34 CP-1733 - Add Primary Anatomic Structure Context Group for Anatomic Pathology​ Page 1​ 1 Status​ Assigned​ 2 Date of Last Update​ 2019/10/27​ 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 [Ed.Note.: A first pass at populating the necessary codes for histopathology was made by taking all the topography sites mentioned​ 18 in ICD-O-2 and canonicalizing, sorting and unifying them. These have not yet been matched to existing codes used in the standard​ 19 or other sources, but will be, pending feedback on each concepts appropriateness in the list (or otherwise). In addition, "umbilical​ 20 cord" was added manually. and used to illustrate a potential mapping.]​ 21 [Ed.Note.: We probably do not want to just reuse, as opposed to include, CID 4031 Common Anatomic Regions, since there will be​ 22 specific structures that are commonly sampled but not used as radiology imaging regions. Conversely, there may be may regions​ 23 in CID 4031 that are radiology-specific and we might not want to re-use. Initially let's focus on producing exhaustive lists of (a) what​ 24 Anatomic Pathology needs and (b) what is inappropriate for Anatomic Pathology and we can deal with the appropriate refactoring​ 25 of existing context groups in a later step. The entire Annex L is include for the time being as a reference for (most of) the SNOMED​ 26 anatomic codes used in DICOM.]​ 27 [Ed.Note.: The name "Anatomic Pathology" is used for the Context Group in order to include gross as well as histopathology, and​ 28 to include surgical as well as cytopathology, and forensic and animal applications, yet narrow the context to not include all types of​ 29 clinical pathology specimens, i.e., exclude blood counts, biochemistry specimens, etc.]​ 30 [Ed.Note.: Consider reviewing with and/or cross-reference to relevant LOINC procedure codes and the LOINC parts that correspond.]​ 31 [Ed.Note.: Add to SNOMED Subset: 29870000 (Request ID xxxxx).]​ 32 Correction Wording:​ 33 - Assigned -​ 48 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 anatomic​ 5 Sequence​ structure(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​ structure 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 “Anatomic Modifier”.​ 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 as follows (changes to existing text are bold and underlined for additions and struckthrough for removals):​ 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​ Code Value​ Code Meaning​ SNOMED-CT​ UMLS Concept​ 41 Scheme​ Concept ID​ Unique ID​ 42 Designator​ 43 abdomen​ 44 abdominal aorta​ 45 abdominal esophagus​ 46 abdominal lymph node​ 47 - Assigned -​ 45 CP-1733 - Add Primary Anatomic Structure Context Group for Anatomic Pathology​ Page 3​ 1 Coding​ Code Value​ Code Meaning​ SNOMED-CT​ UMLS Concept​ 2 Scheme​ Concept ID​ Unique ID​ 3 Designator​ 4 abdominal vena cava​ 5 abdominal wall​ 6 abdominal wall muscle​ 7 abducens nerve​ 8 accessory nasal sinus​ 9 accessory nerve​ 10 accessory sinus​ 11 accessory sinuses​ 12 acetabulum​ 13 acoustic nerve​ 14 acromioclavicular joint​ 15 adenoid​ 16 adipose tissue​ 17 adnexa​ 18 adrenal​ 19 adrenal gland​ 20 ala nasi​ 21 alveolar mucosa​ 22 alveolar ridge mucosa​ 23 alveolus​ 24 ampulla of vater​ 25 anal canal​ 26 anal sphincter​ 27 and rectosigmoid junction​ 28 ankle​ 29 ankle joint​ 30 anorectal junction​ 31 anorectum​ 32 antecubital space​ 33 anterior 2/3 of tongue​ 34 anterior 2/3 of tongue dorsal surface​ 35 anterior 2/3 of tongue ventral surface​ 36 anterior cranial fossa​ 37 anterior floor of mouth​ 38 anterior mediastinum​ 39 anterior surface of epiglottis​ 40 anterior tongue​ 41 anterior wall of bladder​ 42 anterior wall of nasopharynx​ 43 anterior wall of stomach​ 44 - Assigned -​ 45 CP-1733 - Add Primary Anatomic Structure Context Group for Anatomic Pathology​ Page 4​ 1 Coding​ Code Value​ Code Meaning​ SNOMED-CT​ UMLS Concept​ 2 Scheme​ Concept ID​ Unique ID​ 3 Designator​ 4 antrum​ 5 antrum of stomach​ 6 anus​ 7 anus and anal canal​ 8 aorta​ 9 aortic body and other paraganglia​ 10 aortic lymph node​ 11 aponeurosis​ 12 appendix​ 13 arachnoid​ 14 areola​ 15 arm​ 16 artery​ 17 articular cartilage​ 18 articular cartilage of limb​ 19 aryepiglottic fold​ 20 arytenoid cartilage​ 21 arytenoid fold​ 22 ascending colon​ 23 atlas​ 24 auditory canal​ 25 auditory tube​ 26 auricle​ 27 auricular canal​ 28 auricular cartilage​ 29 auricular lymph node​ 30 autonomic nervous system​ 31 autonomic nervous system of orbit​ 32 axilla​ 33 axillary artery​ 34 axillary lymph node​ 35 axillary tail of breast​ 36 axis​ 37 back​ 38 bartholin gland​ 39 basal ganglia​ 40 base of tongue​ 41 basis pedunculi​ 42 biceps brachii muscle​ 43 biceps femoris muscle​ 44 - Assigned -​ 45 CP-1733 - Add Primary Anatomic Structure Context Group for Anatomic Pathology​ Page 5​ 1 Coding​ Code Value​ Code Meaning​ SNOMED-CT​ UMLS Concept​ 2 Scheme​ Concept ID​ Unique ID​ 3 Designator​ 4 bile duct​ 5 biliary canaliculus​ 6 biliary duct​ 7 biliary tract​ 8 bladder​ 9 bladder neck​ 10 bladder wall​ 11 blood​ 12 blood vessel​ 13 body of pancreas​ 14 body of penis​ 15 body of stomach​ 16 body of uterus​ 17 bone​ 18 bone marrow​ 19 bone of ankle​ 20 bone of arm​ 21 bone of back​ 22 bone of finger​ 23 bone of foot​ 24 bone of forearm​ 25 bone of hand​ 26 bone of heel​ 27 bone of hip​ 28 bone of leg​ 29 bone of limb​ 30 bone of shoulder​ 31 bone of thumb​ 32 bone of toe​ 33 bone of wrist​ 34 bones joints and articular cartilage​ 35 bones joints and articular cartilage of limbs​ 36 bones of skull and face and associated joints​ 37 border of tongue​ 38 bowel​ 39 brachialis muscle​ 40 brachial lymph node​ 41 brachial nerve​ 42 brachial plexus​ 43 brain​ 44 - Assigned -​ 45 CP-1733 - Add Primary Anatomic Structure Context Group for Anatomic Pathology​ Page 6​ 1 Coding​ Code Value​ Code Meaning​ SNOMED-CT​ UMLS Concept​ 2 Scheme​ Concept ID​ Unique ID​ 3 Designator​ 4 brain and central nervous system​ 5 brain stem​ 6 branchial cleft​ 7 breast​ 8 broad ligament​ 9 bronchial lymph node​ 10 bronchiole​ 11 bronchogenic​ 12 bronchopulmonary lymph node​ 13 bronchus​ 14 bronchus and lung​ 15 brow​ 16 buccal cavity​ 17 buccal mucosa​ 18 buccal sulcus​ 19 bursa​ 20 buttock​ 21 calf​ 22 calvarium​ 23 canthus​ 24 cardia​ 25 cardiac atrium​ 26 cardiac ventricle​ 27 cardioesophageal junction​ 28 carina​ 29 carotid artery​ 30 carotid body​ 31 carpal bone​ 32 cartilage​ 33 cartilage of ear​ 34 cartilage of limb​ 35 cauda equina​ 36 cecum​ 37 celiac artery​ 38 celiac lymph node​ 39 central nervous system​ 40 central portion of breast​ 41 central white matter​ 42 cerebellopontine angle​ 43 cerebellum​ 44 - Assigned -​ 45 CP-1733 - Add Primary Anatomic Structure Context Group for Anatomic Pathology​ Page 7​ 1 Coding​ Code Value​ Code Meaning​ SNOMED-CT​ UMLS Concept​ 2 Scheme​ Concept ID​ Unique ID​ 3 Designator​ 4 cerebral cortex​ 5 cerebral hemisphere​ 6 cerebral meninges​ 7 cerebral peduncle​ 8 cerebral ventricle​ 9 cerebral white matter​ 10 cerebrum​ 11 ceruminal gland​ 12 cervical canal​ 13 cervical cord​ 14 cervical esophagus​ 15 cervical lymph node​ 16 cervical plexus​ 17 cervical region​ 18 cervical stump​ 19 cervix​