19 CP Add teaching file export related codes

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1 19 CP Add teaching file export related codes Page 1 1 Status Letter Ballot 2 Date of Last Update 2017/06/21 3 Person Assigned David Clunie 4 mailto:dclunie@dclunie.com 5 Submitter Name David Clunie 6 mailto:dclunie@dclunie.com 7 Submission Date 2017/01/08 8 Correction Number CP Log Summary: Add teaching file export related codes 10 Name of Standard 11 PS Rationale for Correction: 13 The IHE Teaching file and Clinical trial Export (TCE) profile uses several codes including KOS document titles what should be defined 14 in DICOM rather than using IHE specific codes. 15 Codes added are factored out into new context groups with a view to later incorporating the IHE TCE Profile templates into PS and referencing the context groups directly. 17 Correction Wording: 18 - Letter Ballot -

2 45 CP Add teaching file export related codes Page 2 1 Amend DICOM PS3.16 as follows (changes to existing text are bold and underlined for additions and struckthrough for removals): 2 CID 7010 Key Object Selection Document Title 34 Type: 56 Version: yyyymmdd 7 Table CID Key Object Selection Document Title 8 Coding Scheme Designator Code Value 9 DCM Of Interest 10 DCM Rejected for Quality Reasons 11 DCM For Referring Provider 12 DCM For Surgery 13 DCM For Teaching 14 DCM For Conference 15 DCM For Therapy 16 DCM For Patient 17 DCM For Peer Review 18 DCM For Research 19 DCM Quality Issue 20 DCM Best In Set 21 DCM For Printing 22 DCM For Report Attachment 23 DCM For Litigation 24 DCM Manifest 25 DCM Signed Manifest 26 DCM Complete Study Content 27 DCM Signed Complete Study Content 28 DCM Complete Acquisition Content 29 DCM Signed Complete Acquisition Content 30 DCM Group of Frames for Display 31 DCM Rejected for Patient Safety Reasons 32 DCM Incorrect Modality Worklist Entry 33 DCM Data Retention Policy Expired 34 DCM Collection of Presentation States 35 DCM Diagnostic Source Images 36 DCM Segmentation Result 37 DCM Registration Result 38 DCM For Diagnosis 39 DCM Diagnosis Input Used 40 DCM For Segmentation 41 DCM Contouring Input Used 42 DCM For Plan Comparison 43 DCM Plan Comparison Input Used 44 - Letter Ballot -

3 45 CP Add teaching file export related codes Page 3 1 Coding Scheme Designator Code Value 2 DCM For Tumor Board 3 DCM Tumor Board Input Used 4 DCM For Tumor Registry 5 DCM Tumor Registry Input Used 6 DCM For Clinical Trial Submission 7 DCM Clinical Trial Submission Input Used 8 Include CID 7023 "RT Process Output" 9 Include CID 7024 "RT Process Input" 10 Include CID 7025 "RT Process Input Used" 11 Include CID 70x1 Export Additional Information Document Titles 12 Add new Context Groups to DICOM PS3.16 as follows: 13 CID 70x1 Export Additional Information Document Titles Type: Version: yyyymmdd 18 Table CID 70x1. Export Additional Information Document Titles 19 Coding Scheme Designator Code Value 20 DCM ddd001 For Teaching File Export 21 DCM ddd002 For Clinical Trial Export 22 DCM ddd007 For Research Collection Export 23 DCM ddd008 For Publication Export 24 CID 70x2 Export Delay Reasons Type: Version: yyyymmdd 29 Table CID 70x2. Export Delay Reasons 30 Coding Scheme Designator Code Value 31 DCM ddd011 Delay export until final report is available 32 DCM ddd012 Delay export until clinical information is available 33 DCM ddd013 Delay export until confirmation of diagnosis is available 34 DCM ddd014 Delay export until histopathology is available 35 DCM ddd015 Delay export until other laboratory results is available 36 DCM ddd016 Delay export until patient is discharged 37 DCM ddd017 Delay export until patient dies 38 DCM ddd018 Delay export until expert review is available 39 CID 70x3 Level of Difficulty Type: Version: yyyymmdd 44 - Letter Ballot -

4 42 CP Add teaching file export related codes Page 4 1 Table CID 70x3. Level of Difficulty 2 Coding Scheme Designator Code Value 3 DCM ddd201 Primary level 4 DCM ddd202 Intermediate level 5 DCM ddd203 Advanced level 6 CID 70x4 Category of Teaching Material - Imaging 78 Type: 910 Version: yyyymmdd 11 Table CID 70x4. Category of Teaching Material - Imaging 12 Coding Scheme Designator Code Value 13 DCM ddd301 Musculoskeletal imaging subject matter 14 DCM ddd302 Pulmonary imaging subject matter 15 DCM ddd303 Cardiovascular imaging subject matter 16 DCM ddd304 Gastrointestinal imaging subject matter 17 DCM ddd305 Genitourinary imaging subject matter 18 DCM ddd306 Neuroimaging subject matter 19 DCM ddd307 Vascular and interventional imaging subject matter 20 DCM ddd308 Nuclear medicine imaging subject matter 21 DCM ddd309 Ultrasound imaging subject matter 22 DCM ddd310 Pediatric imaging subject matter 23 DCM ddd311 Breast imaging subject matter 24 Note 25 The contents of this context group correspond to the American Board of Radiology categories in use at the time the IHE 26 TCE Profile was developed. 27 Amend DICOM PS3.16 Annex D as follows (changes to existing text are bold and underlined for additions and struckthrough for 28 removals): 29 D DICOM Controlled Terminology Definitions (Normative) 30 Table D-1. DICOM Controlled Terminology Definitions 31 Code Value Of Interest Of Interest Rejected for Quality Reasons Rejected for Quality Reasons For Referring Provider For Referring Provider For Surgery For Surgery For Teaching For Teaching For Conference For Conference For Therapy For Therapy For Patient For Patient For Peer Review For Peer Review Letter Ballot -

5 54 CP Add teaching file export related codes Page 5 1 Code Value For Research For Research Quality Issue Quality Issue Best In Set A selection that represents the "best" chosen from a larger set 5 of items. E.g., the best images within a Study or Series. The 6 criteria against which "best" is measured is not defined. Contrast 7 this with the more specific term "Best illustration of finding" For Printing For Printing For Report Attachment Selection of information objects for attachment to the clinical 10 report of the Current Requested Procedure For Litigation List of objects that are related to litigation and should be 12 specially handled. E.g., may apply if a complaint has been 13 received regarding a patient, or a specific set of images has 14 been the subject of a subpoena, and needs to be sequestered 15 or excluded from automatic purging according to retention policy Collection of Presentation States This Key Object Selection Document references Presentation 17 State instances that are related, which may or may not share 18 a value of Presentation Display Collection UID (0070,1101) or 19 Presentation Sequence Collection UID (0070,1102) Manifest A list of objects that have been exported out of one 21 organizational domain into another domain. Typically, the first 22 domain has no direct control over what the second domain will 23 do with the objects Signed Manifest A signed list of objects that have been exported out of one 25 organizational domain into another domain, referenced securely 26 with either Digital Signatures or MACs. Typically, the first domain 27 has no direct control over what the second domain will do with 28 the objects Complete Study Content The list of objects that constitute a study at the time that the list 30 was created Signed Complete Study Content The signed list of objects that constitute a study at the time that 32 the list was created, referenced securely with either Digital 33 Signatures or MACs Complete Acquisition Content The list of objects that were generated in a single procedure 35 step Signed Complete Acquisition Content The signed list of objects that were generated in a single 37 procedure step, referenced securely with either Digital 38 Signatures or MACs Group of Frames for Display A list of frames or single-frame or entire multi-frame instances 40 that together constitute a set for some purpose, such as might 41 be displayed together in the same viewport, as distinct from 42 another set that might be displayed in a separate viewport Rejected for Patient Safety Reasons List of objects whose use is potentially harmful to the patient. 44 E.g., an improperly labeled image could lead to dangerous 45 surgical decisions Incorrect Modality Worklist Entry List of objects that were acquired using an incorrect modality 47 worklist entry, and that should not be used, since they may be 48 incorrectly identified Data Retention Policy Expired List of objects that have expired according to a defined data 50 retention policy Diagnostic Source Images Instances used to make a diagnosis Segmentation Result Instances created during a segmentation session Letter Ballot -

6 51 CP Add teaching file export related codes Page 6 1 Code Value Registration Result Instances created during a spatial registration Pre-Planning Result Instances created during preparation prior to planning RT Prescription Result Instances created for prescription of a radiotherapeutic 5 treatment Dose Calculation Image Series Image instances that represent an image series that is intended 7 to be the primary input for the dose calculation. Any parameters 8 required for dose calculation (such as electron density) is 9 derived from this series Coordinate Alignment Image Series Image instances that represent an image series from which the 11 display coordinate system for a radiotherapeutic treatment 12 planning is derived. Typically this series does not provide the 13 parameters required for the dose calculation RT Treatment Simulation Result Instances created during the simulation of a radiotherapeutic 15 treatment delivery session. May also include input objects 16 actually used RT Planning Result Instances created during the planning of a radiotherapeutic 18 treatment. May also include input objects actually used Dosimetric Result Instances created during the creation of the dosimetric result 20 of a radiotherapeutic treatment plan. May also include input 21 objects actually used Patient Setup Verification Result Instances created during the verification of the patient s 23 treatment position. May also include input objects actually used RT Treatment Session Result Instances created during the treatment session. May also 25 include input objects actually used RT Treatment Course Summary Instances created during a treatment course. May also include 27 input objects actually used RT Treatment QA Result Instances created during evaluation of the treatment delivery 29 quality. May also include input objects actually used For Diagnosis Instances available to make a diagnosis For Segmentation Instances available for segmentation For RT Prescription Instances available for prescribing a radiotherapeutic treatment 33 delivery For RT Treatment Planning Instances available for creating a radiotherapeutic treatment 35 plan For Plan Comparison Instances available for comparing plans For RT Plan Summation Instances available to combine radiotherapeutic plans or doses For Physician Review Instances available for review by a physician For Physicist Review Instances available for review by a physicist For Tumor Board Instances available for review of a tumor board For Plan Quality Assurance Instances available to perform quality assurance of a 42 radiotherapeutic treatment delivery plan For Machine Quality Assurance Instances available to perform quality assurance of one of the 44 hardware or software components involved in a radiotherapeutic 45 treatment delivery For Patient Setup Verification Instances available for verification of the patient treatment 47 position For Clinical Trial Submission Instances available for submission for a clinical trial study For Tumor Registry Instances available for submission to a tumor registry Letter Ballot -

7 49 CP Add teaching file export related codes Page 7 1 Code Value RT Workflow Input Used Instances used as an input of a general radiotherapeutic 3 workflow RT Prescription Input Used Instances used for prescribing a radiotherapeutic treatment 5 delivery RT Treatment Planning Input Used Instances used to create a radiotherapeutic treatment plan RT Plan Summation Input Used Instances used to combine radiotherapeutic plans or doses Physician Review Input Used Instances used for review by a physician Physicist Review Input Used Instances used for review by a physicist Plan Quality Assurance Input Used Instances used to perform quality assurance of a 11 radiotherapeutic treatment delivery plan Machine Quality Assurance Input Used Instances used to perform quality assurance of one of the 13 hardware or software components involved in a radiotherapeutic 14 treatment delivery Patient Setup Verification Input Used Instances used during verification of the patient treatment 16 position Diagnosis Input Used Instances used to make a diagnosis Contouring Input Used Instances used for segmentation Plan Comparison Input Used Instances used for comparing plans Tumor Board Input Used Instances used for review of a tumor board Tumor Registry Input Used Instances submitted to a tumor registry Clinical Trial Submission Input Used Instances submitted to a clinical trial study Source measurement Measurement used as the source for derivation Source report Report used as the source for derivation Source raw data Raw Data used as the source for derivation. 26 ddd001 For Teaching File Export Instances have been selected for export to a teaching file. 27 ddd002 For Clinical Trial Export Instances have been selected for export for a clinical trial. 28 ddd006 Additional Teaching File Information The title of a document containing additional teaching file 29 information. 30 ddd007 For Research Collection Export Instances have been selected for export to a research 31 collection. 32 ddd008 For Publication Export Instances have been selected for export for publication. 33 ddd011 Delay export until final report is Delay export until final report is available. 34 available 35 ddd012 Delay export until clinical Delay export until clinical information is available. 36 information is available 37 ddd013 Delay export until confirmation of Delay export until confirmation of diagnosis is available. 38 diagnosis is available 39 ddd014 Delay export until histopathology is Delay export until histopathology is available. 40 available 41 ddd015 Delay export until other laboratory Delay export until other laboratory results is available. 42 results is available 43 ddd016 Delay export until patient is Delay export until patient is discharged. 44 discharged 45 ddd017 Delay export until patient dies Delay export until patient dies. 46 ddd018 Delay export until expert review is Delay export until expert review is available. 47 available 48 - Letter Ballot -

8 28 CP Add teaching file export related codes Page 8 1 Code Value 2 ddd109 Teaching File Category. The category that describes the subject matter of a teaching 3 file. E.g., a selection from the American Board of radiology 4 (ABR) subject headings. 5 ddd110 Level of Difficulty The level of difficult that the material represents. E.g., 6 advanced. 7 ddd201 Primary level The teaching material is of a primary level of difficulty. 8 ddd202 Intermediate level The teaching material is of an intermediate level of difficulty. 9 ddd203 Advanced level The teaching material is of an advanced level of difficulty. 10 ddd301 Musculoskeletal imaging subject The subject matter pertains to musculoskeletal imaging. 11 matter 12 ddd302 Pulmonary imaging subject matter The subject matter pertains to pulmonary imaging. 13 ddd303 Cardiovascular imaging subject The subject matter pertains to cardiovascular imaging. 14 matter 15 ddd304 Gastrointestinal imaging subject The subject matter pertains to gastrointestinal imaging. 16 matter 17 ddd305 Genitourinary imaging subject The subject matter pertains to genitourinary imaging. 18 matter 19 ddd306 Neuroimaging subject matter The subject matter pertains to neuroimaging. 20 ddd307 Vascular and interventional imaging The subject matter pertains to vascular and interventional 21 subject matter imaging. 22 ddd308 Nuclear medicine imaging subject The subject matter pertains to nuclear medicine imaging. 23 matter 24 ddd309 Ultrasound imaging subject matter The subject matter pertains to ultrasound imaging. 25 ddd310 Pediatric imaging subject matter The subject matter pertains to pediatric imaging. 26 ddd311 Breast imaging subject matter The subject matter pertains to breast imaging Letter Ballot -

19 CP Add teaching file export related codes

19 CP Add teaching file export related codes 19 CP-1680 - Add teaching file export related codes Page 1 1 Status Final Text 2 Date of Last Update 2017/09/14 3 Person Assigned David Clunie 4 mailto:dclunie@dclunie.com 5 Submitter Name David Clunie

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