CP-2562 Update DICOM to reflect changes in IHTSDO SNOMED CT-DICOM Subset for JUL 2025 INT Release Status Letter Ballot Date of Last Update 2026/01/28 Person Assigned David Clunie Submitter Name David Clunie Submission Date 2025/07/31 Correction Number CP-2562 Log Summary: Update DICOM to reflect changes in IHTSDO SNOMED CT-DICOM Subset for JUL 2025 INT Release Name of Standard PS3.16 Rationale for Correction: The following concepts have been inactivated in the July 2025 INT release: 111139005 Inotropic agent (product) 1182007 Hypotensive agent (product) 169014003 Fluoroscopy and radiography (procedure) - CRS#971758 - adds new replacement concept 1373320005 197315008 Non-alcoholic fatty liver (disorder) 241213007 Cardiac shunt study (procedure) 255631004 Antibiotic (product) - CRS#971760 missing synonym "antibiotic" in replacement - response is confusing - reconsider replacing at all since proposed replacement is too generic "Substance with antibacterial mechanism of action (substance)" 26370007 Medicinal product acting as hemostatic (product) 280906005 Medicinal product acting as keratolytic (product) - CRS#971761 rejects adding substance - ignore their inactivation 303960004 Medicinal product acting as thrombolytic agent (product) 30492008 Medicinal product acting as diuretic (product) 35757004 Echocardiography for determining ventricular contraction (procedure) - CRS#971759 - has been reactivated 35860002 Repair by nailing (procedure) 371422002 History of substance abuse (situation) 373061006 Device applied to patient (finding) 4382004 Centrally acting hypotensive agent (product) 439007 Therapeutic radioisotope (product) - CRS#971763 - rejects reactivation or substance - ignore their inactivation 61420007 Tube feeding of patient (regime/therapy) 67507000 Medicinal product acting as antiarrhythmic agent (product) 7140000 Radiographic contrast media (product) 764170006 Fibrinolysin (substance) 81839001 Medicinal product acting as anticoagulant agent (product) 96328007 Medicinal product acting as decongestant (product) In a related review of the DICOM subset, the following concepts have also been noted to be inactive without replacements: 60533005 Medicinal product acting as astringent (product) - SNOMED rejects adding substance - ignore their inactivation 52017007 Medicinal product acting as antiemetic agent (product) - SNOMED rejects adding substance - ignore their inactivation 108899006 Medicinal product acting as contraceptive (product) - SNOMED rejects adding substance - ignore their inactivation 312064005 Hypoglycemic agent (product) - SNOMED rejects adding substance - ignore their inactivation 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 3309" status="3" xml:id="sect_TID_3309"> <title>Stress Echo Measurement Group Type: Extensible Order: Significant Root: No
Stress Echo Measurement Group
NL Rel with Parent VT Concept Name VM Req Type Condition Value Set Constraint
1 CONTAINER DT (59776-5, LN, "Findings") 1 M
2 > HAS CONCEPT MOD CODE EV (121058, DCM, "Procedure reported") 1 M DT (40701008, SCT, "Echocardiography")
3 > CONTAINS INCLUDE D 1-n U $Measurement = D $Method =
4 >> HAS CONCEPT MOD CODE EV (363698007, SCT, "Finding Site") 1 MC IF Row 3 measurement concept is in EV (87878005, SCT, "Left Ventricle")
5 > CONTAINS INCLUDE D 1-n U $Measurement = D $Method =
6 >> HAS CONCEPT MOD CODE EV (363698007, SCT, "Finding Site") 1 MC IF Row 5 measurement concept is in EV (34202007, SCT, "Aortic Valve")
7 > CONTAINS INCLUDE D 1-n U $Measurement = D $Method =
8 >> HAS CONCEPT MOD CODE EV (363698007, SCT, "Finding Site") 1 MC IF Row 7 measurement concept is in EV (91134007, SCT, "Mitral Valve")
9 > CONTAINS INCLUDE D 1-n U $Measurement = D $Method =
10 >> HAS CONCEPT MOD CODE EV (363698007, SCT, "Finding Site") 1 MC IF Row 9 measurement concept is in EV (46030003, SCT, "Tricuspid Valve")
11 > CONTAINS INCLUDE D 1 U $Procedure = DT (35757004, SCT, "Echocardiography for Determining Ventricular Contraction")
Content Item Descriptions Rows 3, 4, 5, 6, 7, 8, 9, 10 These invocations of do not include an inherited Findings Site concept, for example as in the invocations of from . Echo measurements that do not have the associated Finding Site pre-coordinated in the measurement concept (i.e., the orifice flow measurements of ), shall have the Finding Site explicitly post-coordinated with a Concept Modifier (Rows 4, 6, 8, and 10). This Template does not include the concept of an Image Library, for example as used in . Image Content Items in the Echo Measurement Template shall be included with by-value relationships, not with by-reference relationships.
Echocardiography Procedure Report This Template forms the top of a Content Tree that allows an ultrasound device to describe the results of an adult echocardiography imaging procedure. It is instantiated at the root node. It can also be included in other Templates that need to incorporate echocardiography findings into another report as quoted evidence. Type: Extensible Order: Significant Root: Yes
Echocardiography Procedure Report
NL Rel with Parent VT Concept Name VM Req Type Condition Value Set Constraint
1 CONTAINER EV (125200, DCM, "Adult Echocardiography Procedure Report") 1 M Root node
2 > HAS CONCEPT MOD INCLUDE D 1 U
3 > HAS OBS CONTEXT INCLUDE D 1 M
4 > CONTAINS CONTAINER DT (55111-9, LN, "Current Procedure Descriptions") 1 U
5 >> CONTAINS CODE DT (125203, DCM, "Acquisition Protocol") 1-n M B
6 > CONTAINS INCLUDE D 1 U
7 > CONTAINS CONTAINER EV (111028, DCM, "Image Library") 1 U
8 >> CONTAINS IMAGE 1-n M
9 > CONTAINS INCLUDE D 1 U $SectionSubject = EV (87878005, SCT, "Left Ventricle") $MeasType = D
10 > CONTAINS INCLUDE D 1 U $SectionSubject = EV (53085002, SCT, "Right Ventricle") $MeasType = D
11 > CONTAINS INCLUDE D 1 U $SectionSubject = EV (82471001, SCT, "Left Atrium") $MeasType = D
12 > CONTAINS INCLUDE D 1 U $SectionSubject = EV (73829009, SCT, "Right Atrium") $MeasType = D
13 > CONTAINS INCLUDE D 1 U $SectionSubject = EV (34202007, SCT, "Aortic Valve") $MeasType = D
14 > CONTAINS INCLUDE D 1 U $SectionSubject = EV (91134007, SCT, "Mitral Valve") $MeasType = D
15 > CONTAINS INCLUDE D 1 U $SectionSubject = EV (39057004, SCT, "Pulmonic Valve") $MeasType = D
16 > CONTAINS INCLUDE D 1 U $SectionSubject = EV (46030003, SCT, "Tricuspid Valve") $MeasType = D
17 > CONTAINS INCLUDE D 1 U $SectionSubject = EV (15825003, SCT, "Aorta") $MeasType = D
18 > CONTAINS INCLUDE D 1 U $SectionSubject = EV (81040000, SCT, "Pulmonary artery") $MeasType = D
19 > CONTAINS INCLUDE D 1 U $SectionSubject = EV (35532006, SCT, "Vena Cava") $MeasType = D
20 > CONTAINS INCLUDE D 1 U $SectionSubject = EV (122972007, SCT, "Pulmonary Venous Structure") $MeasType = D
21 > CONTAINS INCLUDE D 1 U $SectionSubject = EV (25489000, SCT, "Pericardial cavity") $MeasType = D
22 > CONTAINS INCLUDE D 1 U $SectionSubject = EV (241213007, SCT, "Cardiac Shunt Study") (785775005, SCT, "Echocardiography with agitated saline contrast") $MeasType = D
23 > CONTAINS INCLUDE D 1 U $SectionSubject = EV (9904008, SCT, "Congenital Anomaly of Cardiovascular System") $MeasType = D
24 > CONTAINS INCLUDE D 1-n U $Procedure = DT (35757004, SCT, "Echocardiography for Determining Ventricular Contraction")
25 > CONTAINS INCLUDE D 1 U
Interventional Drug Version: 20200117yyyymmdd
Interventional Drug
Coding Scheme Designator Code Value Code Meaning SNOMED-RT ID UMLS Concept Unique ID
SCT 419442005 Ethanol C-21047 C0001962
SCT 6725000 Methylene blue C-22947 C0025746
SCT 6425004 Antihistamine C-51000 C0003360
SCT 73949004 Atropine C-67770 C0004259
SCT 30492008 372695000 Diuretic C-72000 F-618AF C0012798
SCT 67507000 372813008 Antiarrhythmic drugagent C-80110 F-6196E C0003195
SCT 111139005 373213009 Inotropic agent C-80120 F-617EB C0304509
NCIt C78322 Cardiotonic agent C0007209
SCT 373263004 Cardiac adrenergic blocking agent F-6181D C1277070
SCT 67440007 Alpha-adrenergic blocking agent C-80131 C0001641
SCT 33252009 beta-Adrenergic blocking agent C-80135 C0001645
SCT 796001 Digoxin C-80330 C0012265
SCT 82573000 Lidocaine C-80400 C0023660
SCT 61773008 Lidocaine hydrochloride C-80401 C0546869
SCT 85272000 Nifedipine C-80430 C0028066
SCT 55745002 Propranolol C-80450 C0033497
SCT 31306009 Quinidine C-80460 C0034414
SCT 47898004 Verapamil C-80490 C0042523
SCT 1182007 372586001 Hypotensive agent C-81100 F-616F0 C0003364
SCT 4382004 372740001 Centrally acting hypotensive agent C-81120 F-6192A C0304523
SCT 71759000 Nitroglycerin C-81560 C0017887
SCT 10712001 Glucagon preparation C-A2010 C0017687
SCT 81839001 372862008 Anticoagulant C-A6500 F-6199A C0003280
SCT 48603004 Warfarin C-A6530 C0043031
SCT 84812008 Heparin C-A6540 C0019134
SCT 3361000 Anti-heparin agent C-A6700 C0304941
SCT 64520006 Protamine sulfate C-A6710 C0033602
SCT 373746004 Coagulant F-61642 C0009117
SCT 418326009 Human fibrinogen F-D7011 C2587184
SCT 26370007 372681003 Hemostatic agent C-A7000 F-618A5 C0019120
SCT 60533005 Astringent drug C-A7001 C0004110
SCT 59057006 Antihemophilic factor preparation C-A7021 C0301494
SCT 36176003 Thrombin preparation F-6ACA0 C0040018
SCT 387124009 Thromboplastin F-61C97 C0040048
SCT 13132007 Dextran C-A7220 C0086140
SCT 303960004 372742009 Thrombolytic agent C-50434 F-6192C C0016018
SCT 395889004 Streptokinase F-66005 C0038418
SCT 59082006 Urokinase preparation C-A7430 C0042071
SCT 764170006 78588006 Fibrinolysin F-6ACB0 C0016016
SCT 19041007 Tolazoline hydrocholoride C-815E1 C0770500
SCT 387362001 Epinephrine F-B2135 C0014563
SCT 372787008 Vasodilator F-61957 C0042402
SCT 372784001 Papaverine F-61955 C0030350
SCT 372863003 Phentolamine F-6199B C0031448
SCT 48988008 Prostaglandin E1 F-BA070 C0002335
Imaging Contrast Agent Version: 20210714
Imaging Contrast Agent
Coding Scheme Designator Code Value Code Meaning SNOMED-RT ID UMLS Concept Unique ID Trade Name (Informative)
SCT 15158005 Air A-80230 C0001861
SCT 25419009 Barium Sulfate C-12217 C0004754
SCT 90745007 Bunamiodyl C-B0315 C0623554
SCT 31811003 Carbon dioxide C-10520 C0007012
SCT 62442005 Chloriodized oil C-B0316 C0301444
SCT 7140000 385420005 Contrast agent C-B0300 F-61D54 C2930749 C0009924
SCT 12335007 Diatrizoate C-B0317 C0012004 Angiovist™(Berlex), Cardiografin™(Bracco), Cystografin™(Bracco), Gastrografin™(Bracco), Gastrovist™(Berlex), Hypaque™(GE), MD-nn™(Mallinckrodt), Reno-nn™(Bracco), Renografin™(Bracco), Renovist™(Bracco), Sinografin™(Bracco), Urovist™(Berlex)
SCT 792865009 Gadobenate dimeglumine C5230781 Multihance® (Bracco)
SCT 407976008 Gadobutrol C-B0415 C0291216 Gadavist®
SCT 354088005 Gadodiamide C-B03C3 C0082646 Omniscan™(GE)
SCT 770982005 Gadofosveset C1698893 Vasovist™ (Epix), Ablavar
SCT 768763008 Gadolinium C0303704
SCT 109216000 Gadopentetate dimeglumine C-B0321 C0060934 Magnevist™(Berlex)
SCT 712714000 Gadoterate meglumine C-F06BC C0118538 Clariscan™ (GE), Dotarem® (Guerbet)
SCT 353946009 Gadoteridol C-B03AD C0060930 ProHance (Bracco)
SCT 409477004 Gadoversetamide C-B0493 C0754820 Optimark® (Liebel-Flarsheim)
SCT 440223009 Gadoxetate disodium C-178FF C1714000 Eovist (Bayer)
SCT 12801003 Iodamide meglumine C-B0326 C0065884 Renovue™(Bracco)
SCT 73212002 Iodipamide C-B0318 C0021971 Cholographin™(Bracco), Sinografin™(Bracco)
SCT 353962003 Iodixanol C-B03BC C0063757 Visipaque™(GE)
SCT 89595000 Iodized oil C-B0319 C0021972
SCT 86584005 Iodoalphionic acid C-B0323 C0063766
SCT 74554008 Iodophthalein C-B0341 C0163095
SCT 40710000 Iodopyracet C-B0327 C0021990
SCT 109218004 Iohexol C-B0322 C0022005 Omnipaque™(GE)
RADLEX RID11585 Ionic iodinated contrast agent C0361904
SCT 109219007 Iopamidol C-B0329 C0022026 Isovue™(Bracco)
SCT 76155001 Iopanoic acid C-B0328 C0022028 Telepaque™(GE)
SCT 28121005 Iophendylate C-B0331 C0022029 Pantopaque™(Alcon)
SCT 23053002 Iophenoxic acid C-B0333 C0063816
SCT 353903006 Iopromide C-B0382 C0063817 Ultravist or Imeron
SCT 353912008 Iothalamate C-B038B C0022032 Conray™(Mallinckrodt), Cysto-Conray™(Mallinckrodt), Vascoray™(Mallinckrodt)
SCT 109222009 Ioversol C-B0332 C0063828 Optiray™(Mallinckrodt)
SCT 412228003 Ioxaglate F-61E1C C0205807 Hexbrix™(Mallinckrodt)
SCT 409484007 Ioxilan C-B0303 C0063829 Imagenil
SCT 87445005 Ipodate C-B0335 C0022049 Bilivist™(Berlex), Oragrafin™(Bracco)
RXNORM 236987 Mangafodipir trisodium C0772321 Teslascan™(GE)
SCT 47192000 Meglumine diatrizoate C-B0345 C0012005 Angiovist™(Berlex), Cardiografin™(Bracco), Cystografin™(Bracco), Gastrografin™(Bracco), Gastrovist™(Berlex), MD-nn™(Mallinckrodt), Reno-nn™(Bracco), Renografin™(Bracco), Renovist™(Bracco), Sinografin™(Bracco), Urovist™(Berlex)
SCT 69783005 Meglumine iodipamide C-B0324 C0065885 Cholographin Meglumine™(Bracco)
SCT 90733003 Metrizamide C-B0348 C0025869 Amipaque™(GE)
SCT 354094002 Metrizoate C-B03C9 C0025870 Isopaque™(GE)
RADLEX RID38696 Non-ionic iodinated contrast agent C0521968
SCT 43538006 Non radiopaque medium C-B0312 C0301446
SCT 24099007 Oxygen C-10110 C0030054
SCT 111158001 Propyliodone C-B0337 C0033509 Dionosil™(GSK)
SCT 7140000 419098001 Radiopaque medium C-B0300 F-61FEA C2930749 C0358510
SCT 32836007 Sodium acetrizoate C-B0338 C0546847 Salpix™(Ortho)
SCT 83423008 Sodium diprotrizoate C-B0342 C0301447
SCT 925002 Sodium iodipamide C-B0325 C0301445 Cholographin Sodium™(Bracco)
SCT 38344006 Sodium iodomethamate C-B0344 C0301448
SCT 109212003 Sodium tyropanoate C-B0314 C0936260
SCT 11713004 Water C-10120 C0043047
The codes drawn from SNOMED are recommended to be those from the concept hierarchy of "pharmaceutical/biological product", and secondarily from the hierarchy "substance". Trade names are from .
Animal Feeding Method Version: 20151110yyyymmdd
Animal Feeding Method
Coding Scheme Designator Code Value Code Meaning SNOMED-RT ID UMLS Concept Unique ID
NCIt C64636 ad libitum C1879743
UMLS C0425422 Restricted diet C0425422
DCM 127391 Food treat
SCT 61420007 229912004 Gavage PA-00620 P2-00003 C0041281
(C0425422, UMLS, "Restricted diet") corresponds to the inactive SNOMED concept of "Dietary restriction NOS"; SNOMED currently does not seem to have an active generic concept of a restricted diet, as opposed to many specific types of restricted diet. In this context, the intent is to convey that the diet is controlled and restricted to finite quantities (e.g., as opposed to ad libitum) without requiring a detailed classification of what components are restricted.
Medication Type Code Type from Anesthesia Quality Initiative Version: 20250401yyyymmdd
Medication Type Code Type from Anesthesia Quality Initiative
Coding Scheme Designator Code Value Code Meaning SNOMED-RT ID UMLS Concept Unique ID
SCT 86308005 Adrenergic agent C-68000 C0001637
SCT 14443002 Aminoglycoside antibiotic C-52500 C0002556
SCT 373265006 Analgesic F-6181F C0002771
SCT 372813008 Antiarrhythmic F-6196E C0003195
SCT 255631004 419241000 Antibiotic C-5008C F-61FDE C0003232 C0279516
SCT 373246003 Anticholinergic F-6180B C0242896
SCT 373246003 Anticholinergic agent F-6180B C0242896
SCT 372862008 Anticoagulant F-6199A C0003280
SCT 255632006 Anticonvulsant R-F1216 C0003286
SCT 255632006 Anticonvulsant R-F1216 C0003286
SCT 77671006 Antidiuretic hormone F-B1810 C1705480
SCT 52017007 Antiemetic C-85800 C0003297
SCT 373219008 Antifungal F-617EF C0003308
SCT 3361000 Anti-heparin agent C-A6700 C0304941
SCT 372806008 Antihistamine F-61969 C0003360
SCT 1182007 372586001 Antihypertensive C-81100 F-616F0 C0003364
UMLS C1579431 Antihypoglycemic C1579431
SCT 372798009 Barbiturate R-F2B23 C0004745
SCT 372664007 Benzodiazepine R-F2B1D C0005064
SCT 372906009 Benzodiazepine antagonist F-619EF C0360298
SCT 373254001 Beta-blocker F-61814 C0001645
SCT 373297006 Beta-Lactam antibiotic C-00231 C0026458
SCT 410652009 Blood product R-005B3 C0456388
SCT 372580007 Bronchodilator F-616EB C0006280
SCT 5540006 Calcium C-14300 C0006675
SCT 373304005 Calcium channel blocker F-61878 C0006684
SCT 373530005 Caloric agent F-618D8 C0280082
SCT 396345004 Carbapenem antibiotic C-002B1 C0006968
SCT 764147003 Cephalosporin antibiotic C4706514
SCT 421148003 Cholinergic agent F-620E8 C1720711
SCT 372695000 Diuretic F-618AF C0012798
SCT 74626007 Drug diluent C-50013 C0304221
SCT 1052201004 Estrogen C0014939
SCT 372607002 Gastrointestinal prokinetic F-61716 C0358588
SCT 373288007 General anesthetic F-6186A C0017302
UMLS C0019593 H2 antagonist C0019593
SCT 372681003 Hemostatic agent F-618A5 C0019120
SCT 312064005 Hypoglycemic C-50309 C0020616
SCT 111139005 373213009 Inotropic agent C-80120 F-617EB C0304509
SCT 372677003 Lincomycin antibiotic C-0023B C0023726
SCT 387056004 Linezolid antibiotic C-00286 C0663241
SCT 373477003 Local anesthetic F-6183D C0002934
SCT 373294004 Low Molecular Weight Heparin F-6186F C0019139
SCT 372480009 Macrolide antibiotic C-00211 C0003240
SCT 72717003 Magnesium C-14800 C0024467
SCT 372602008 Metronidazole antibiotic F-616FE C0025872
SCT 372656001 Narcotic (opiate) antagonist F-6188F C0027410
UMLS C0027409 Narcotic analgesic C0027409
SCT 96328007 417901007 Decongestant C-97301 F-61FD6 C0282374
SCT 373250005 NeuroMuscular Blocking (NMB) - depolarizing F-6180F C0027867
SCT 372790002 NeuroMuscular Blocking (NMB) - non depolarizing F-61959 C0304435
SCT 372665008 NSAID F-61898 C0003211
SCT 470091001 Ocular Lubricant R-FECEC C3853691
SCT 410937004 Oxytocic F-61E2A C0030094
SCT 764146007 Penicillin antibiotic C0030842
SCT 372578001 Plasma Expander F-616E7 C1268852
SCT 88480006 Potassium C-13500 C0032821
SCT 372722000 Quinolone antibiotic C-0024C C1533693
SCT 418760000 Respiratory stimulant F-6205D C0282685
SCT 372666009 Skeletal muscle relaxant F-61899 C0037250
SCT 116566001 Steroid C-10098 C0038317
SCT 372788003 Sulfonamide antibiotic C-00257 C0599503
SCT 373206009 Tetracycline antibiotic C-00216 C1744619
SCT 18220004 Thyroid hormone F-B3000 C0040135
SCT 372735009 Vancomycin antibiotic C-0024E C0042313
SCT 870406003 Vasoconstrictor C0042397
SCT 372787008 Vasodilator F-61957 C0042402
SCT 87708000 Vitamin F-BB000 C0042890
This Context Group contains SNOMED substance or product code equivalents of enumerated string concepts for the element MedicationTypeCodeType. See and . The AQI value "ABX-Miscellaneous" corresponds to (255631004, SCT, "Antibiotic") (419241000, SCT, "Antibiotic") product, since there is no substance code in SNOMED. No equivalent concepts are included for MedicationTypeCodeType values of NonFormulary antibiotic, Dye, Indigo Carmine Red, and Non-Formulary.
Device Use Action Version: 20030327yyyymmdd
Device Use Action
Coding Scheme Designator Code Value Code Meaning SNOMED-RT ID UMLS Concept Unique ID
SCT 371877003 Device inserted into sheath R-002F8 C1299350
SCT 371876007 Device at site of interest R-002F7 C1299349
SCT 371875006 Device withdrawn / removed R-002FB C1299348
SCT 373061006 1303862004 Device applied to patient R-002F6 C1298903
SCT 373062004 Device used R-002FA C1298904
SCT 386125002 Device crossed septum R-10042 C1272581
DCM 122089 Device crossed lesion
Hypertension Therapy Version: 20190817yyyymmdd
Hypertension Therapy
Coding Scheme Designator Code Value Code Meaning SNOMED-RT ID UMLS Concept Unique ID
SCT 33252009 Beta blocker C-80135 C0001645
SCT 48698004 Calcium channel blocker C-80160 C0006684
SCT 372700007 Nitrate vasodilator F-618B5 C0360716
SCT 41549009 ACE inhibitor C-80150 C0003015
SCT 96308008 Angiotensin II receptor antagonist C-81300 C0521942
SCT 30492008 372695000 Diuretic C-72000 F-618AF C0012798
Topical Treatment Version: 20231115
Topical Treatment
Coding Scheme Designator Code Value Code Meaning SNOMED-RT ID UMLS Concept Unique ID
SCT 372558009 Immunomodulator F-61606 C1527392
SCT 373219008 Antifungal F-617EF C0003308
SCT 255631004 Antibiotic C-5008C C0003232
SCT 116566001 Steroid C-10098 C0038317
SCT 373526007 Cytotoxic agent F-618D6 C0304497
SCT 280906005 Keratolytic agent C-50315 C0022585
SCT 372681003 Hemostatic agent F-618A5 C0019120
SCT 387305002 Tretinoin F-61AA3 C0040845
SCT 43706004 Ascorbic acid F-BB370 C0003968
SCT 273944007 Aluminum hydroxide C-842F4 C0002371
OB-GYN Maternal Risk Factor Version: 20040112yyyymmdd
OB-GYN Maternal Risk Factor
Coding Scheme Designator Code Value Code Meaning SNOMED-RT ID UMLS Concept Unique ID
SCT 161445009 History of - diabetes mellitus G-023F C0455488
SCT 161501007 History of - hypertension G-0269 C0455527
SCT 161453001 History of - obesity G-0244 C0455493
SCT 161656000 History of - regular medication G-02D0 C0455633
SCT 371422002 1297194009 History of substance abuse G-0338 C1299544 C5967379
SCT 266995000 History of - cardiovascular disease G-0335 C0455539
DCM 111565 Uterine malformations
SCT 161763005 History of - ectopic pregnancy G-0304 C0438096
DCM 111566 Spontaneous Abortion
DCM 111567 Gynecologic condition
DCM 111568 Gynecologic surgery
SCT 161806007 History of - eclampsia G-031E C0438072
SCT 161807003 History of - severe pre-eclampsia G-031F C0438073
DCM 111569 Previous LBW or IUGR birth
DCM 111570 Previous fetal malformation/syndrome
SCT 161765003 History of - premature delivery G-0305 C0438076
DCM 111571 Previous RH negative or blood dyscrasia at birth
SCT 161798008 History of infertility G-0319 C0438063
DCM 111572 History of multiple fetuses
SCT 16356006 Multiple pregnancy D8-20100 C0032989
DCM 111573 Current pregnancy, known or suspected malformations/syndromes
DCM 111574 Family history, fetal malformation/syndrome
Non-lesion Object Type - Substance Version: 20170914
Non-lesion Object Type - Substance
Coding Scheme Designator Code Value Code Meaning SNOMED-RT ID UMLS Concept Unique ID
SCT 7140000 385420005 Contrast agent C-B0300 F-61D54 C2930749 C0009924
Implant Fixation Method Version: 20200310yyyymmdd
Implant Fixation Method
Coding Scheme Designator Code Value Code Meaning SNOMED-RT ID UMLS Concept Unique ID
SCT 129380009 Anchoring P0-02126 C1292829
SCT 129379006 Fusion P0-02125 C1283075
SCT 360038009 Gluing P0-021D6 C1283084
SCT 118470002 Internal skeletal fixation P1-1081B C0016642
SCT 257835007 Internal fixation using plate P1-10999 C0441559
SCT 257834006 Internal fixation using screw P1-10998 C0441558
SCT 257833000 Internal fixation using staple P1-10997 C0441557
SCT 257771002 Cemented component fixation R-41C37 C0441496
SCT 304367000 Uncemented component fixation R-42808 C0582264
SCT 35860002 274478003 Repair by nNailing P1-08080 P1-10837 C0021885
DCM 112318 Pinning
DCM 112319 Sewing
DCM 112320 Bolting
DCM 112321 Wedging
X-Ray Radiation Dose Procedure Type Reported Version: 20240611yyyymmdd
X-Ray Radiation Dose Procedure Type Reported
Coding Scheme Designator Code Value Code Meaning SNOMED-RT ID UMLS Concept Unique ID
SCT 168537006 Plain radiography P5-009FA C1306645
SCT 71651007 Mammography P5-40010 C0024671
SCT 44491008 Fluoroscopy P5-06000 C0016356
SCT 169014003 1373320005 Fluoroscopy and radiography P5-0600F
SCT 77477000 Computed tomography P5-08000 C0040405
SCT 717193008 Cone beam computed tomography R-FFB4A C1956110
SCT 241686001 Dual energy X-Ray absorptiometry P5-00027 C1510486
SCT 1290849002 Dental radiography C0034575
Liver Ultrasound Study Indication Version: 20220628yyyymmdd
Liver Ultrasound Study Indication
Coding Scheme Designator Code Value Code Meaning SNOMED-RT ID UMLS Concept Unique ID
SCT 41309000 Alcoholic liver disease D5-80400 C1442981
SCT 19943007 Cirrhosis of liver D5-80600 C0023890
SCT 128241005 Hepatitis D5-81002 C0019158
SCT 66071002 Hepatitis B DE-38010 C0019163
SCT 50711007 Hepatitis C DE-38100 C0019196
SCT 80515008 Hepatomegaly D5-81220 C0019209
SCT 18165001 Jaundice M-57610 C0022346
SCT 1231824009 Nonalcoholic fatty liver disease (NAFLD)
SCT 197315008 722866000 Nonalcoholic fatty liver (NAFL)Metabolic dysfunction-associated steatotic liver D5-80822 C0400966 C4302247
SCT 442685003 Nonalcoholic steatohepatitis (NASH) D5-000C0 C3241937
SCT 409673008 Serum alanine aminotransferase level raised F-04BC1 C1443982
SCT 115347700 Serum albumin below reference range
SCT 166612004 Serum bilirubin raised F-0169D C0020433
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 7140000 385420005 Contrast agent NOS ProduitAgent de contraste
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
SCT 7140000 385420005 Contrast agent NOS 造影剤
English Code Meanings of Selected Codes (Normative)
English Code Meanings of Selected Codes
Coding Scheme Designator Code Value Code Meaning
SCT 1182007 372586001 Hypotensive agent
Antihypertensive agent
Antihypertensive drug
SCT 303960004 372742009 Thrombolytic agent
Fibrinolytic agent
SCT 764170006 78588006 Fibrinolysin
Plasmin
SNOMED Retired Codes
SNOMED Codes Retired from DICOM Use
Retired Code Value Code Meaning Replacement Code Notes
C-A7400 Thrombolytic agent 303960004 372742009 Replacement code has meaning of "Thrombolytic (productsubstance)". Retired code is inactive in SNOMED CT (Duplicate).
C-A7440 Injectable fibrinolysin 764170006 78588006 Replacement code has meaning of "FibrinolysinPlasmin (substance)". Retired code is inactive in SNOMED CT.
C-B0310 Radiopaque medium 7140000 419098001 Replacement code has meaning of "Radiographic imaging contrast media (productsubstance)". Retired code is inactive in SNOMED CT (Duplicate).
C-97302 Nasal decongestant 96328007 417901007 Replacement code has meaning of "Decongestant preparation (product)(substance)". Retired code is inactive in SNOMED CT.
Add new retired concepts to DICOM PS3.16:
SNOMED Retired Codes
SNOMED Codes Retired from DICOM Use
Retired Code Value Code Meaning Replacement Code Notes
111139005 Inotropic agent 373213009 Replacement code has meaning of "Inotropic agent (substance)". Retired code is inactive in SNOMED CT.
1182007 Hypotensive agent 372586001 Replacement code has meaning of "Hypotensive agent (substance)". Retired code is inactive in SNOMED CT.
197315008 Nonalcoholic fatty liver (NAFL) 722866000 Replacement code has meaning of "Metabolic dysfunction-associated steatotic liver (disorder)". Retired code is inactive in SNOMED CT.
255631004 Antibiotic 419241000 Replacement code has meaning of "Substance with antibacterial mechanism of action (substance)". Retired code is inactive in SNOMED CT.
26370007 Hemostatic agent 372681003 Replacement code has meaning of "Hemostatic agent (substance)". Retired code is inactive in SNOMED CT.
303960004 Thrombolytic agent 372742009 Replacement code has meaning of "Thrombolytic agent (substance)". Retired code is inactive in SNOMED CT.
35860002 Repair by nailing 274478003 Replacement code has meaning of "Bone nailing (procedure)". Retired code is inactive in SNOMED CT.
371422002 History of substance abuse 1297194009 Replacement code has meaning of "History of substance use disorder (situation)". Retired code is inactive in SNOMED CT.
373061006 Device applied to patient 1303862004 Replacement code has meaning of "Device applied (situation)". Retired code is inactive in SNOMED CT.
4382004 Centrally acting hypotensive agent 372740001 Replacement code has meaning of "Centrally acting hypotensive agent (substance)". Retired code is inactive in SNOMED CT.
61420007 Gavage 229912004 Replacement code has meaning of "Enteral feeding (regime/therapy)". Retired code is inactive in SNOMED CT.
67507000 Antiarrhythmic drug 372813008 Replacement code has meaning of "Antiarrhythmic agent (substance)". Retired code is inactive in SNOMED CT.
7140000 Contrast agent 385420005 Replacement code has meaning of "Contrast media (substance)". Retired code is inactive in SNOMED CT.
7140000 Radiopaque medium 419098001 Replacement code has meaning of "Radiographic imaging contrast media (substance)". Retired code is inactive in SNOMED CT.
764170006 Fibrinolysin 78588006 Replacement code has meaning of "Plasmin (substance)". Retired code is inactive in SNOMED CT.
81839001 Anticoagulant 372862008 Replacement code has meaning of "Anticoagulant (substance)". Retired code is inactive in SNOMED CT.
96328007 Decongestant 417901007 Replacement code has meaning of "Decongestant (substance)". Retired code is inactive in SNOMED CT.
241213007 Cardiac Shunt Study 785775005 Replacement code has meaning of "Echocardiography with agitated saline contrast (procedure)". Retired code is inactive in SNOMED CT.
169014003 Fluoroscopy and radiography 1373320005 Replacement code has meaning of "Plain X-ray and fluoroscopy (procedure)". Retired code is inactive in SNOMED CT.