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