18 CP Add codes for tumor sites

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1 18 CP Add codes for tumor sites Page 1 1 STATUS Final Text 2 Date of Last Update 2015/01/06 3 Person Assigned David Clunie 4 mailto:dclunie@dclunie.com 5 Submitter Name Andriy Fedorov 6 mailto:fedorov@bwh.harvard.edu 7 Submission Date 2014/05/28 8 Correction Number CP Log Summary: Add codes for tumor sites 10 Name of Standard 11 PS c 12 Rationale for Correction: 13 In segmenting tumors, it is useful to be able to distinguish between primary and secondary tumor sites. 14 It is also necessary to specify the finding site of primary tumors, and the involvement of specific lymph node groups. 15 The new context groups may be used, for example, as finding sites for measurements. 16 Correction Wording: 17 - Final Text -

2 45 CP Add codes for tumor sites Page 2 1 Amend DICOM PS 3.16 Annex B Context Groups as follows: 2 C 7159 Lesion Segmentation Types 34 Type: Extensible 56 Version: Table C Lesion Segmentation Types 8 Coding Scheme Code Value SNOMED-CT Concept UMLS Concept Unique 9 Designator M Abscess C M Blood clot C M-3340A Cyst C M Edema C M Embolus C M Hemorrhage C M Inflammation C M Mass C M Necrosis C M-8FFFF Neoplasm C M Neoplasm, Primary C M Neoplasm, Secondary C M Nodule C Add new Context Groups to DICOM PS 3.16 Annex B Context Groups as follows: 24 C 7600 Lymph Node Anatomic Sites Type: Extensible Version: Table C Lymph Node Anatomic Sites 30 Coding Scheme Code Value 31 Designator T-C4400 abdominal lymph node C T-C4130 anterior auricular lymph node C T-C4240 anterior cervical lymph node C T-C4239 anterior jugular lymph node C T-C4361 anterior mediastinal lymph node C T-C4866 anterior tibial lymph node C T-C4480 aortic lymph node C T-C4740 apical axillary lymph node C T-C4592 appendicular lymph node C T-C4710 axillary lymph node C T-C471E axillary vein lymph node C T-C4155 buccinator lymph node C Final Text -

3 45 CP Add codes for tumor sites Page 3 T-C430A cardiophrenic angle lymph node C T-C4410 celiac lymph node C T-C4730 central axillary lymph node C SRT T-C4200 cervical lymph node C T-C4560 colic lymph node C T-C4446 common duct lymph node C T-C4770 cubital lymph node C T-C4445 cystic lymph node C T-C4019 deep anterior cervical lymph node C T-C4202 deep cervical lymph node C T-C4820 deep inguinal lymph node C T-C4143 deep intraparotid lymph node C T-C4018 deep lateral cervical lymph node C T-C4002 deep lymph node C T-C4146 deep parotid lymph node C T-C4851 deep popliteal lymph node C T-C4263 delphian lymph node C T-C4309 diaphragmatic lymph node C T-C4670 epigastric lymph node C T-C4780 epitrochlear lymph node C T-C4365 esophageal lymph node C T-C4620 external iliac lymph node C T-C471F external mammary lymph node C T extrapulmonary lymph node of lung C T-C4150 facial lymph node C T-C463E female genital lymph node C T-C4801 femoral lymph node C T-C4863 fibular lymph node C T-C4458 gastro-omental lymph node C T-C4631 gluteal lymph node C T-C4404 gut-associated lymph node C T-C3070 hemolymph node C T-C4440 hepatic lymph node C T-C43A1 highest mediastinal lymph node C T-C4320 hilar lymph node C T-C4630 hypogastric lymph node C T-C4563 ileocolic lymph node C T-C4610 iliac lymph node C T-C421D inferior auricular lymph node C T-C4632 inferior gluteal lymph node C T-C4843 inferior inguinal lymph node C Final Text -

4 46 CP Add codes for tumor sites Page 4 T-C4511 inferior mesenteric lymph node C T-C447D inferior pancreatic lymph node C T-C447F inferior pancreaticoduodenal lymph C node T-C4280 infraclavicular lymph node C T-C4810 inguinal lymph node C T-C4305 innominate lymph node C T-C4370 intercostal lymph node C T-C4642 interiliac lymph node C T-C4311 interlobar lymph node of the lung C T-C4612 intermediate common iliac lymph node C T-C4622 intermediate external iliac lymph node C T-C4753 interpectoral lymph node C T-C4500 intestinal lymph node C T-C4147 intraglandular parotid lymph node C T-C430B intramammary lymph node C T-C4308 intrapulmonary lymph node C T-C4230 jugular lymph node C T-C4423 juxtaintestinal lymph node C T-C4602 lacunar lymph node C T-C4720 lateral axillary lymph node C T-C4210 lateral cervical lymph node C T-C4613 lateral common iliac lymph node C T-C4623 lateral external iliac lymph node C T-C4238 lateral jugular lymph node C T-C4306 lateral pericardial lymph node C T-C4255 lateral retropharyngeal lymph node C T-C46AB lateral vesicular lymph node C T-C4312 lobar lymph node of the lung C T-C421A lower deep cervical lymph node C T-C4237 lower jugular lymph node C T-C4800 lower limb lymph node C T-C43A7 lower paratracheal (including azygous) C lymph node 3 T-C4490 lumbar lymph node C T lung and tracheobronchial lymph nodes C T-C4000 lymph node C T-C43AC lymph node of aortic arch C T-C43AD lymph node of aortopulmonary window C T-C4442 lymph node of epiploic foramen C T-C4456 lymph node of greater curvature of C stomach 45 - Final Text -

5 46 CP Add codes for tumor sites Page 5 T-C4100 lymph node of head C T-C4004 lymph node of head and neck C T-C4452 lymph node of lesser curvature of C stomach T-C4005 lymph node of limb C T-C4401 lymph node of mesentery C T-C4414 lymph node of stomach C T-C43B3 lymph node of the pulmonary ligament C T-C4300 lymph node of thorax C T-D200A lymph node of trunk C T-C4453 lymph node ring of cardia of stomach C T-C4102 mandibular lymph node C T-C4154 mastoid lymph node C T-C4611 medial common iliac lymph node C T-C4621 medial external iliac lymph node C T-C4624 medial lacunar lymph node C T-C4254 median retropharyngeal lymph node C T-C4360 mediastinal lymph node C T-C4417 mesenteric artery lymph node C T-C4510 mesenteric lymph node C T-C4565 midcolic lymph node C T-C4219 middle deep cervical lymph node C T-C4236 middle jugular lymph node C T-C4156 nasolabial lymph node C T-C4626 obturator lymph node C T-C4110 occipital lymph node C T-C4474 pancreatic lymph node C T-C4475 pancreaticoduodenal lymph node C T-C4470 pancreaticosplenic lymph node C T-C43AE para-aortic lymph node of the anterior C mediastinum 3 T-C43B2 paraesophageal lymph node below C carina T-C4752 paramammary lymph node C T-C4660 parametrial lymph node C T-C46A5 pararectal lymph node C T-C4350 parasternal lymph node C T-C4340 paratracheal lymph node C T-C46A4 paravaginal lymph node C T-C46A0 paravesicular lymph node C T-C4140 parotid lymph node C T-C4750 pectoral axillary lymph node C Final Text -

6 45 CP Add codes for tumor sites Page 6 T-C4600 pelvic lymph node C T-C4411 perigastric lymph node C T-C447A peripancreatic lymph node C SRT T-C4850 popliteal lymph node C T-C4217 postauricular lymph node C T-C4120 posterior auricular lymph node C T-C4362 posterior mediastinal lymph node C T-C4867 posterior tibial lymph node C T-C4216 posterior triangle cervical lymph node C T-C46AA postvesicular lymph node C T-C4522 prececal lymph node C T-C4822 prefemoral lymph node C T-C4260 prelaryngeal lymph node C T-C437C prepericardial lymph node C T-C4680 presymphysial lymph node C T-C4244 pretracheal lymph node C T-C43A5 prevascular/retrotracheal lymph node C T-C4307 prevertebral lymph node C T-C46A1 prevesicular lymph node C T-C4641 promontory common iliac lymph node C T-C4460 pyloric lymph node C T-C4003 regional lymph node C T-C4582 renal hilar lymph node C T-C4523 retrocecal lymph node C T-C4580 retroperitoneal lymph node C T-C4250 retropharyngeal lymph node C T-C4467 retropyloric lymph node C T-C43A6 retrotracheal lymph node (mediastinal) C T-C4650 sacral lymph node C T-C4290 scalene lymph node C T-C4313 segmental lymph node of the lung C T-C4512 sigmoid lymph node C T-C4473 splenic lymph node C T-C4614 subaortic common iliac lymph node C T-C4332 subcarinal lymph node C T-C4722 subclavian lymph node C T-C4616 subiliac lymph node C T-C4160 submandibular lymph node C T-C4157 submaxillary lymph node C T-C4170 submental lymph node C T-C4466 subpyloric lymph node C Final Text -

7 43 CP Add codes for tumor sites Page 7 T-C4760 subscapular axillary lymph node C T-C4314 subsegmental lymph node of the lung C T-C401A superficial anterior cervical lymph node C SRT T-C4201 superficial cervical lymph node C T-C4840 superficial inguinal lymph node C T-C4144 superficial intraparotid lymph node C T-C421E superficial lateral cervical lymph node C T-C4001 superficial lymph node C T-C4145 superficial parotid lymph node C T-C4852 superficial popliteal lymph node C T-C4633 superior gluteal lymph node C T-C4842 superior lateral inguinal lymph node C T-C4841 superior medial inguinal lymph node C T-C43A0 superior mediastinal lymph node C T-C4420 superior mesenteric lymph node C T-C447E superior pancreatic lymph node C T-C4481 superior pancreaticoduodenal lymph C node T-C4513 superior rectal lymph node C T-C4331 superior tracheobronchial lymph node C T-C4220 supraclavicular lymph node C T-C4352 supramammary lymph node C T-C4465 suprapyloric lymph node C T-C4860 tibial lymph node C T-C4379 tracheobronchial lymph node C T-C4330 tracheobronchial lymph node, located C near carina T-C4218 upper deep cervical lymph node C T-C4235 upper jugular lymph node C T-C4700 upper limb lymph node C T-C43A2 upper paratracheal lymph node C (mediastinal) 3 T-C4690 uterine paracervical lymph node C T-C4601 vesicular lymph node C C 7601 Head and Neck Cancer Anatomic Sites Type: Extensible Version: Final Text -

8 39 CP Add codes for tumor sites Page 8 1 Table C Head and Neck Cancer Anatomic Sites 2 Coding Scheme Code Value SNOMED-CT Concept UMLS Concept Unique 3 Designator T base of tongue C T buccal mucosa C SRT T floor of mouth C T glottis C T hypopharynx C T larynx C T-C5140 lingual tonsil C T lip C T-D07CB lower alveolar ridge C T maxillary sinus C T nasal cavity C T nasopharynx C T oral cavity C T-C5000 oropharyngeal tonsil C (waldeyer's ring) T oropharynx C T-C5100 palatine tonsil C T palatine uvula C T paranasal sinus C T-C5300 pharyngeal tonsil (adenoid) C T pyriform sinus C T retromolar trigone C T salivary gland C T supraglottis C T tongue C T-C5001 tonsil and adenoid C T-C5330 tubal tonsil C UMLS C unknown primary neoplasia site C T uvula C Amend DICOM PS3.6 - Context Group U Values to add the following new Context Groups: 34 Table A-3. Context Group U Values 35 Context U Context Identifier Context Group Name C 7600 Lymph Node Anatomic Sites C 7601 Head and Neck Cancer Anatomic Sites 38 - Final Text -

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