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1 Final Text Status 2 2020/03/10 Date of Last Update 3 David Clunie 4 mailto:[email protected] Person Assigned 5 David Clunie 6 mailto:[email protected] Submitter Name 7 2018/07/06 Submission Date 8 Correction Number CP-1957 9 Log Summary: More replacements of DICOM codes for headings with LOINC 10 Name of Standard 11 PS3.16 12 Rationale for Correction: 13 CP 1286 replaced DICOM codes for headings with LOINC, but this was not propagated to every template, context group or translation. 14 Correction Wording: 15 - Final Text - 16 Page 1 CP-1957 - More replacements of DICOM codes for headings with LOINC

16 CP-1957 - More replacements of DICOM codes for headings ... · 9 Log Summary: More replacements of DICOM codes for headings with LOINC 10 Name of Standard 11 PS3.16 12 Rationale

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1 Final TextStatus2 2020/03/10Date of Last Update3 David Clunie

4 mailto:[email protected]

Person Assigned

5 David Clunie

6 mailto:[email protected]

Submitter Name

7 2018/07/06Submission Date

8 Correction Number CP-19579 Log Summary: More replacements of DICOM codes for headings with LOINC10 Name of Standard

11 PS3.1612 Rationale for Correction:

13 CP 1286 replaced DICOM codes for headings with LOINC, but this was not propagated to every template, context group or translation.14 Correction Wording:

15 - Final Text -

16 Page 1CP-1957 - More replacements of DICOM codes for headings with LOINC

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

2 TID 2101 Macular Grid Thickness and Volume Measurement

3 Table TID 2101. Macular Grid Thickness and Volume Measurement

4 Value Set5 Constraint

ConditionReq TypeVMConcept NameVTRel withParent

NL

6 M1EV (121070, DCM,7 "Findings")(59776-5, LN,8 "Findings"

CONTAINER1

9 TID 3206 VA Main Results

10 Table TID 3206. VA Main Results

11 Value Set12 Constraint

ConditionReq TypeVMConcept NameVTRel withParent

NL

13 M1EV (121070, DCM,14 "Findings")(59776-5, LN,15 "Findings"

CONTAINER1

16 TID 3207 AA Main Results

17 Table TID 3207. AA Main Results

18 Value Set19 Constraint

ConditionReq TypeVMConcept NameVTRel withParent

NL

20 M1EV (121070, DCM,21 "Findings")(59776-5, LN,22 "Findings"

CONTAINER1

23 TID 3208 Frame-to-Frame Results

24 Table TID 3208. Frame-To-Frame Result

25 Value Set26 Constraint

ConditionReq TypeVMConcept NameVTRel withParent

NL

27 M1EV (121070, DCM,28 "Findings")(59776-5, LN,29 "Findings"

CONTAINER1

30 TID 3209 Centerline Wall Motion

31 Table TID 3209. Centerline Wall Motion

32 Value Set33 Constraint

ConditionReq TypeVMConcept NameVTRel withParent

NL

34 M1EV (121070, DCM,35 "Findings")(59776-5, LN,36 "Findings"

CONTAINER1

37 - Final Text -

38 Page 2CP-1957 - More replacements of DICOM codes for headings with LOINC

1 TID 3210 Radial Based Wall Motion

2 Table TID 3210. Radial Based Wall Motion

3 Value Set4 Constraint

ConditionReq TypeVMConcept NameVTRel withParent

NL

5 M1EV (121070, DCM,6 "Findings")(59776-5, LN,7 "Findings"

CONTAINER1

8 M1-nEV (121070, DCM,9 "Findings")(59776-5, LN,10 "Findings"

CONTAINERCONTAINS>4

11 TID 3211 Landmark Based Wall Motion

12 Table TID 3211. Landmark Based Wall Motion

13 Value Set14 Constraint

ConditionReq TypeVMConcept NameVTRel withParent

NL

15 M1EV (121070, DCM,16 "Findings")(59776-5, LN,17 "Findings"

CONTAINER1

18 M5EV (121070, DCM,19 "Findings")(59776-5, LN,20 "Findings"

CONTAINERCONTAINS>5

21 TID 3214 Analyzed Segment

22 Table TID 3214. Analyzed Segment

23 Value Set24 Constraint

ConditionReq TypeVMConcept NameVTRel withParent

NL

25 M1EV (121070, DCM,26 "Findings")(59776-5, LN,27 "Findings"

CONTAINER1

28 TID 3217 Sub-segmental Data

29 Table TID 3217. Sub-Segmental Data

30 Value Set31 Constraint

ConditionReq TypeVMConcept NameVTRel withParent

NL

32 M1EV (121070, DCM,33 "Findings")(59776-5, LN,34 "Findings"

CONTAINER1

35 - Final Text -

36 Page 3CP-1957 - More replacements of DICOM codes for headings with LOINC

1 TID 3251 IVUS Vessel

2 Table TID 3251. IVUS Vessel

3 Value Set4 Constraint

ConditionReq TypeVMConcept NameVTRel withParent

NL

5 M1EV (121070, DCM,6 "Findings")(59776-5, LN,7 "Findings"

CONTAINER1

8 TID 3303 Stress Test Phase Data

9 Table TID 3303. Stress Test Phase Data

10 Value Set11 Constraint

ConditionReq TypeVMConcept NameVTRel withParent

NL

12 M1DT (121070, DCM,13 "Findings")(59776-5, LN,14 "Findings"

CONTAINER1

15 TID 3304 Stress Test Measurement Group

16 Table TID 3304. Stress Test Measurement Group

17 Value Set18 Constraint

ConditionReq TypeVMConcept NameVTRel withParent

NL

19 M1DT (121070, DCM,20 "Findings")(59776-5, LN,21 "Findings"

CONTAINER1

22 TID 3307 NM/PET Perfusion Measurement Group

23 Table TID 3307. NM/PET Perfusion Measurement Group

24 Value Set25 Constraint

ConditionReq TypeVMConcept NameVTRel withParent

NL

26 M1DT (121070, DCM,27 "Findings")(59776-5, LN,28 "Findings"

CONTAINER1

29 TID 3309 Stress Echo Measurement Group

30 Table TID 3309. Stress Echo Measurement Group

31 Value Set32 Constraint

ConditionReq TypeVMConcept NameVTRel withParent

NL

33 M1DT (121070, DCM,34 "Findings")(59776-5, LN,35 "Findings"

CONTAINER1

36 - Final Text -

37 Page 4CP-1957 - More replacements of DICOM codes for headings with LOINC

1 TID 3311 Stress Test Summary

2 Table TID 3311. Stress Test Summary

3 Value Set4 Constraint

ConditionReq TypeVMConcept NameVTRel with ParentNL

5 M1EV (121111, DCM,6 "Summary")(55112-7, LN,7 "Summary"

CONTAINER1

8 U1EV (121111, DCM,9 "Summary")(55112-7, LN,10 "Summary"

TEXTCONTAINS>2

11 TID 3320 Conclusions and Recommendations

12 Table TID 3320. Conclusions and Recommendations

13 Value Set14 Constraint

ConditionReq TypeVMConcept NameVTRel withParent

NL

15 IF Completion Flag16 (0040,A491) =17 COMPLETE

MC1EV (121076, DCM,18 "Conclusions") (55110-1, LN,19 "Conclusions")

CONTAINER1

20 U1EV (121074, DCM,21 "Recommendations") (18783-1,22 LN, "Recommendations")

CONTAINER5

23 TID 3501 Hemodynamics Measurement Group

24 Table TID 3501. Hemodynamics Measurement Group

25 Value Set26 Constraint

ConditionReq TypeVMConcept NameVTRel withParent

NL

27 M1EV (121070, DCM,28 "Findings")(59776-5, LN,29 "Findings"

CONTAINER1

30 TID 3570 Summary, Hemodynamics

31 Table TID 3570. Summary, Hemodynamics

32 Value Set33 Constraint

ConditionReq TypeVMConcept NameVTRel with ParentNL

34 M1EV (121111, DCM,35 "Summary")(55112-7, LN,36 "Summary"

CONTAINERCONTAINS1

37 U1EV (121111, DCM,38 "Summary")(55112-7, LN,39 "Summary"

TEXTCONTAINS>2

40 - Final Text -

41 Page 5CP-1957 - More replacements of DICOM codes for headings with LOINC

1 TID 3602 Cardiovascular Patient Characteristics

2 Table TID 3602. Cardiovascular Patient Characteristics

3 Value Set4 Constraint

ConditionReq TypeVMConcept NameVTRel with ParentNL

5 U1EV (121110, DCM, "Patient6 Presentation")(55108-5, LN,7 "Patient Presentation"

TEXTCONTAINS>21

8 TID 3719 Summary, ECG

9 Table TID 3719. Summary, ECG

10 Value Set11 Constraint

ConditionReq TypeVMConcept NameVTRel with ParentNL

12 M1EV (121111, DCM,13 "Summary")(55112-7, LN,14 "Summary"

CONTAINERCONTAINS1

15 U1EV (121111, DCM,16 "Summary")(55112-7, LN,17 "Summary"

TEXTCONTAINS>2

18 TID 3803 Patient Presentation, Cath

19 Table TID 3803. Patient Presentation, Cath

20 Value Set21 Constraint

ConditionReq TypeVMConcept NameVTRel withParent

NL

22 M1EV (121110, DCM, "Patient23 Presentation")(55108-5, LN, "Patient24 Presentation"

CONTAINER1

25 U1EV (121110, DCM, "Patient26 Presentation")(55108-5, LN, "Patient27 Presentation"

TEXTCONTAINS>18

28 TID 3810 Cardiac Catheterization Findings

29 Table TID 3810. Cardiac Catheterization Findings

30 Value Set31 Constraint

ConditionReq TypeVMConcept NameVTRel with ParentNL

32 M1EV (121070, DCM,33 "Findings")(59776-5, LN,34 "Findings"

CONTAINERCONTAINS1

35 - Final Text -

36 Page 6CP-1957 - More replacements of DICOM codes for headings with LOINC

1 TID 3812 Hemodynamic Findings

2 Table TID 3812. Hemodynamic Findings

3 Value Set4 Constraint

ConditionReq TypeVMConcept NameVTRel with ParentNL

5 M1EV (121070, DCM,6 "Findings")(59776-5, LN,7 "Findings"

CONTAINERCONTAINS1

8 TID 3814 Left Ventriculography Findings

9 Table TID 3814. Left Ventriculography Findings

10 Value Set11 Constraint

ConditionReq TypeVMConcept NameVTRel with ParentNL

12 M1EV (121070, DCM,13 "Findings")(59776-5, LN,14 "Findings"

CONTAINERCONTAINS1

15 U1EV (121070, DCM,16 "Findings")(59776-5, LN,17 "Findings"

CONTAINERCONTAINS>10

18 U1EV (121070, DCM,19 "Findings")(59776-5, LN,20 "Findings"

CONTAINERCONTAINS>16

21 TID 3815 Right Ventriculography Findings

22 Table TID 3815. Right Ventriculography Findings

23 Value Set24 Constraint

ConditionReq TypeVMConcept NameVTRel with ParentNL

25 M1EV (121070, DCM,26 "Findings")(59776-5, LN,27 "Findings"

CONTAINERCONTAINS1

28 TID 3816 Ventricular Assessment

29 Table TID 3816. Ventricular Assessment

30 Value Set31 Constraint

ConditionReq TypeVMConcept NameVTRel with ParentNL

32 U1-nEV (121070, DCM,33 "Findings")(59776-5, LN,34 "Findings"

CONTAINERCONTAINS1

35 - Final Text -

36 Page 7CP-1957 - More replacements of DICOM codes for headings with LOINC

1 TID 3817 Coronary Arteriography Findings

2 Table TID 3817. Coronary Arteriography Findings

3 Value Set4 Constraint

ConditionReq TypeVMConcept NameVTRel with ParentNL

5 M1EV (121070, DCM,6 "Findings")(59776-5, LN,7 "Findings"

CONTAINERCONTAINS1

8 U1-nEV (121070, DCM,9 "Findings")(59776-5, LN,10 "Findings"

CONTAINERCONTAINS>4

11 U1-nD???INCLUDECONTAINS>>812 U1-nEV (121070, DCM,13 "Findings")(59776-5, LN,14 "Findings"

CONTAINERCONTAINS>9

15 TID 3818 Other Cardiographic Findings

16 Table TID 3818. Other Cardiographic Findings

17 Value Set18 Constraint

ConditionReq TypeVMConcept NameVTRel with ParentNL

19 M1EV (121070, DCM,20 "Findings")(59776-5, LN,21 "Findings"

CONTAINERCONTAINS1

22 TID 3820 Adverse Outcomes, Cath

23 Table TID 3820. Adverse Outcomes, Cath

24 Value Set25 Constraint

ConditionReq TypeVMConcept NameVTRel withParent

NL

26 M1EV (121113, DCM,27 "Complications")(55109-3, LN,28 "Complications"

CONTAINER1

29 TID 3824 Summary, Cath

30 Table TID 3824. Summary, Cath

31 Value Set32 Constraint

ConditionReq TypeVMConcept NameVTRel with ParentNL

33 M1EV (121111, DCM,34 "Summary")(55112-7, LN,35 "Summary"

CONTAINERCONTAINS1

36 U1EV (121111, DCM,37 "Summary")(55112-7, LN,38 "Summary"

TEXTCONTAINS>4

39 - Final Text -

40 Page 8CP-1957 - More replacements of DICOM codes for headings with LOINC

1 TID 3828 Discharge Summary, Cath

2 Table TID 3828. Discharge Summary, Cath

3 Value Set4 Constraint

ConditionReq TypeVMConcept NameVTRel with ParentNL

5 U1EV (121111, DCM,6 "Summary")(55112-7, LN,7 "Summary"

TEXTCONTAINS>10

8 TID 3902 Vascular Analysis

9 Table TID 3902. Vascular Analysis

10 Value Set11 Constraint

ConditionReq TypeVMConcept NameVTRel withParent

NL

12 M1EV (121070, DCM,13 "Findings")(59776-5, LN,14 "Findings"

CONTAINER1

15 TID 3905 Calcium Scoring Results

16 Table TID 3905. Calcium Scoring Results

17 Value Set18 Constraint

ConditionReq TypeVMConcept NameVTRel withParent

NL

19 M1EV (121070, DCM,20 "Findings")(59776-5, LN,21 "Findings"

CONTAINER1

22 TID 3906 Vascular Section Measurements

23 Table TID 3906. Vascular Section Measurements

24 Value Set25 Constraint

ConditionReq TypeVMConcept NameVTRel with ParentNL

26 M1-nEV (121070, DCM,27 "Findings")(59776-5, LN,28 "Findings"

CONTAINERCONTAINS>3

29 U1-nEV (121070, DCM,30 "Findings")(59776-5, LN,31 "Findings"

CONTAINERCONTAINS>>8

32 TID 3910 Flow Quantification

33 Table TID 3910. Flow Quantification

34 Value Set35 Constraint

ConditionReq TypeVMConcept NameVTRel with ParentNL

36 M1EV (121070, DCM,37 "Findings")(59776-5, LN,38 "Findings"

CONTAINERCONTAINS1

39 - Final Text -

40 Page 9CP-1957 - More replacements of DICOM codes for headings with LOINC

1 TID 3920 Ventricular Analysis

2 Table TID 3920. Ventricular Analysis

3 Value Set4 Constraint

ConditionReq TypeVMConcept NameVTRel withParent

NL

5 M1EV (121070, DCM,6 "Findings")(59776-5, LN,7 "Findings"

CONTAINER1

8 TID 3921 Ventricular Measurements

9 Table TID 3921. Ventricular Measurements

10 Value Set11 Constraint

ConditionReq TypeVMConcept NameVTRel with ParentNL

12 M1EV (121070, DCM,13 "Findings")(59776-5, LN,14 "Findings"

CONTAINERCONTAINS1

15 TID 3925 Ventricular Thickening Analysis

16 Table TID 3925. Thickening Analysis

17 Value Set18 Constraint

ConditionReq TypeVMConcept NameVTRel with ParentNL

19 M1EV (121070, DCM,20 "Findings")(59776-5, LN,21 "Findings"

CONTAINERCONTAINS1

22 M1-nEV (121070, DCM,23 "Findings")(59776-5, LN,24 "Findings"

CONTAINERCONTAINS>3

25 TID 3926 Myocardial Perfusion Analysis

26 Table TID 3926. Myocardial Perfusion Analysis

27 Value Set28 Constraint

ConditionReq TypeVMConcept NameVTRel with ParentNL

29 M1EV (121070, DCM,30 "Findings")(59776-5, LN,31 "Findings"

CONTAINERCONTAINS1

32 M1-nEV (121070, DCM,33 "Findings")(59776-5, LN,34 "Findings"

CONTAINERCONTAINS>3

35 - Final Text -

36 Page 10CP-1957 - More replacements of DICOM codes for headings with LOINC

1 TID 4201 Breast Imaging Procedure Reported

2 Table TID 4201. Breast Imaging Procedure Reported

3 Value Set4 Constraint

ConditionReq TypeVMConcept NameVTRel with ParentNL

5 D???U1EV (111401, DCM, "Reason for6 procedure")(18785-6, LN,7 "Indications for Procedure"

CODEHAS PROPERTIES>4

8 TID 4206 Breast Imaging Report Finding Section

9 Table TID 4206. Breast Imaging Report Finding Section

10 Value Set11 Constraint

ConditionReq TypeVMConcept NameVTRel withParent

NL

12 M1EV (121070, DCM,13 "Findings")(59776-5, LN,14 "Findings"

CONTAINER1

15 TID 5000 OB-GYN Ultrasound Procedure Report

16 Table TID 5000. OB-GYN Ultrasound Procedure Report

17 Value Set18 Constraint

ConditionReq TypeVMConcept NameVTRel with ParentNL

19 U1-nEV (121070, DCM,20 "Findings")(59776-5, LN,21 "Findings"

CONTAINERCONTAINS>19

22 U1-nEV (121070, DCM,23 "Findings")(59776-5, LN,24 "Findings"

CONTAINERCONTAINS>22

25 TID 5002 OB-GYN Procedure Summary Section

26 Table TID 5002. OB-GYN Procedure Summary Section

27 Value Set28 Constraint

ConditionReq TypeVMConcept NameVTRel withParent

NL

29 M1DT (121111, DCM,30 "Summary")(55112-7, LN,31 "Summary"

CONTAINER1

32 TID 5010 Amniotic Sac Section

33 Table TID 5010. Amniotic Sac Section

34 Value Set35 Constraint

ConditionReq TypeVMConcept NameVTRel withParent

NL

36 M1DT (121070, DCM,37 "Findings")(59776-5, LN,38 "Findings"

CONTAINER1

39 - Final Text -

40 Page 11CP-1957 - More replacements of DICOM codes for headings with LOINC

1 TID 5012 Ovaries Section

2 Table TID 5012. Ovaries Section

3 Value Set4 Constraint

ConditionReq TypeVMConcept NameVTRel withParent

NL

5 M1DT (121070, DCM,6 "Findings")(59776-5, LN,7 "Findings"

CONTAINER1

8 TID 5013 Follicles Section

9 Table TID 5013. Follicles Section

10 Value Set11 Constraint

ConditionReq TypeVMConcept NameVTRel withParent

NL

12 M1DT (121070, DCM,13 "Findings")(59776-5, LN,14 "Findings"

CONTAINER1

15 TID 5102 Vascular Procedure Summary Section

16 Table TID 5102. Vascular Procedure Summary Section

17 Value Set18 Constraint

ConditionReq TypeVMConcept NameVTRel withParent

NL

19 M1DT (121111, DCM,20 "Summary")(55112-7, LN,21 "Summary"

CONTAINER1

22 TID 5103 Vascular Ultrasound Section

23 Table TID 5103. Vascular Ultrasound Section

24 Value Set25 Constraint

ConditionReq TypeVMConcept NameVTRel withParent

NL

26 M1DT (121070, DCM,27 "Findings")(59776-5, LN,28 "Findings"

CONTAINER1

29 TID 5105 Ultrasound Graft Section

30 Table TID 5105. Ultrasound Graft Section

31 Value Set32 Constraint

ConditionReq TypeVMConcept NameVTRel withParent

NL

33 M1DT (121070, DCM,34 "Findings")(59776-5, LN,35 "Findings"

CONTAINER1

36 - Final Text -

37 Page 12CP-1957 - More replacements of DICOM codes for headings with LOINC

1 TID 5202 Echo Section

2 Table TID 5202. Echo Section

3 Value Set4 Constraint

ConditionReq TypeVMConcept NameVTRel withParent

NL

5 M1EV (121070, DCM,6 "Findings")(59776-5, LN,7 "Findings"

CONTAINER1

8 TID 5204 Wall Motion Analysis

9 Table TID 5204. Wall Motion Analysis

10 Value Set11 Constraint

ConditionReq TypeVMConcept NameVTRel withParent

NL

12 M1EV (121070, DCM,13 "Findings")(59776-5, LN,14 "Findings"

CONTAINER1

15 U1EV (121070, DCM,16 "Findings")(59776-5, LN,17 "Findings"

CONTAINERCONTAINS>8

18 TID 5222 Pediatric, Fetal and Congenital Cardiac Ultrasound Section

19 Table TID 5222. Pediatric, Fetal and Congenital Cardiac Ultrasound Section

20 Value Set21 Constraint

ConditionReq TypeVMConcept NameVTRel withParent

NL

22 M1EV (121070, DCM,23 "Findings")(59776-5, LN,24 "Findings"

CONTAINER1

25 TID 5226 Cardiac Ultrasound Summary Section

26 Table TID 5226. Cardiac Ultrasound Summary Section

27 Value Set28 Constraint

ConditionReq TypeVMConcept NameVTRel withParent

NL

29 M1EV (121111, DCM,30 "Summary")(55112-7, LN,31 "Summary"

CONTAINER1

32 CID 6052 Breast Imaging Report Section Title33 Resources:34 HTML | FHIR JSON | FHIR XML | IHE SVS XML35 Type:36 Extensible37 Version:38 200401122020031039 UID:40 1.2.840.10008.6.1.381

41 - Final Text -

42 Page 13CP-1957 - More replacements of DICOM codes for headings with LOINC

1 Table CID 6052. Breast Imaging Report Section Title

2 UMLS Concept3 Unique ID

SNOMED-RTID

Code MeaningCode ValueCoding SchemeDesignator

4 Physical Examination Results111423DCM5 Comparison to previous exams111424DCM6 Findings121070 59776-5DCMLN7 C0801998Impressions19005-8LN8 Recommendations121074 18783-1DCMLN9 Conclusions121076 55110-1DCMLN10 Addendum121078 55107-7DCMLN11 C0005890F-01710Breast composition129715009SCT12 Overall Assessment111413DCM13 Procedure reported121058DCM14 C0801797ReasonIndications for pProcedure111401 18785-6DCMLN

15 CID 6053 Breast Imaging Report Elements16 Resources:17 HTML | FHIR JSON | FHIR XML | IHE SVS XML18 Type:19 Extensible20 Version:21 200401122020031022 UID:23 1.2.840.10008.6.1.382

24 Table CID 6053. Breast Imaging Report Elements

25 UMLS Concept26 Unique ID

SNOMED-RTID

Code MeaningCode ValueCoding SchemeDesignator

27 Physical Examination Results111423DCM28 Comparison to previous exams111424DCM29 Finding121071DCM30 Impression121073DCM31 Recommendation121075DCM32 Conclusion121077DCM33 C0005890F-01710Breast composition129715009SCT34 Overall Assessment111413DCM35 Procedure reported121058DCM36 C0801797ReasonIndications for pProcedure111401 18785-6DCMLN

37 CID 7000 Diagnostic Imaging Report Document Titles38 Resources:39 HTML | FHIR JSON | FHIR XML | IHE SVS XML40 Type:41 Extensible42 Version:43 2014010244 UID:45 1.2.840.10008.6.1.481

46 Table CID 7000. Diagnostic Imaging Report Document Titles

47 UMLS Concept Unique IDCode MeaningCode ValueCoding Scheme48 Designator49 C0801759Cardiac Catheterization Report18745-0LN

50 - Final Text -

51 Page 14CP-1957 - More replacements of DICOM codes for headings with LOINC

1 UMLS Concept Unique IDCode MeaningCode ValueCoding Scheme2 Designator3 C0551722CT Abdomen Report11540-2LN4 C0551723CT Chest Report11538-6LN5 C0551724CT Head Report11539-4LN6 C0801761CT Report18747-6LN7 C0801762Diagnostic Imaging Report18748-4LN8 C0551715Echocardiography Report11522-0LN9 C0801774Ultrasound Report18760-9LN10 C0551725MRI Head Report11541-0LN11 C0801769MRI Report18755-9LN12 C0801770MRI Spine Report18756-7LN13 C0801771Nuclear Medicine Report18757-5LN14 C0800894Nuclear Medicine Thyroid Scan Report17787-3LN15 C0551717Ultrasound Obstetric and Gyn Report11525-3LN16 C0801772PET Scan Report18758-3LN17 C0551720Radiology Report11528-7LN18 C0801764Cardiac Electrophysiology Report18750-0LN19 ECG Report11524-0LN20 C0801766Exercise Stress Test Report18752-6LN21 C0801768Holter Study Report18754-2LN22 C1714805X-Ray Report43468-8LN23 C1526358DEXA Skeletal System Study Report38269-7LN24 Breast Imaging Report111400DCM25 C0881841Mammography Screening Report24606-6LN26 C1977263Fluoroscopy Study Report49512-7LN27 C1831148Diagnostic Interventional Radiology Report47048-4LN

28 CID 7001 Diagnostic Imaging Report Headings29 Resources:30 HTML | FHIR JSON | FHIR XML | IHE SVS XML31 Type:32 Extensible33 Version:34 2015032435 UID:36 1.2.840.10008.6.1.482

37 Table CID 7001. Diagnostic Imaging Report Headings

38 Equivalent DCMR39 (DCM) Code

UMLS Concept Unique IDCode MeaningCode ValueCoding SchemeDesignator

40 121060C0551569History11329-0LN41 121062C2708293Request55115-0LN42 121064C2708286Current Procedure Descriptions55111-9LN43 121066C2708291Prior Procedure Descriptions55114-3LN44 121068C0801832Previous Findings18834-2LN45 121070C2926606Findings59776-5LN46 121072C0801998Impressions19005-8LN

47 - Final Text -

48 Page 15CP-1957 - More replacements of DICOM codes for headings with LOINC

1 Equivalent DCMR2 (DCM) Code

UMLS Concept Unique IDCode MeaningCode ValueCoding SchemeDesignator

3 121074C0801796Recommendations18783-1LN4 121076C2708285Conclusions55110-1LN5 121078C2708272Addendum55107-7LN6 121109C0801797Indications for Procedure18785-6LN7 121110C2708282Patient Presentation55108-5LN8 121113C2708284Complications55109-3LN9 121111C2708288Summary55112-7LN10 121180C2708289Key Images55113-5LN11 113923C3654408Radiation Exposure and Protection12 Information

73569-6LN

13 C2708732Clinical Information55752-0LN14 C0945765Medications Administered29549-3LN15 C3654409Communication of Critical Results73568-8LN

16 Note

17 • In previous editions of the Standard, this Context Group included codes of DCMR, using Coding Scheme Designator DCM.18 The preferable encoding of these concepts is using the LOINC codes, however, the support of equivalent DCMR codes19 is recommended for backward compatibility.

20 • In a prior version of this Context Group, the code (18782-3, LN, "Study Observation") was specified for report heading21 "Findings". This has now been replaced by (59776-5, LN, "Procedure Findings").

22 CID 7002 Diagnostic Imaging Report Elements23 Resources:24 HTML | FHIR JSON | FHIR XML | IHE SVS XML25 Type:26 Extensible27 Version:28 200303272020031029 UID:30 1.2.840.10008.6.1.483

31 Table CID 7002. Diagnostic Imaging Report Elements

32 UMLS Concept Unique33 ID

SNOMED-RTID

Code MeaningCode ValueCoding SchemeDesignator

34 C0551569History11329-0LN35 C2708293Request55115-0LN36 Procedure Description121065DCM37 Previous Finding121069DCM38 Finding121071DCM39 Impression121073DCM40 Recommendation121075DCM41 Conclusion121077DCM42 C0742724DD-60002Complication of Procedure116224001SCT43 C2708282Patient Presentation121110 55108-5DCMLN44 C2708288Summary121111 55112-7DCMLN

45 - Final Text -

46 Page 16CP-1957 - More replacements of DICOM codes for headings with LOINC

1 D DICOM Controlled Terminology Definitions (Normative)

2 Table D-1. DICOM Controlled Terminology Definitions (Coding Scheme Designator "DCM" Coding3 Scheme Version "01")

4 NotesDefinitionCode MeaningCode Value5 Retired. Replaced by (18785-6, LN,6 "Indications for Procedure")

Concept name for the description of why a7 procedure has been performed.

Reason for pProcedure111401

8 The imaging procedure whose results are9 reported.

Procedure reported121058

10 Retired. Replaced by (373068000,11 SCT, "Undetermined")

Presence or absence of a property isundetermined

Presence Undetermined121059

12 Retired. Replaced by (11329-0, LN,13 "History")

History121060

14 Retired. Replaced by (55115-0, LN,15 "Request")

Request121062

16 Retired. Replaced by (55111-9, LN,17 "Current Procedure Descriptions")

Current ProcedureDescriptions

121064

18 A description of the imaging procedure.Procedure Description12106519 Retired. Replaced by (55114-3, LN,20 "Prior Procedure Descriptions")

Prior ProcedureDescriptions

121066

21 Retired. Replaced by (18834-2, LN,22 "Previous Findings")

Previous Findings121068

23 An observation found on a prior imaging24 study.

Previous Finding121069

25 Retired. Replaced by (59776-5, LN,26 "Findings")

Findings121070

27 An observation found on an imaging study.Finding12107128 Retired. Replaced by (19005-8, LN,29 "Impressions")

Impressions121072

30 An interpretation in the clinical context of the31 finding(s) on an imaging study.

Impression121073

32 Retired. Replaced by (18783-1, LN,33 "Recommendations")

Recommendations121074

34 A recommendation for management or35 investigation based on the findings and36 impressions of an imaging study.

Recommendation121075

37 Retired. Replaced by (55110-1, LN,38 "Conclusions")

Conclusions121076

39 An interpretation in the clinical context of the40 finding(s) on an imaging study.

Conclusion121077

41 Retired. Replaced by (55107-7, LN,42 "Addendum")

Addendum121078

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44 Page 17CP-1957 - More replacements of DICOM codes for headings with LOINC

1 NotesDefinitionCode MeaningCode Value2 Initial images used to establish a beginning3 condition that is used for comparison over4 time to look for changes. [Paraphrases5 NCI-PT (C1442488, UMLS, "Baseline"),6 which is defined as "An initial measurement7 that is taken at an early time point to8 represent a beginning condition, and is used9 for comparison over time to look for changes.10 For example, the size of a tumor will be11 measured before treatment (baseline) and12 then afterwards to see if the treatment had13 an effect. A starting point to which things may14 be compared."]

Baseline121079

15 A selection of composite instances that best16 illustrates a particular finding. E.g., an image17 slice at the location of the largest extent of a18 tumor.

Best illustration of finding121080

19 Retired. Replaced by (309343006,20 SCT, "Physician")

Physician121081

21 Retired. Replaced by (106292003,22 SCT, "Nurse")

Nurse121082

23 Retired. Replaced by (159016003,24 SCT, "Radiologic Technologist")

Technologist121083

25 Retired. Replaced by (159016003,26 SCT, "Radiographer")

Radiographer121084

27 Retired. Replaced by (C1144859,28 UMLS, "Intern")

Intern121085

29 Retired. Replaced by (405277009,30 SCT, "Resident")

Resident121086

31 Retired. Replaced by (158971006,32 SCT, "Registrar")

Registrar121087

33 A medical practitioner undergoing34 sub-specialty training. E.g., during the period35 after specialty training (residency).

Fellow121088

36 Retired. Replaced by (405279007,37 SCT, "Attending")

Attending [Consultant]121089

38 Retired. Replaced by (415506007,39 SCT, "Scrub nurse")

Scrub nurse121090

40 Retired. Replaced by (304292004,41 SCT, "Surgeon")

Surgeon121091

42 A medical practitioner with sub-specialty43 training in Ultrasound.

Sonologist121092

44 Retired. Replaced by (C1954848,45 UMLS, "Sonographer")

Sonographer121093

46 The person responsible for performing the47 procedure.

Performing121094

48 Retired. Replaced by (C1709880,49 UMLS, "Referring physician").

The person responsible for referring thepatient for the procedure.

Referring121095

50 The person responsible for requesting the51 procedure.

Requesting121096

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1 NotesDefinitionCode MeaningCode Value2 The person responsible for recording the3 procedure or observation.

Recording121097

4 The person responsible for verifying the5 recorded procedure or observation.

Verifying121098

6 The person responsible for assisting with the7 procedure.

Assisting121099

8 Retired. Replaced by (413854007,9 SCT, "Circulating Nurse").

The person responsible for makingpreparations for and monitoring the

10 procedure.

Circulating121100

11 The person responsible for standing by to12 assist with the precedure if required.

Standby121101

13 Other sex.Other sex12110214 Sex of subject undetermined at time of15 encoding.

Undetermined sex121103

16 Ambiguous sex.Ambiguous sex12110417 Retired. Replaced by (C2985483,18 UMLS, "Radiation Physicist").

Radiation Physicist.Radiation Physicist121105

19 Comment.Comment12110620 Retired. Replaced by (18785-6, LN,21 "Indications for Procedure")

Indications for ProcedureIndications for Procedure121109

22 Retired. Replaced by (55108-5, LN,23 "Patient Presentation")

Patient condition at the beginning of ahealthcare encounter

Patient Presentation121110

24 Retired. Replaced by (55112-7, LN,25 "Summary")

Summary of a procedure, including mostsignificant findings

Summary121111

26 Image or waveform used as source for27 measurement.

Source of Measurement121112

28 Retired. Replaced by (55109-3, LN,29 "Complications")

Complications from a procedureComplications121113

30 Physician who performed a procedure.Performing Physician12111431 Summary of patient condition upon Discharge32 from a healthcare facility.

Discharge Summary121115

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

34 Table E-1. French Language Meanings of Selected Codes

35 Code Meaning French LanguageCode Meaning English LanguageCode ValueCoding36 Scheme37 Version

Coding SchemeDesignator

38 AddendumAddendum121078 55107-7DCMLN39 ConclusionConclusion121077DCM40 ConclusionsConclusions121076 55110-1DCMLN41 RésultatFinding121071DCM42 RésultatsFindings121070 59776-5DCMLN43 AntécédentsHistory11329-0LN44 ImpressionImpression121073DCM45 Description de l'impressionImpression Description111033DCM

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1 Code Meaning French LanguageCode Meaning English LanguageCode ValueCoding2 Scheme3 Version

Coding SchemeDesignator

4 ImpressionsImpressions19005-8LN5 Indications de la procédureIndications for Procedure18785-6LN6 Analyse de l'Impression /7 recommandation élémentaire

Individual Impression /Recommendation Analysis

111233DCM

8 Impression9 élémentaire/Recommandation

IndividualImpression/Recommendation

111034DCM

10 Description de l'objet cléKey Object Description113012DCM11 Compte rendu d'analyse12 mammographique par système de13 DAO

Mammography CAD Report111036DCM

14 Compte rendu IRMMR Report18755-9LN15 Clichés antérieurs pour comparaisonOld films for comparison111138DCM16 Analyse de l'Impression /17 ecommandation globale

Overall Impression /Recommendation Analysis

111234DCM

18 PathologiePathology111042DCM19 Résultat antérieurPrevious Finding121069DCM20 Résultats antérieursPrevious Findings121068 18834-2DCMLN21 Description de la procédure22 précédente

Prior Procedure Descriptions55114-3LN

23 Description de la procédureProcedure Description121065DCM

24 Exposition aux rayonnementsRadiation Exposure113921DCM25 Exposition aux rayonnements et26 informations de radiopro-tection

Radiation Exposure and ProtectionInformation

73569-6LN

27 Compte rendu radiologiqueRadiology Report11528-7LN28 RecommandationRecommendation121075DCM29 RecommandationsRecommendations121074 18783-1DCMLN30 DemandeRequest55115-0LN

31 TranscriptionTranscription (task)110006DCM32 TranscriptionTranscription (type of output)110012DCM33 Type de contenuType of Content112009DCM34 Procédure échographiqueDiagnostic ultrasonography16310003SCT35 Compte rendu d'échographieUltrasound Report18760-9LN

36 F Japanese Language Meanings of Selected Codes Used in The DCMR (Normat-37 ive)

38 Table F-1. Japanese Language Meanings of Selected Codes

39 Code Meaning Japanese40 Language

Code Meaning English LanguageCode ValueCodingScheme

41 Version

Coding SchemeDesignator

42 インプレッションの記載Impression Description111033DCM

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1 Code Meaning Japanese2 Language

Code Meaning English LanguageCode ValueCodingScheme

3 Version

Coding SchemeDesignator

4 個々のインプレッション/推奨の5 解析

Individual Impression /Recommendation Analysis

111233DCM

6 個々のインプレッション/推奨Individual7 Impression/Recommendation

111034DCM

8 病理Pathology111042DCM

9 M German Language Meanings of Selected Codes Used in The DCMR (Normative)

10 Table M-1. German Language Meanings of Selected Codes

11 Code Meaning German LanguageCode Meaning English LanguageCode ValueCoding Scheme12 Designator13 Radiologischer BefundberichtRadiology Report11528-7LN14 Frühere UntersuchungenPrior Procedure Descriptions55114-3LN15 SchwangerschaftPregnancy observable364320009SCT16 Indikationen für die UntersuchungIndications for Procedure18785-6LN17 KörperregionTarget Region123014DCM18 UntersuchungstechnikCurrent Procedure Descriptions55111-9LN19 Datum der UntersuchungStudy Date111060DCM20 Zeitpunkt der UntersuchungStudy Time111061DCM21 Study Instance UIDStudy Instance UID110180DCM22 KrankengeschichteHistory11329-0LN23 FragestellungRequest55115-0LN24 BeschreibungFinding121071DCM25 WertungenImpressions19005-8LN26 EmpfehlungRecommendation121075DCM27 Indikationsstellender ArztIrradiation Authorizing113850DCM28 StrahlenexpositionRadiation Exposure113921DCM29 Verabreichter radioaktiver StoffAdministration of radiopharmaceutical440252007SCT30 Informationen zum StrahlenschutzRadiation Exposure and Protection31 Information

113923DCM

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33 Page 21CP-1957 - More replacements of DICOM codes for headings with LOINC