sequence	(gggg,eee1)	Condition, that after investigation, was chiefly responsible for the visit. Only a single Item is permitted in this Sequence.
>Include		No Baseline CID is defined.
Primary Diagnosis Code Sequence	(gggg,eee2)	Most serious and/or resource-intensive condition during the visit. Only a single Item is permitted in this Sequence. The primary diagnosis may or may not be the same as the principal diagnosis. The use of the term "primary" in this context is not related to its different meaning in the context of cancer, i.e., it is not necessarily a condition that is a primary tumor, which might be encoded as the principal diagnosis, if appropriate.
>Include		No Baseline CID is defined.
Secondary Diagnoses Code Sequence	(gggg,eee3)	Conditions that coexist with the primary diagnosis, and that affect care during the visit. One or more Items are permitted in this Sequence.
>Include		No Baseline CID is defined.
Histological Diagnoses Code Sequence	(gggg,eee4)	Diagnoses that have been confirmed by anatomical histopathology of specimens removed from the subject. One or more Items are permitted in this Sequence.
>Include		No Baseline CID is defined.
Reason for Visit	(0032,1066)	Reason(s) for this visit by the patient to the facility or provider. This might or might not be the same value as Admitting Diagnoses Description (0008,1080).
Reason for Visit Code Sequence	(0032,1067)	Coded reason(s) for this visit by the patient to the facility or provider. If an HL7 message is available with a PV2 segment corresponding to this visit, potential codes may be found in Admit Reason PV2-3. This might or might not be the same codes used in Admitting Diagnoses Code Sequence (0008,1084). One or more Items are permitted in this Sequence.
>Include		No Baseline CID is defined.
...

Amend DICOM PS3.6 as follows (changes to existing text are bold and underlined for additions and struckthrough for removals):

Registry of DICOM Data Elements

Tag	Name	Keyword	VR	VM
(0008,1080)	Admitting Diagnoses Description	Admitting​Diagnoses​Description	LO	1-n
(0008,1084)	Admitting Diagnoses Code Sequence	Admitting​Diagnoses​Code​Sequence	SQ	1
(0032,1066)	Reason for Visit	Reason​For​Visit	UT	1
(0032,1067)	Reason for Visit Code Sequence	Reason​For​Visit​Code​Sequence	SQ	1
(gggg,eee1)	Principal Diagnosis Code Sequence	Principal​Diagnosis​Code​Sequence	SQ	1
(gggg,eee2)	Primary Diagnosis Code Sequence	Primary​Diagnosis​Code​Sequence	SQ	1
(gggg,eee3)	Secondary Diagnoses Code Sequence	Secondary​Diagnoses​Code​Sequence	SQ	1
(gggg,eee4)	Histological Diagnoses Code Sequence	Histological​Diagnoses​Code​Sequence	SQ	1

Amend DICOM PS3.15 as follows (changes to existing text are bold and underlined for additions and struckthrough for removals):

Application Level Confidentiality Profile Attributes

Attribute Name	Tag	Retd. (from )	In Std. Comp. IOD (from )	Basic Prof.	Rtn. Safe Priv. Opt.	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.	Clean Struct. Cont. Opt.	Clean Graph. Opt.
Admitting Diagnoses Code Sequence	(0008,1084)	N	Y	X								C
Admitting Diagnoses Description	(0008,1080)	N	Y	X								C
Histological Diagnoses Code Sequence	(gggg,eee4)	N	Y	X								C
Primary Diagnosis Code Sequence	(gggg,eee2)	N	Y	X								C
Principal Diagnosis Code Sequence	(gggg,eee1)	N	Y	X								C
Reason for Visit	(0032,1066)	N	Y	X								C
Reason for Visit Code Sequence	(0032,1067)	N	Y	X								C
Secondary Diagnoses Code Sequence	(gggg,eee3)	N	Y	X								C