CP-1859 Distinguish Middle from Median <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>Final Text</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>2019/05/24</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>QIICR</para></td> </tr> <tr> <td rowspan="1" colspan="1" valign="top"><para>Submission Date</para></td> <td rowspan="1" colspan="1" valign="top"><para>2018/10/14</para></td> </tr> </informaltable> <informaltable rules="all" frame="box"> <tr> <td rowspan="1" colspan="1" valign="top"><para>Correction Number CP-1859</para></td> </tr> <tr> <td rowspan="1" colspan="1" valign="top"><para>Log Summary: Distinguish Middle from Median</para></td> </tr> <tr> <td rowspan="1" colspan="1" valign="top"> <para>Name of Standard</para> <para>PS3.16 2019b + CP 1858</para> </td> </tr> <tr> <td rowspan="1" colspan="1" valign="top"><para>Rationale for Correction:</para> <para>Anatomically, the term "median" is reserved for the mid-sagittal plane rather than being a generic qualifier meaning in the middle of some larger region regardless of orientation.</para> <para>There is a need to distinguish "median" versus "middle" for various uses in the standard (e.g., to distinguish middle part of something from inferior/superior or anterior/posterior parts), even though SNOMED CT considers these synonyms.</para> <para>Retire the use of the single SNOMED CT concept for middle/median/mid-longitudinal and use distinct clearly defined codes.</para> <para>Also, add the concepts medial, median and middle to the Generic Anatomic Location Modifiers context group that is created by CP 1858.</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="strikethrough">underlined</emphasis></emphasis> for additions and <emphasis role="bold"><emphasis role="strikethrough">struckthrough</emphasis></emphasis> for removals):</emphasis></para> </td> </tr> </informaltable> <section label="CID 2" status="3" xml:id="sect_CID_2"> <title>Anatomic Modifier Resources: HTML | FHIR JSON | FHIR XML | IHE SVS XML Type: Extensible Version: 2019011820190524 UID: 1.2.840.10008.6.1.1
Anatomic Modifier
Coding Scheme Designator Code Value Code Meaning SNOMED-RT ID UMLS Concept Unique ID
SCTDCM 260528009 130290 Median R-4081A C2939193
Laterality with Median Resources: HTML | FHIR JSON | FHIR XML | IHE SVS XML Type: Non-Extensible Version: 2019011820190524 UID: 1.2.840.10008.6.1.1267
Laterality with Median
Coding Scheme Designator Code Value Code Meaning SNOMED-RT ID UMLS Concept Unique ID
SCTDCM 260528009 130290 Median R-4081A C2939193
Depth from BI-RADS® From BI-RADS® Third Edition (National Mammography Database, E99) Resources: HTML | FHIR JSON | FHIR XML | IHE SVS XML Type: Extensible Version: 2016040520190524 UID: 1.2.840.10008.6.1.355
Depth from BI-RADS®
Coding Scheme Designator Code Value Code Meaning SNOMED-RT ID UMLS Concept Unique ID
SCT R-404CC Anterior 255549009 C1704448
SCTNCIt 260528009 C25569 Middle R-4081A C2939193 C0444598
SCT R-404CE Posterior 255551008 C0205095
Vessel Segment Modifiers This context group is the set of modifiers that specify the position along a vessel segment. Resources: HTML | FHIR JSON | FHIR XML | IHE SVS XML Type: Extensible Version: 2005011020190524 UID: 1.2.840.10008.6.1.583
Vessel Segment Modifiers
Coding Scheme Designator Code Value Code Meaning SNOMED-RT ID UMLS Concept Unique ID
SCT 46053002 Distal G-A119 C0205108
SCTNCIt 103342007 C25569 Mid-longitudinalMiddle G-A188 C0522490 C0444598
SCT 397421006 Origin of vessel G-036A C1301415
SCT 40415009 Proximal G-A118 C0205107
SCT 413996005 Dilated portion of segment R-1025B C1531687
Vessel Branch Modifiers This context group is the set of modifiers to specify a particular vessel segment or branch. Resources: HTML | FHIR JSON | FHIR XML | IHE SVS XML Type: Extensible Version: 2016031420190524 UID: 1.2.840.10008.6.1.584
Vessel Branch Modifiers
Coding Scheme Designator Code Value Code Meaning SNOMED-RT ID UMLS Concept Unique ID
SCT 397406000 Collateral branch of vessel G-035D C1275670
SCT 261089000 Inferior R-4094A C0542339
SCT 49370004 Lateral G-A104 C0205093
SCT 7771000 Left G-A101 C0205091
SCT 63161005 Main G-A332 C0205225
SCT 255561001 Medial R-404D5 C0205098
NCIt C25569 Middle C0444598
SCT 24028007 Right G-A100 C0205090
SCT 264217000 Superior R-42191 C1282910
Cardiac Ultrasound Target Site Modifiers Resources: HTML | FHIR JSON | FHIR XML | IHE SVS XML Type: Extensible Version: 2016040520190524 UID: 1.2.840.10008.6.1.861
Cardiac Ultrasound Target Site Modifiers
Coding Scheme Designator Code Value Code Meaning SNOMED-RT ID UMLS Concept Unique ID
SCT 49370004 Lateral G-A104 C0205093
SCT 255561001 Medial R-404D5 C0205098
SRTNCIt 260528009 C25569 Middle R-4081A C2939193 C0444598
SCT 255549009 Anterior R-404CC C1704448
SCT 255551008 Posterior R-404CE C0205095
SCT 261089000 Inferior R-4094A C0542339
SCT 46053002 Distal G-A119 C0205108
SCT 40415009 Proximal G-A118 C0205107
Generic Anatomic Location Modifiers Resources: HTML | FHIR JSON | FHIR XML | IHE SVS XML Type: Extensible Version: 20190524 UID: 1.2.840.10008.6.1287
Generic Anatomic Location Modifiers
Coding Scheme Designator Code Value Code Meaning SNOMED-RT ID UMLS Concept Unique ID
SCT 255549009 Anterior R-404CC C0205094
SCT 26216008 Central G-A110 C0205099
SCT 46053002 Distal G-A119 C0205108
SCT 261089000 Inferior R-4094A C0205104
SCT 49370004 Lateral G-A104 C0205093
SCT 255561001 Medial R-404D5 C0205098
DCM 130290 Median
NCIt C25569 Middle C0444598
SCT 103342007 Mid-longitudinal G-A188 C0522490
SCT 255551008 Posterior R-404CE C0205095
SCT 40415009 Proximal G-A118 C0205107
SCT 264217000 Superior R-42191 C1282910
DICOM Controlled Terminology Definitions (Normative)
DICOM Controlled Terminology Definitions (Coding Scheme Designator "DCM" Coding Scheme Version "01")
Code Value Code Meaning Definition Notes
130290 Median Towards the mid-sagittal plane of the body.
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
SCTDCM 260528009 130290 Median Médian
SCTNCIt 260528009 C25569 Middle Milieu
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
SCTNCIt 260528009 C25569 Middle 中央の中間
English Code Meanings of Selected Codes (Normative)
English Code Meanings of Selected Codes
Coding Scheme Designator Code Value Code Meaning
SCT 260528009 Median
Middle
SCT 103342007 Mid-Longitudinal
Mid
SNOMED Retired Codes
SNOMED Codes Retired from DICOM Use
Retired Code Value Code Meaning Replacement Code Notes
G-A109 Medial 255561001 Replacement code has meaning of "Medial (qualifier value)". Retired code is inactive in SNOMED CT (Ambiguous).
G-A109 Median 260528009 Replacement code has meaning of "Median (qualifier value)".No replacement SNOMED code exists. (130290, DCM. "Median") may be used instead. Retired code is inactive in SNOMED CT (Ambiguous).
G-A109 Middle 260528009 Replacement code has meaning of "Median (qualifier value)".No replacement SNOMED code exists. (C25569, NCIt, "Middle") may be used instead. Retired code is inactive in SNOMED CT (Ambiguous).
R-4081A Median No replacement SNOMED code exists. (130290, DCM. "Median") may be used instead. Retired code is ambiguous since it has synomyms of "middle" and "median".
R-4081A Middle No replacement SNOMED code exists. (C25569, NCIt, "Middle") may be used instead. Retired code is ambiguous since it has synomyms of "middle" and "median".