DICOM Correction Proposal. Log Summary: replace deprecated LOINC codes, correcting typos, new fetal codes.

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DICOM Correction Proposal

STATUS Assigned

Date of Last Update 2020/06/15

Person Assigned David Clunie

Submitter Name Damien Lerat

[email protected]

Submission Date 2020/04/26

Correction Number CP-2056

Log Summary: replace deprecated LOINC codes, correcting typos, new fetal codes.

Name of Standard

PS3.16

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Rationale for Correction:

Various deprecated LOINC codes are still in use in PS3.16 and some typo should be corrected.

This correction proposal also add some LOINC codes for OB ultrasound.

Deprecated LOINC codes Possible replacement codes

11538-6 24627-2

11539-4 24725-4

11540-2 41806-1

11541-0 24590-2

11955-2 8665-2

18747-6 18747-6

18755-9 25056-3

18757-5 49118-3

18758-3 44136-0

18747-6 ???????

11528-7 ???????

11522-0 • {125195, "DCM", Pediatric Cardiac Ultrasound Report}

• {125196, "DCM", Fetal Cardiac Ultrasound Report}

• {125197, "DCM", Adult Congenital Cardiac Ultrasound Report}

• {125200, "DCM", Adult Echocardiography Procedure Report}

18760-9 25061-3

33182-7 80416-1

New codes:

Coding Scheme Designator Code value Code meaning

LN 53684-7 Left Fetal Ear

LN 53668-0 Right Fetal Ear

LN 11627-7 Amniotic Fluid Index

Correction Wording:

Amend DICOM PS3.16 as follows (changes to existing text are bold and underlined for additions and

struckthrough for removals)

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TID 5009 Fetal Biophysical Profile Section

This Template encodes scoring observations for fetal well-being evaluation as described by Manning, Antepartum Fetal Evaluation: Development of a Fetal Biophysical Profile Score, Am. J Obsetet Gynecol, 1980;136:787.

Type: Extensible Order: Significant Root: No

Table TID 5009. Fetal Biophysical Profile Section NL Rel with

Parent

VT Concept Name VM Req Type

Condition Value Set Constraint

5 > CONTAINS NUM EV (11635-0, LN,

"Fetal Tone") EV (11633-5, LN,

"Fetal Tone")

1 MC At least one of row 3- 7 shall be present

UNITS = DT ({0:2}, UCUM,

"range 0:2")

Amend DICOM PS3.16 as follows (changes to existing text are bold and underlined for additions and struckthrough for removals)

TID 9001 Gynecological History

This general Template collects the details of a patient's reproductive system history, such as number of births, and gynecological surgery history.

Type: Extensible Order: Significant Root: No

Table TID 9001. Gynecological History NL Rel with

Parent

VT Concept Name VM Req Type

Condition Value Set Constraint

3 > CONTAINS DATE EV (11955-2, LN, "Date of last menstrual period") EV (8665-2, LN, "Date of last menstrual period")

1 U

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Amend DICOM PS3.16 as follows (changes to existing text are bold and underlined for additions and struckthrough for removals)

CID 60 IMAGING AGENT ADMINISTRATION ADVERSE EVENTS

This Context Group includes contrast reactions listed in the ACR Manual of Contrast Media.

Resources: HTML | FHIR JSON | FHIR XML | IHE SVS XML Type: Extensible

Version: 20190817

UID: 1.2.840.10008.6.1.1250

Table CID 60. Imaging Agent Administration Adverse Events Coding Scheme

Designator

Code Value Code Meaning SNOMED-RT ID

UMLS Concept Unique ID

SCT 271801002 Taste and sense altered

F-5005E C0013378

Amend DICOM PS3.16 as follows (changes to existing text are bold and underlined for additions and struckthrough for removals)

CID 7000 Diagnostic Imaging Report Document Titles

Resources: HTML | FHIR JSON | FHIR XML | IHE SVS XML Type: Extensible

Version: 20140102 yyyymmdd UID: 1.2.840.10008.6.1.481

Table CID 7000. Diagnostic Imaging Report Document Titles Coding Scheme

Designator DCM

Code Value

Code Meaning UMLS Concept Unique ID

LN 18745-0 Cardiac Catheterization Report C0801759

LN 11540-2

41806-1

CT Abdomen Report C0551722

LN 11538-6

24627-2

CT Chest Report C0551723

LN 11539-4

24725-4

CT Head Report C0551724

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Page 5 Coding Scheme Designator DCM

Code Value

Code Meaning UMLS Concept Unique ID

LN 18747-6

80416-1

CT Report C0801761

LN 18748-4 Diagnostic Imaging Report C0801762 LN 11522-0 Echocardiography Report C0551715

DCM 125195 Pediatric Cardiac Ultrasound Report DCM 125196 Fetal Cardiac Ultrasound Report DCM 125197 Adult Congenital Cardiac

Ultrasound

DCM 125200 Adult Echocardiography Procedure Report

DCM 18760-9

25061-3

Ultrasound Report C0801774

LN 11541-0

24590-2

MRI Head Report C0551725

LN 18755-9

25056-3

MRI Report C0801769

LN 18756-7 MRI Spine Report C0801770

LN 18757-5

49118-3

Nuclear Medicine Report C0801771

LN 17787-3 Nuclear Medicine Thyroid Scan Report C0800894 LN 11525-3 Ultrasound Obstetric and Gyn Report C0551717

LN 18758-3

44136-0

PET Scan Report C0801772

Amend DICOM PS3.16 as follows (changes to existing text are bold and underlined for additions and struckthrough for removals)

CID 12003 OB-GYN DATES

Resources: HTML | FHIR JSON | FHIR XML | IHE SVS XML Type: Extensible

Version: 20030130 yymmdd

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UID: 1.2.840.10008.6.1.552

Table CID 12003. OB-GYN Dates Coding Scheme

Designator

Code Value Code Meaning UMLS Concept Unique ID

LN 11955-2

8665-2

LMP

Last Menstrual Period

C0552072

Amend DICOM PS3.16 as follows (changes to existing text are bold and underlined for additions and struckthrough for removals)

CID 12005 FETAL BIOMETRY MEASUREMENTS

Resources: HTML | FHIR JSON | FHIR XML | IHE SVS XML Type: Extensible

Version: 20030130

UID: 1.2.840.10008.6.1.554

Table CID 12005. Fetal Biometry Measurements Coding Scheme

Designator

Code Value

Code Meaning UMLS Concept Unique ID

LN 11860-4 Cisterna Magna length C0551977

LN 53684-7 Left Fetal Ear

LN 53668-0 Right Fetal Ear

Amend DICOM PS3.16 as follows (changes to existing text are bold and underlined for additions and struckthrough for removals)

CID 12008 OB-GYN AMNIOTIC SAC

Resources: HTML | FHIR JSON | FHIR XML | IHE SVS XML Type: Extensible

Version: 20030130

UID: 1.2.840.10008.6.1.557

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Table CID 12008. OB-GYN Amniotic Sac Coding Scheme

Designator

Code Value

Code Meaning SNOMED-RT ID

UMLS Concept Unique ID LN 11627-7 Amniotic Fluid Index

Amend DICOM PS3.16 as follows (changes to existing text are bold and underlined for additions and struckthrough for removals)

CID 12013 GESTATIONAL AGE EQUATIONS AND TABLES

These terms define a functional relationship of the gestational age from a biometric measurement.

Resources: HTML | FHIR JSON | FHIR XML | IHE SVS XML Type: Extensible

Version: 20061024 yyyymmdd UID: 1.2.840.10008.6.1.561

Table CID 12013. Gestational Age Equations and Tables

Coding Scheme Designator Code Value Code Meaning UMLS Concept Unique ID LN 11892-7 AC, Hadlock 1984

LN 11910-7 CRL, Hadlock 1992 LN 33075-3 AC, Mertz 1988 LN 33082-9 BPD, Osaka 1989

Amend DICOM PS3.16 as follows (changes to existing text are bold and underlined for additions and struckthrough for removals)

CID 12015 FETAL GROWTH EQUATIONS AND TABLES

These terms specify biometric growth parameter of a population distribution as a function of gestational age. The term may also specify the population's distribution, and so enable calculating a percentile rank or Z-score relative to the distribution.

Resources: HTML | FHIR JSON | FHIR XML | IHE SVS XML Type: Extensible

Version: 20030130 yyyymmdd UID: 1.2.840.10008.6.1.563

Table CID 12015. Fetal Growth Equations and Tables Coding Scheme

Designator

Code Value Code Meaning UMLS Concept Unique ID

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Coding Scheme Designator

Code Value Code Meaning UMLS Concept Unique ID

LN 33161-1 CRL, by GA, Shinozuka 1996 CRL by GA, Shinozuka 1996

LN 33159-5 CRL by GA ASUM 2000

CRL by GA, ASUM 2000

C1315630

LN 33154-6 BPD by GA, Merz 1988

LN 33181-9 TCD by GA Goldstein 1987 TCD by GA, Goldstein 1987

C1315652

LN 33182-7

80416-1

HC/AC by GA, Campbell 1977 C1315653

Amend DICOM PS3.16 as follows (changes to existing text are bold and underlined for additions and struckthrough for removals)

CID 12120 BLOOD VELOCITY MEASUREMENTS BY ULTRASOUND Resources: HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type: Extensible Version: 20191108

UID: 1.2.840.10008.6.1.586

Table CID 12120. Blood Velocity Measurements by Ultrasound

Coding Scheme Designator Code Value Code Meaning UMLS Concept Unique ID DCM 110828 Flow velocity Velocity

Amend DICOM PS3.16 as follows (changes to existing text are bold and underlined for additions and struckthrough for removals)

CID 12122 OTHER VASCULAR PROPERTIES

Resources: HTML | FHIR JSON | FHIR XML | IHE SVS XML Type: Extensible

Version: 20050110

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UID: 1.2.840.10008.6.1.588

Table CID 12122. Other Vascular Properties Coding Scheme

Designator

Code Value Code Meaning SNOMED-RT ID

UMLS Concept Unique ID

SCT 415814008 Vessel Intimal Cross- Sectional Area diameter

R-1025D C1532859

Amend DICOM PS3.16 as follows (changes to existing text are bold and underlined for additions and struckthrough for removals)

CID 12279 CARDIAC ULTRASOUND FETAL GENERAL MEASUREMENTS Resources:

HTML | FHIR JSON | FHIR XML | IHE SVS XML Type: Extensible

Version: 20100317

UID: 1.2.840.10008.6.1.859

Table CID 12279. Cardiac Ultrasound Fetal General Measurements Coding Scheme

Designator

Code Value Code Meaning SNOMED-RT ID

UMLS Concept Unique ID

LN 11860-4 Cisterna Magna length C0551977

Amend DICOM PS3.16 as follows (changes to existing text are bold and underlined for additions and struckthrough for removals)

CID 12304 ECHO MEASURED PROPERTIES

The Units column contains the proper UCUM representation of the recommended units for the measured property

Resources: HTML | FHIR JSON | FHIR XML | IHE SVS XML Type: Extensible

Version: 20161109

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UID: 1.2.840.10008.6.1.1145

Table CID 12304. Echo Measured Properties Coding Scheme

Designator

Code Value

Code Meaning SNOMED-RT ID

UMLS Concept Unique ID

Units

LN 11726-7

Peak Blood Velocity Peak Systolic Velocity

C0551845 (m/s, UCUM,

"m/s")

Amend DICOM PS3.16 as follows (changes to existing text are bold and underlined for additions and struckthrough for removals)

D DICOM Controlled Terminology Definitions (Normative)

This Annex specifies the meanings of codes defined in DICOM, either explicitly or by reference to another part of DICOM or an external reference document or standard.

The contents of this table are available in OWL format at

ftp://medical.nema.org/medical/dicom/resources/ontology/dcm/dcm.owl and in Bioportal.

Table D-1. DICOM Controlled Terminology Definitions (Coding Scheme Designator "DCM" Coding Scheme Version "01")

Code Value

Code Meaning Definition Notes

125012 Growth

Percentile rank Rank

The rank of a measured growth indicator relative to a normal distribution expressed as a percentage.

110137 User security Security Attributes Changed

Audit event: Security attributes of a user have been changed.

Amend DICOM PS3.16 as follows (changes to existing text are bold and underlined for additions and

struckthrough for removals)

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E French Language Meanings of Selected Codes Used in the DCMR (Normative)

This Annex defines the French language code meanings for selected codes used in the DCMR.

Table E-1. French Language Meanings of Selected Codes Coding Scheme

Designator

Coding Scheme Version

Code Value

Code Meaning English Language

Code Meaning French Language

LN 18755-9

25056-3

MR Report Compte rendu IRM

LN 18760-9

25061-3

Ultrasound Report Compte rendu d'échographie

LN 18747-6 CT Report Compte rendu TDM

G English Code Meanings of Selected Codes (Normative)

Table G-1. English Code Meanings of Selected Codes Coding Scheme Designator Code Value Code Meaning

LN 11726-7 Peak Velocity

Peak Systolic Velocity

Amend DICOM PS3.16 as follows (changes to existing text are bold and underlined for additions and

struckthrough for removals)

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H Code Meanings of LOINC Codes in DCMR

Code Meanings for LOINC codes may use the LOINC "Long Common Name" for the Code Meaning, or if that is too long for the Value Representation of Code Meaning, or if it is preferred, the LOINC "Short Name" (which will be less than 40 characters), or synonyms as specified in this Annex.

Table H-1. Code Meanings of LOINC Codes

Code Value Code Meaning

11538-6 24627-2 CT Chest Report 11539-4 24725-4 CT Head Report 11540-2 41806-1 CT Abdomen Report 11541-0 24590-2 MRI Head Report

18755-9 25056-3

MRI Report

18757-5 49118-3

Nuclear Medicine Report

18758-3 44136-0

PET Scan Report

18760-9 25061-3

Ultrasound Report

8665-2 last menstrual period Date

33182-7 80416-1

HC/AC by GA, Campbell 1977

33164-5 Fibula by GA, by GA Jeanty 1983

33157-9 Cephalic Index, by GA Chitty 1994

Cephalic Index by GA, Chitty 1994

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Code Value Code Meaning

33546-3 AC (derived), Chitty 1994

AC (derived) by GA, Chitty 1994

33180-1 Radius, by GA, Jeanty 1983

Radius by GA, Jeanty 1983

11860-4 Cisterna Magna

11860-4 Cisterna Magna length

12171-5 Lateral Ventrical le width

11726-7 Peak Systolic Velocity

11726-7 20351-3

Peak Velocity

20168-1 Acceleration time Time

20217-6 Deceleration time Time

53684-7 Left Fetal Ear

53668-0 Right Fetal Ear

11627-7 Amniotic Fluid Index