CP1733 Add Primary Anatomic Structure Context Group for Anatomic Pathology

26 CP-1733 - Add Primary Anatomic Structure Context Group for Anatomic Pathology Page 1 1 Status Letter Ballot 2 Date of Last Update 2020/01/16 3 Person Assigned David Clunie 4 mailto:[email protected] 5 Submitter Name David Clunie 6 mailto:[email protected] 7 Submission Date 2017/08/19 8 Correction Number CP-1733 9 Log Summary: Add Primary Anatomic Structure Context Group for Anatomic Pathology 10 Name of Standard 11 PS3.3, PS3.6, PS3.16 12 Rationale for Correction: 13 The Whole Slide Imaging (and other IODs) use the Specimen Module, which includes Primary Anatomic Structure without specifying 14 a Context Group to use. 15 Specify an appropriate Context Group. Use it as Baseline rather than Defined to allow the use of other coding schemes for the same 16 concepts. 17 The name "Anatomic Pathology" is used for the Context Group in order to include gross as well as histopathology, and to include 18 surgical as well as cytopathology, and forensic and animal applications, yet narrow the context to not include all types of clinical 19 pathology specimens, i.e., exclude blood counts, biochemistry specimens, etc. 20 [Ed.Note: TBD. Before FT, refactor CID 6113 so that we can include only anatomy.] 21 [Ed.Note: Need to account for Abdomen changes when they are finalized (see CP 1962)] 22 [Ed.Note: See also cp_dac537_v2_ReplaceDCMSoftTissueCodeWithSNOMED.] 23 [Ed.Note: Add to SNOMED Subset Request ID xxxxx, which includes 29870000 ] 24 Correction Wording: 25 - Letter Ballot - 47 CP-1733 - Add Primary Anatomic Structure Context Group for Anatomic Pathology Page 2 1 Amend DICOM PS3.3 as follows (changes to existing text are bold and underlined for additions and struckthrough for removals): 2 Table 10-8. Primary Anatomic Structure Macro Attributes 3 Attribute Name Tag Type Attribute Description 4 Primary Anatomic Structure (0008,2228) 3 Sequence of Items that identifies the primary 5 Sequence anatomic(s) of interest in this Instance. 6 One or more Items are permitted in this Sequence. 87 >Include Table 8.8-1 "Code Sequence Macro Attributes" Context ID may be defined in the macro invocation. 9 >Primary Anatomic Structure (0008,2230) 3 Sequence of Items that modifies the primary anatomic 10 Modifier Sequence of interest in this Instance. 11 One or more Items are permitted in this Sequence. 12 >>Include Table 8.8-1 "Code Sequence Macro Attributes" Defined CID 2. 13 Table C.7.6.22-2. Specimen Macro Attributes 14 Attribute Name Tag Type Attribute Description 15 ... ... ... ... 16 Specimen Description (0040,0560) 1 Sequence of identifiers and detailed description of the specimen(s) 17 Sequence being imaged. 18 One or more Items shall be included in this Sequence. 19 Each specimen imaged in the Pixel Data shall be identified by an Item 20 in this Sequence. Other specimens in/on the container, but not imaged 21 in the Pixel Data, may also be identified by Items in this Sequence. 22 ... ... ... ... 2823 >Include Table 10-8 "Primary Anatomic Structure Macro Original anatomic location in patient of specimen. This location may 2924 Attributes" be identical to that of the parent specimen, may be further refined by 25 modifiers depending on the sampling procedure for this specimen, or 26 may be a distinct concept. 27 Baseline CID ccc1 Anatomic Structures for Anatomic Pathology. 30 ... ... ... ... 31 Amend DICOM PS3.16 to add new Context Group: 32 CID ccc1 Anatomic Structures for Anatomic Pathology 3433 Type: Extensible 3635 Version: yyyymmdd 3837 UID: 1.2.840.10008.6.1.uuu1 39 Table CID ccc1. Anatomic Structures for Anatomic Pathology 40 Coding Scheme Code Value Code Meaning SNOMED-CT Concept ID UMLS Concept Unique 41 Designator ID 42 Include CID 4 “Anatomic Region” 43 Include CID 644 “Exogenous Substance Administration Sites” 44 Include CID 645 “Exogenous Substance Tissue of Origin” 45 Include CID 1002 “Anatomical Reference Basis - Head” 46 - Letter Ballot - 45 CP-1733 - Add Primary Anatomic Structure Context Group for Anatomic Pathology Page 3 1 Coding Scheme Code Value Code Meaning SNOMED-CT Concept ID UMLS Concept Unique 2 Designator ID 3 Include CID 1004 “Anatomical Reference Basis - Chest” 4 Include CID 1005 “Anatomical Reference Basis - Abdomen/Pelvis” 5 Include CID 1006 “Anatomical Reference Basis - Extremities” 6 Include CID 3010 “Cardiovascular Anatomic Locations” 7 Include CID 3011 “Electrophysiology Anatomic Locations” 8 Include CID 3015 “Coronary Arteries” 9 Include CID 3016 “Major Coronary Arteries” 10 Include CID 4028 “Craniofacial Anatomic Regions” 11 Include CID 4029 “Dermatology Anatomic Sites” 12 Include CID 4209 “Ophthalmic Anatomic Structure Imaged” 13 Include CID 4211 “Ophthalmic OCT Anatomic Structure Imaged” 14 Include CID 6113 “Mediastinum Anatomy Finding or Feature” 15 Include CID 6115 “Osseous Anatomy Modifiers” 16 Include CID 6116 “Muscular Anatomy” 17 Include CID 6117 “Vascular Anatomy” 18 Include CID 6129 “Chest Site Involvement” 19 Include CID 6204 “Anatomic Non-colon Findings” 20 Include CID 6210 “Location in Intestinal Tract” 21 Include CID 7152 “Cardiac Structure Segmentation Types” 22 Include CID 7153 “CNS Segmentation Types” 23 Include CID 7154 “Abdominal Segmentation Types” 24 Include CID 7155 “Thoracic Segmentation Types” 25 Include CID 7156 “Vascular Segmentation Types” 26 Include CID 7160 “Pelvic Organ Segmentation Types” 27 Include CID 7167 “Peripheral Nervous System Segmentation Types” 28 Include CID 7304 “Implant Target Anatomy” 29 Include CID 7483 “Common Anatomic Regions for Animals” 30 Include CID 7600 “Lymph Node Anatomic Sites” 31 Include CID 7601 “Head and Neck Cancer Anatomic Sites” 32 Include CID 7710 “Tractography Anatomic Sites” 33 Include CID 12020 “Fetal Biometry Anatomic Sites” 34 Include CID 12021 “Fetal Long Bone Anatomic Sites” 35 Include CID 12022 “Fetal Cranium Anatomic Sites” 36 Include CID 12023 “Pelvis and Uterus Anatomic Sites” 37 Include CID 12103 “Vascular Ultrasound Anatomic Location” 38 SCT 14806007 Atlas T-11610 C0004170 39 SCT 36582005 Brachial plexus T-A9090 C0006090 40 SCT 87644002 Epididymis T-95000 C0014533 41 SCT 53342003 Internal nose T-21300 C0225425 42 SCT 78067005 Placenta T-F1100 C0032043 43 SCT 29870000 Umbilical cord T-F1800 C0041633 44 - Letter Ballot - 48 CP-1733 - Add Primary Anatomic Structure Context Group for Anatomic Pathology Page 4 1 Amend DICOM PS3.16 as follows (changes to existing text are bold and underlined for additions and struckthrough for removals): 2 CID 4 Anatomic Region 43 Resources: HTML | FHIR JSON | FHIR XML | IHE SVS XML 65 Type: Extensible 87 Version: 20170914yyyymmdd 109 UID: 1.2.840.10008.6.1.2 11 Table CID 4. Anatomic Region 12 Coding Scheme Code Value Code Meaning SNOMED-RT ID UMLS Concept Unique ID 13 Designator 14 Include CID 4030 “CT, MR and PET Anatomy Imaged” 15 Include CID 4040 “Endoscopy Anatomic Regions” 16 Include CID 4042 “XA/XRF Anatomy Imaged” 17 SCT 59652004 Atrium T-32100 C0018792 18 SCT 91470000 Axilla T-D8104 C0004454 19 SCT 77568009 Back T-D2100 C0004600 20 SCT 34411009 Broad ligament T-D6500 C0006205 21 SCT 60819002 Buccal region of face T-D1206 C0007966 22 SCT 46862004 Buttock T-D2600 C0006497 23 SCT 2334006 Calyx T-72100 C0022651 24 SCT 60819002 Cheek T-D1206 C0007966 25 SCT 28726007 Cornea T-AA200 C0010031 26 SCT 117590005 Ear T-AB001 C0013443 27 SCT 51114001 Endo-arterial T-41000 C0003842 28 SCT 80891009 Endo-cardiac T-32000 C0018787 29 SCT 32849002 Endo-esophageal T-56000 C0014876 30 SCT 53342003 Endo-nasal T-21300 C0225425 31 SCT 18962004 Endo-nasopharyngeal T-23050 C0225497 32 SCT 34402009 Endo-rectal T-59600 C0034896 33 SCT 64033007 Endo-renal T-71000 C0022646 34 SCT 87953007 Endo-ureteric T-73000 C0041951 35 SCT 13648007 Endo-urethral T-75000 C0041967 36 SCT 76784001 Endo-vaginal T-82000 C0042232 37 SCT 59820001 Endo-vascular T-40000 C0005847 38 SCT 29092000 Endo-venous T-48000 C0042449 39 SCT 48367006 Endo-vesical T-74250 C0227710 40 SCT 27947004 Epigastric region T-D4200 C0230185 41 SCT 80243003 Eyelid T-AA810 C0015426 42 SCT 89545001 Face T-D1200 C0015450 43 SCT 58602004 Flank T-D2310 C0230171 44 SCT 79361005 Fontanel of skull T-15200 C0224548 45 SCT 46862004 Gluteal region T-D2600 C0006497 46 SCT 24136001 Hip joint T-15710 C0019558 47 - Letter Ballot - 46 CP-1733 - Add Primary Anatomic Structure Context Group for Anatomic Pathology Page 5 1 Coding Scheme Code Value Code Meaning SNOMED-RT ID UMLS Concept Unique ID 2 Designator 3 SCT 11708003 Hypogastric region T-D4240 C0230189 4 SCT 170887008 Submental T-D161E C0931905 5 SCT 81502006 Hypopharynx T-55300 C0020629 6 SCT 52731004 Intra-abdominal T-D4010 C0230168 7 SCT 131183008 Intra-articular G-A15A C0442108 8 SCT 1101003 Intracranial T-D1400 C0230041 9 SCT 32849002 Intra-esophageal T-56000 C0014876 10 SCT 21844003 Intra-pelvic T-D6221 C0559769 11 SCT 51185008 Intra-thoracic T-D3000 C0817096 12 SCT 133945003 Left hypochondriac region T-D4211 C0738591 13 SCT 85119005 Left inguinal region T-D7020 C0230321 14 SCT 68505006 Left lower quadrant of T-D4140 C0230180 15 abdomen 16 SCT 133943005 Left lumbar region T-D2340 C1297910 17 SCT 86367003 Left upper quadrant of T-D4130 C0230179 18 abdomen 19 SCT 19100000 Lower inner quadrant

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