Name of StandardPS3.3, PS3.6, PS3.15, PS3.16 2024b
Rationale for Correction:The ethnic group or race of a patient is only described as a text string rather then a coded concept, when there are well-defined coded concepts available, as used in SR. Add a code sequence attribute.Allow a multiplicity of 1-n for mixed races, since some of the other informatics standards like (HL7 V2 PID-10) allow for more than one value (with the proviso that "the second triplet ... is reserved for governmentally assigned codes"), though others do not (like HL7 FHIR US Extension). This is consistent with the recently announced revised US OMB Statistical Policy Directive 15 that envisages use of multiple values and also removes the distinction between race and ethnic group, and Hispanic ethnic group in particular.Note that in DICOM the concept "ethnic group" is used in a general sense, and is equivalent to the social construct of a group, SCT:415229000 Racial Group, and not the historically-used US-specific US OMB Statistical Policy Directive 15 (Hispanic or not) manner, though it is not forbidden to also convey the latter concept as a pre-coordinated value.Also change context group reference in SR subject context from Defined to Baseline, to allow other codes to be used as necessary.This CP does not attempt to extend the current CID 6099 Racial Group that is used as a value set beyond a small number of additional values, since that is a more complicated exercise. For reference, see also the HL7 V2 Table 0005, and the CDC Race & Ethnicity Code System.The revised SPD 15 also has sub-categories that are nation-specific (e.g., "Japanese") and perhaps be mapped to children of (365450009, SCT, "Finding of place of origin (finding))" though there are not many of these (yet?). No action is taken in this CP on that.[Ed. Note: SNOMED CRS request# 960501 to add 414408004.]
Correction Wording:
Amend DICOM PS3.3 as follows (changes to existing text
are bold and underlined for additions and struckthrough for
removals):
Patient Demographic Module
Patient Demographic Module Attributes
Attribute Name
Tag
Attribute Description
...
Ethnic Group
(0010,2160)
Ethnic group or race of Patient.
Ethnic Group Code Sequence
(0010,2161)
Ethnic group or race of Patient.One or more Items are permitted in this Sequence.
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.
...
>Ethnic Group
(0010,2160)
See for description.
>Ethnic Group Code Sequence
(0010,2161)
See for description.One or more Items are permitted in this Sequence.
Amend DICOM PS3.16 as follows (changes to existing text are bold and underlined for additions and struckthrough for removals):
Subject Context, Patient
Subject Context, Patient
NL
Rel with Parent
VT
Concept Name
VM
Req Type
Condition
Value Set Constraint
...
9
CODE
EV (415229000, SCT, "Racial group")
1
U
Defaults to Value of Ethnic Group Code Sequence (0010,2161) of the , or if absent,
the coded equivalent of the text Value of Ethnic Group (0010,2160) of the , which is defined as "race or ethnic group"DB
Skin Imaging Acquisition Context
Skin Imaging Acquisition Context
VT
Concept Name
VM
Req Type
Condition
Value Set Constraint
2
CODE
EV (415229000, SCT, "Racial group")
1
U
DB
Racial GroupThis Context Group is intended to be a set of values that is the union of concepts used in various jurisdictions. It does not distinguish race from ethnic group.Version:20201115202240611