<book xmlns="http://docbook.org/ns/docbook" xmlns:xl="http://www.w3.org/1999/xlink" version="5.0">
   <title>CP-1883</title>
    <subtitle>Retire DCM code for Digital Mammography and replace with LOINC code</subtitle>
    <chapter>
        <title></title>
        <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>2019/09/12</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>David Clunie</para>
                   <para><link xl:href="mailto:dclunie@dclunie.com"/></para></td>
           </tr>
           <tr>
                <td rowspan="1" colspan="1" valign="top"><para>Submission Date</para></td>
               <td rowspan="1" colspan="1" valign="top"><para>2019/01/07</para></td>
            </tr>
        </informaltable>
        <informaltable rules="all" frame="box">
            <tr>
                <td rowspan="1" colspan="1" valign="top"><para>Correction Number CP-1883</para></td>
            </tr>
            <tr>
                <td rowspan="1" colspan="1" valign="top"><para>Log Summary: Retire DCM code for Digital Mammography and replace with LOINC code</para></td>
            </tr>
            <tr>
                <td rowspan="1" colspan="1" valign="top">
                    <para>Name of Standard</para>
                    <para>PS3.16 2019c</para>
                </td>
            </tr>
            <tr>
                <td rowspan="1" colspan="1" valign="top">
                    <para>Rationale for Correction:</para>
                    <para>In a comment to CP-1838 it was pointed out that (46342-2, LN, "breast ffd mammogram") overlaps with (111409, DCM, "Digital Mammography").</para>
                    <para>Though (111409, DCM, "Digital Mammography") does not include in its definition the concept of "full field", its normal usage probably assumes it.</para>
                    <para>On the principle that DICOM should use external sources of codes rather than define its own, 111409 is retired and its usage replaced.</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="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="CID 6050" status="3" xml:id="sect_CID_6050">
         <title>Breast Procedure Reported</title>
         <variablelist spacing="compact">
            <varlistentry>
               <term>
                  <emphasis role="bold">Resources:</emphasis>
               </term>
               <listitem>
                  <para xml:id="para_57206139-a844-42e3-8247-b69d8a48601a">
                     <emphasis role="bold">
                        <link xl:href="http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_6050.html" xl:show="new">HTML</link> | <link xl:href="ftp://medical.nema.org/medical/dicom/resources/valuesets/fhir/json/CID_6050.json" xl:show="new">FHIR JSON</link> | <link xl:href="ftp://medical.nema.org/medical/dicom/resources/valuesets/fhir/xml/CID_6050.xml" xl:show="new">FHIR XML</link> | <link xl:href="ftp://medical.nema.org/medical/dicom/resources/valuesets/ihe/svs/1.2.840.10008.6.1.379.xml" xl:show="new">IHE SVS XML</link>
                     </emphasis>
                  </para>
               </listitem>
            </varlistentry>
            <varlistentry>
               <term>
                  <emphasis role="bold">Type:</emphasis>
               </term>
               <listitem>
                  <para xml:id="para_3d3f1790-91df-4856-94ac-837d060fbb13">
                     <emphasis role="bold">Extensible</emphasis>
                  </para>
               </listitem>
            </varlistentry>
            <varlistentry>
               <term>
                  <emphasis role="bold">Version:</emphasis>
               </term>
               <listitem>
                  <para xml:id="para_9774e494-bc8d-4b0e-b15a-c7af1cc2e922">
                            <emphasis role="bold"><emphasis role="strikethrough">20190125</emphasis><emphasis role="underline">20190912</emphasis></emphasis>
                        </para>
               </listitem>
            </varlistentry>
            <varlistentry>
               <term>
                  <emphasis role="bold">UID:</emphasis>
               </term>
               <listitem>
                  <para xml:id="para_c7ac122b-893f-43a3-b111-2f2bebfad4de">
                     <emphasis role="bold">1.2.840.10008.6.1.379</emphasis>
                  </para>
               </listitem>
            </varlistentry>
         </variablelist>
         <table frame="box" label="CID 6050" rules="all" xml:id="table_CID_6050">
            <caption>Breast Procedure Reported</caption>
            <thead>
               <tr valign="top">
                  <th align="center" colspan="1" rowspan="1">
                     <para xml:id="para_87f2bb56-70e8-407f-a30b-e34659eee016">
                        <emphasis role="bold">Coding Scheme Designator</emphasis>
                     </para>
                  </th>
                  <th align="center" colspan="1" rowspan="1">
                     <para xml:id="para_ca7571eb-147f-4c30-960d-7b2fd1dd3fee">
                        <emphasis role="bold">Code Value</emphasis>
                     </para>
                  </th>
                  <th align="center" colspan="1" rowspan="1">
                     <para xml:id="para_c2b9433a-dcee-4963-93a3-888736ba942f">
                        <emphasis role="bold">Code Meaning</emphasis>
                     </para>
                  </th>
                  <th align="center" colspan="1" rowspan="1">
                     <para xml:id="para_de4fea51-f65e-46e5-926d-9a3c80547d24">
                        <emphasis role="bold">SNOMED-CT Concept ID</emphasis>
                     </para>
                  </th>
                  <th align="center" colspan="1" rowspan="1">
                     <para xml:id="para_25c5b11a-e4e6-4225-bcc6-a511ab2631c5">
                        <emphasis role="bold">UMLS Concept Unique ID</emphasis>
                     </para>
                  </th>
               </tr>
            </thead>
            <tbody>
               <tr valign="top">
                  <td align="center" colspan="1" rowspan="1">
                     <para xml:id="para_78b614fa-d3d4-485c-857f-cdcdfb18b52a">DCM</para>
                  </td>
                  <td align="center" colspan="1" rowspan="1">
                     <para xml:id="para_2653dba4-7b49-449f-a454-a17d0f139b4e">
                        <link linkend="DCM_111408" xrefstyle="select: nopage">111408</link>
                     </para>
                  </td>
                  <td align="left" colspan="1" rowspan="1">
                     <para xml:id="para_a930b3e8-c179-42dd-8157-068b5da7d41e">Film Screen Mammography</para>
                  </td>
                  <td align="center" colspan="1" rowspan="1">
                     <para xml:id="para_90d20cc6-34a2-4574-87c2-9ea84c2e0d36"/>
                  </td>
                  <td align="center" colspan="1" rowspan="1">
                     <para xml:id="para_34350a7a-9fee-4f6c-bc7c-5fd32eba170c"/>
                  </td>
               </tr>
               <tr valign="top">
                  <td align="center" colspan="1" rowspan="1">
                      <para xml:id="para_b508aea5-9fc0-4431-9e14-08934e1f5def"><emphasis role="bold"><emphasis role="strikethrough">DCM</emphasis></emphasis></para>
                  </td>
                  <td align="center" colspan="1" rowspan="1">
                     <para xml:id="para_087ed872-7d8d-4031-a412-f52609b91787">
                         <link linkend="DCM_111409" xrefstyle="select: nopage"><emphasis role="bold"><emphasis role="strikethrough">111409</emphasis></emphasis></link>
                            </para>
                  </td>
                  <td align="left" colspan="1" rowspan="1">
                     <para xml:id="para_1b73811f-94c6-437c-abab-52b257e3c49b"><emphasis role="bold"><emphasis role="strikethrough">Digital Mammography</emphasis></emphasis></para>
                  </td>
                  <td align="center" colspan="1" rowspan="1">
                     <para xml:id="para_0a6f68fa-f82c-4c20-b31a-d374cd4270c2"/>
                  </td>
                  <td align="center" colspan="1" rowspan="1">
                     <para xml:id="para_b963c2c0-64c8-4e90-bdb6-165ceae13486"/>
                  </td>
               </tr>
               <tr valign="top">
                  <td align="center" colspan="1" rowspan="1">
                     <para xml:id="para_d1bed65d-dacd-48aa-86a2-8757c489f259">...</para>
                  </td>
                  <td align="center" colspan="1" rowspan="1">
                     <para xml:id="para_9b2bc36e-a03c-47d4-a013-505c475a8d25"> </para>
                  </td>
                  <td align="left" colspan="1" rowspan="1">
                     <para xml:id="para_ae82a3b1-805e-474c-9f53-04f832282a39"/>
                  </td>
                  <td align="center" colspan="1" rowspan="1">
                     <para xml:id="para_e1355154-45ee-4801-8f66-89d64c8d9db4"/>
                  </td>
                  <td align="center" colspan="1" rowspan="1">
                     <para xml:id="para_5c0be122-7a5b-4c2d-bf65-ac5fadab4277"/>
                  </td>
               </tr>
                        <tr valign="top">
                            <td align="center" colspan="1" rowspan="1">
                                <para>LN</para>
                            </td>
                            <td align="center" colspan="1" rowspan="1">
                                <para>
                                <link xl:href="http://s.details.loinc.org/LOINC/46342-2.html" xl:show="new">46342-2</link>
                            </para>
                            </td>
                            <td align="left" colspan="1" rowspan="1">
                                <para>breast ffd mammogram</para>
                            </td>
                            <td align="center" colspan="1" rowspan="1">
                                <para/>
                            </td>
                            <td align="center" colspan="1" rowspan="1">
                                <para/>
                            </td>
                        </tr>
                
            </tbody>
         </table>
            <note>
                <orderedlist>
                    <listitem>
                        <para>...</para>
                    </listitem>
                    <listitem>
                        <para><link xl:href="http://s.details.loinc.org/LOINC/46342-2.html" xl:show="new">(46342-2, LN, "breast ffd mammogram")</link> is <emphasis role="bold"><emphasis role="strikethrough">specific to full field digital mammography, which is not explicit in the definition of</emphasis><emphasis role="underline">used in place of the retired</emphasis></emphasis>
                            <link linkend="DCM_111409" xrefstyle="select: nopage">(111409, DCM, "Digital Mammography")</link>.</para>
                    </listitem>
                </orderedlist>
            </note>
      </section>
        
        
        
        
        
        
        
        <section label="D" status="1" xml:id="chapter_D">
            <title>DICOM Controlled Terminology Definitions (Normative)</title>
            
            
            <table frame="box" label="D-1" rules="all" xml:id="table_D-1">
                <caption>DICOM Controlled Terminology Definitions (Coding Scheme Designator "DCM" Coding Scheme Version "01")</caption>
                <thead>
                    <tr valign="top">
                        <th align="center" colspan="1" rowspan="1">
                            <para xml:id="para_f05607a1-90fe-4408-ad56-d194c3203ae5">
                                <emphasis role="bold">Code Value</emphasis>
                            </para>
                        </th>
                        <th align="center" colspan="1" rowspan="1">
                            <para xml:id="para_022556ee-7c69-4138-a152-b3fa16bb86b2">
                                <emphasis role="bold">Code Meaning</emphasis>
                            </para>
                        </th>
                        <th align="center" colspan="1" rowspan="1">
                            <para xml:id="para_e0270183-1962-48d5-877f-b63624671b37">
                                <emphasis role="bold">Definition</emphasis>
                            </para>
                        </th>
                        <th align="center" colspan="1" rowspan="1">
                            <para xml:id="para_5aa10e80-ebb2-45b9-a2a9-fe4b3eb4497c">
                                <emphasis role="bold">Notes</emphasis>
                            </para>
                        </th>
                    </tr>
                </thead>
                <tbody>
                    <tr valign="top">
                        <td align="center" colspan="1" rowspan="1">
                            <para xml:id="DCM_111408">111408</para>
                        </td>
                        <td align="left" colspan="1" rowspan="1">
                            <para xml:id="para_21a35c0f-121a-41c7-aa8c-5b1e69665881">Film Screen Mammography</para>
                        </td>
                        <td align="left" colspan="1" rowspan="1">
                            <para xml:id="para_33f6046e-957b-4fd5-85c4-475ced554f68">Mammogram using traditional X-Ray film.</para>
                        </td>
                        <td align="left" colspan="1" rowspan="1">
                            <para xml:id="para_25ffd553-d0a4-473b-83c9-9406742ef361"/>
                        </td>
                    </tr>
                    <tr valign="top">
                        <td align="center" colspan="1" rowspan="1">
                            <para xml:id="DCM_111409"><emphasis role="italic">111409</emphasis></para>
                        </td>
                        <td align="left" colspan="1" rowspan="1">
                            <para xml:id="para_30b7c5ec-6dfc-45e3-9159-0aa257119f7d"><emphasis role="italic">Digital Mammography</emphasis></para>
                        </td>
                        
                            <td align="left" colspan="1" rowspan="1">
                                <para xml:id="para_c924f460-df76-4528-8b72-02c31b4fcd0d"><emphasis role="italic">Mammogram using a digital image acquisition system.</emphasis></para>
                            </td>
                        
                        <td align="left" colspan="1" rowspan="1">
                            <para xml:id="para_da64865a-7856-4bfd-b1fb-c118db6ec8a5"><emphasis role="italic"><emphasis role="bold"><emphasis role="underline">Retired.</emphasis></emphasis></emphasis></para>
                            <para><emphasis role="italic"><emphasis role="bold"><emphasis role="underline">Replaced by <link xl:href="http://s.details.loinc.org/LOINC/46342-2.html" xl:show="new">(46342-2, LN, "breast ffd mammogram")</link>.</emphasis></emphasis></emphasis></para>
                        </td>
                    </tr>
                </tbody>
            </table>
        </section>

    </chapter>
</book>
