CP-2488 Replace DCM code for Margin with SCT code Status Letter Ballot Date of Last Update 2025/06/17 Person Assigned David Clunie Submitter Name Janet Keyes Submission Date 2025/01/07 Correction Number CP-2488 Log Summary: Replace DCM code for Margin with SCT code Name of Standard PS3.16 Rationale for Correction: During the review of CP 2408 it was noticed that there are DCM and SCT codes for Margin/Margins/Marginal. SCT:112233002 "Marginal (qualifier value)" has Marginal, Border, Margin, and Verge as synonyms. Replace DCM:111037 with SCT:112233002 throughout. Harmonize meaning to singular noun form "Margin", since uses as a noun refer to singular margin of a lesion, even though there may be multiple characteristics of that margin. [Ed.Note. Check the suggested replacement of the Japanese code meaning 辺縁 ("periphery") with 境界 ("boundary") is appropriate.] [Ed.Note. Update release of standard from yyyyX to past release when FT.] Correction Wording: <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 4005" status="3" xml:id="sect_TID_4005"> <title>Mammography CAD Composite Feature Body
Mammography CAD Composite Feature Body
NL Rel with Parent VT Concept Name VM Req Type Condition Value Set Constraint
21 CODE EV (111037, DCM, "Margins") (112233002, SCT, "Margin") 1-n UC May be present only if value of parent is (129788004, SCT, "Mammographic breast mass") or (129793001, SCT, "Mammography breast density") D
Content Item Descriptions Row 21 In previous releases of the Standard, (111037, DCM, "Margins") was used instead of (112233002, SCT, "Margin"). See PS3.3-yyyyX.
Mammography CAD Density
Mammography CAD Density
NL Rel with Parent VT Concept Name VM Req Type Condition Value Set Constraint
3 CODE EV (111037, DCM, "Margins") (112233002, SCT, "Margin") 1-n MC At least one of Rows 1, 2, 3, 4, 5 shall be present D
Content Item Descriptions Row 3 In previous releases of the Standard, (111037, DCM, "Margins") was used instead of (112233002, SCT, "Margin"). See PS3.3-yyyyX.
Breast Imaging Report Finding Section
Breast Imaging Report Finding Section
NL Rel with Parent VT Concept Name VM Req Type Condition Value Set Constraint
15 >> HAS PROPERTIES CODE EV (111037, DCM, "Margins") (112233002, SCT, "Margin") 1-n U D
Content Item Descriptions Row 15 In previous releases of the Standard, (111037, DCM, "Margins") was used instead of (112233002, SCT, "Margin"). See PS3.3-yyyyX.
Anatomic Modifier Version: 20190118
Anatomic Modifier
Coding Scheme Designator Code Value Code Meaning SNOMED-RT ID UMLS Concept Unique ID
SCT 112233002 Marginal G-A428 C0205284
mpMRI Assessment Type from PI-RADS® Version: 20210714yyyymmdd
mpMRI Assessment Type from PI-RADS®
Coding Scheme Designator Code Value Code Meaning SNOMED-RT ID UMLS Concept Unique ID mpMRI Assessment Values
DCMSCT 111037 112233002 Margin
DICOM Controlled Terminology Definitions (Normative)
DICOM Controlled Terminology Definitions (Coding Scheme Designator "DCM" Coding Scheme Version "01")
Code Value Code Meaning Definition Notes
111037 Margins The characteristic of the boundary, edges or border of a detected lesion. Retired. Replaced by (112233002, SCT, "Margin")
French Language Meanings of Selected Codes Used in the DCMR (Normative)
French Language Meanings of Selected Codes
Coding Scheme Designator Coding Scheme Version Code Value Code Meaning English Language Code Meaning French Language
SCT 112233002 Marginal Marginale
DCM 111037 Margins Contours
Japanese Language Meanings of Selected Codes Used in The DCMR (Normative)
Japanese Language Meanings of Selected Codes
Coding Scheme Designator Coding Scheme Version Code Value Code Meaning English Language Code Meaning Japanese Language
DCMSCT 111037 112233002 Margins 辺縁境界
Unchanged DICOM PS3.16 for reference:
Plaque Properties
Plaque Properties
NL Rel with Parent VT Concept Name VM Req Type Condition Value Set Constraint
2 HAS PROPERTIES CODE EV (112233002, SCT, "Margin") 1 U D
For reference unchanged, hyperlink targets:
Lesion Margin
Mammography Margin Characteristic
MRI Margin Characteristic