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 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 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 PS3.6, PS c 12 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 - Final Text -

2 46 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: UID: Table CID Key Object Selection Document Title 10 Coding Scheme Designator 11 DCM Of Interest 12 DCM Rejected for Quality Reasons 13 DCM For Referring Provider 14 DCM For Surgery 15 DCM For Teaching 16 DCM For Conference 17 DCM For Therapy 18 DCM For Patient 19 DCM For Peer Review 20 DCM For Research 21 DCM Quality Issue 22 DCM Best In Set 23 DCM For Printing 24 DCM For Report Attachment 25 DCM For Litigation 26 DCM Manifest 27 DCM Signed Manifest 28 DCM Complete Study Content 29 DCM Signed Complete Study Content 30 DCM Complete Acquisition Content 31 DCM Signed Complete Acquisition Content 32 DCM Group of Frames for Display 33 DCM Rejected for Patient Safety Reasons 34 DCM Incorrect Modality Worklist Entry 35 DCM Data Retention Policy Expired 36 DCM Collection of Presentation States 37 DCM Diagnostic Source Images 38 DCM Segmentation Result 39 DCM Registration Result 40 DCM For Diagnosis 41 DCM Diagnosis Input Used 42 DCM For Segmentation 43 DCM Contouring Input Used 44 DCM For Plan Comparison 45 - Final Text -

3 45 CP Add teaching file export related codes Page 3 1 Coding Scheme Designator 2 DCM Plan Comparison Input Used 3 DCM For Tumor Board 4 DCM Tumor Board Input Used 5 DCM For Tumor Registry 6 DCM Tumor Registry Input Used 7 DCM For Clinical Trial Submission 8 DCM Clinical Trial Submission Input Used 9 Include CID 7023 "RT Process Output" 10 Include CID 7024 "RT Process Input" 11 Include CID 7025 "RT Process Input Used" 12 Include CID 7014 Export Additional Information Document Titles 13 Add new Context Groups to DICOM PS3.16 as follows: 14 CID 7014 Export Additional Information Document Titles Type: Version: UID: Table CID Export Additional Information Document Titles 22 Coding Scheme Designator 23 DCM For Teaching File Export 24 DCM For Clinical Trial Export 25 DCM For Research Collection Export 26 DCM For Publication Export 27 CID 7015 Export Delay Reasons Type: Version: UID: Table CID Export Delay Reasons 35 Coding Scheme Designator 36 DCM Delay export until final report is available 37 DCM Delay export until clinical information is available 38 DCM Delay export until confirmation of diagnosis is available 39 DCM Delay export until histopathology is available 40 DCM Delay export until other laboratory results are available 41 DCM Delay export until patient is discharged 42 DCM Delay export until patient dies 43 DCM Delay export until expert review is available 44 - Final Text -

4 49 CP Add teaching file export related codes Page 4 1 CID 7016 Level of Difficulty 23 Type: 45 Version: 67 UID: Table CID Level of Difficulty 9 Coding Scheme Designator 10 DCM Primary level 11 DCM Intermediate level 12 DCM Advanced level 13 CID 7017 Category of Teaching Material - Imaging Type: Version: UID: Table CID Category of Teaching Material - Imaging 21 Coding Scheme Designator 22 DCM Musculoskeletal imaging subject matter 23 DCM Pulmonary imaging subject matter 24 DCM Cardiovascular imaging subject matter 25 DCM Gastrointestinal imaging subject matter 26 DCM Genitourinary imaging subject matter 27 DCM Neuroimaging subject matter 28 DCM Vascular and interventional imaging subject matter 29 DCM Nuclear medicine imaging subject matter 30 DCM Ultrasound imaging subject matter 31 DCM Pediatric imaging subject matter 32 DCM Breast imaging subject matter 33 Note 34 The contents of this context group correspond to the American Board of Radiology categories in use at the time the IHE 35 TCE Profile was developed. 36 CID 7018 Miscellaneous Document Titles Type: Version: UID: Table CID Miscellaneous Document Titles 44 Coding Scheme Designator 45 DCM Additional Teaching File Information 46 Amend DICOM PS3.16 Annex D as follows (changes to existing text are bold and underlined for additions and struckthrough for 47 removals): 48 - Final Text -

5 48 CP Add teaching file export related codes Page 5 1 D DICOM Controlled Terminology Definitions (Normative) 2 Table D-1. DICOM Controlled Terminology Definitions 3 Definition Notes 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 For Research For Research Quality Issue Quality Issue Best In Set A selection that represents the "best" chosen from a larger set 16 of items. E.g., the best images within a Study or Series. The 17 criteria against which "best" is measured is not defined. Contrast 18 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 21 report of the Current Requested Procedure For Litigation List of objects that are related to litigation and should be 23 specially handled. E.g., may apply if a complaint has been 24 received regarding a patient, or a specific set of images has 25 been the subject of a subpoena, and needs to be sequestered 26 or excluded from automatic purging according to retention policy Collection of Presentation States This Key Object Selection Document references Presentation 28 State instances that are related, which may or may not share 29 a value of Presentation Display Collection UID (0070,1101) or 30 Presentation Sequence Collection UID (0070,1102) Manifest A list of objects that have been exported out of one 32 organizational domain into another domain. Typically, the first 33 domain has no direct control over what the second domain will 34 do with the objects Signed Manifest A signed list of objects that have been exported out of one 36 organizational domain into another domain, referenced securely 37 with either Digital Signatures or MACs. Typically, the first domain 38 has no direct control over what the second domain will do with 39 the objects Complete Study Content The list of objects that constitute a study at the time that the list 41 was created Signed Complete Study Content The signed list of objects that constitute a study at the time that 43 the list was created, referenced securely with either Digital 44 Signatures or MACs Complete Acquisition Content The list of objects that were generated in a single procedure 46 step Final Text -

6 52 CP Add teaching file export related codes Page 6 1 Definition Notes Signed Complete Acquisition Content The signed list of objects that were generated in a single 3 procedure step, referenced securely with either Digital 4 Signatures or MACs Group of Frames for Display A list of frames or single-frame or entire multi-frame instances 6 that together constitute a set for some purpose, such as might 7 be displayed together in the same viewport, as distinct from 8 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. 10 E.g., an improperly labeled image could lead to dangerous 11 surgical decisions Incorrect Modality Worklist Entry List of objects that were acquired using an incorrect modality 13 worklist entry, and that should not be used, since they may be 14 incorrectly identified Data Retention Policy Expired List of objects that have expired according to a defined data 16 retention policy Diagnostic Source Images Instances used to make a diagnosis Segmentation Result Instances created during a segmentation session 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 22 treatment Dose Calculation Image Series Image instances that represent an image series that is intended 24 to be the primary input for the dose calculation. Any parameters 25 required for dose calculation (such as electron density) is 26 derived from this series Coordinate Alignment Image Series Image instances that represent an image series from which the 28 display coordinate system for a radiotherapeutic treatment 29 planning is derived. Typically this series does not provide the 30 parameters required for the dose calculation RT Treatment Simulation Result Instances created during the simulation of a radiotherapeutic 32 treatment delivery session. May also include input objects 33 actually used RT Planning Result Instances created during the planning of a radiotherapeutic 35 treatment. May also include input objects actually used Dosimetric Result Instances created during the creation of the dosimetric result 37 of a radiotherapeutic treatment plan. May also include input 38 objects actually used Patient Setup Verification Result Instances created during the verification of the patient s 40 treatment position. May also include input objects actually used RT Treatment Session Result Instances created during the treatment session. May also 42 include input objects actually used RT Treatment Course Summary Instances created during a treatment course. May also include 44 input objects actually used RT Treatment QA Result Instances created during evaluation of the treatment delivery 46 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 50 delivery Final Text -

7 47 CP Add teaching file export related codes Page 7 1 Definition Notes For RT Treatment Planning Instances available for creating a radiotherapeutic treatment 3 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 10 radiotherapeutic treatment delivery plan For Machine Quality Assurance Instances available to perform quality assurance of one of the 12 hardware or software components involved in a radiotherapeutic 13 treatment delivery For Patient Setup Verification Instances available for verification of the patient treatment 15 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 RT Workflow Input Used Instances used as an input of a general radiotherapeutic 19 workflow RT Prescription Input Used Instances used for prescribing a radiotherapeutic treatment 21 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 27 radiotherapeutic treatment delivery plan Machine Quality Assurance Input Used Instances used to perform quality assurance of one of the 29 hardware or software components involved in a radiotherapeutic 30 treatment delivery Patient Setup Verification Input Used Instances used during verification of the patient treatment 32 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 For Teaching File Export Instances that have been selected for export to a teaching 43 file For Clinical Trial Export Instances that have been selected for export for a clinical 45 trial Final Text -

8 49 CP Add teaching file export related codes Page 8 1 Definition Notes Additional Teaching File Information The title of a document containing additional teaching file 3 information For Research Collection Export Instances that have been selected for export to a research 5 collection For Publication Export Instances that have been selected for export for publication Delay export until final report is Delay export until final report is available. 8 available Delay export until clinical Delay export until clinical information is available. 10 information is available Delay export until confirmation of Delay export until confirmation of diagnosis is available. 12 diagnosis is available Delay export until histopathology is Delay export until histopathology is available. 14 available Delay export until other laboratory Delay export until other laboratory results are available. 16 results are available Delay export until patient is Delay export until patient is discharged. 18 discharged Delay export until patient dies Delay export until patient dies Delay export until expert review is Delay export until expert review is available. 21 available Teaching File Category. The category that describes the subject matter of a teaching 23 file. E.g., a selection from the American Board of radiology 24 (ABR) subject headings Level of Difficulty The level of difficult that the material represents. E.g., 26 advanced Primary level The teaching material is of a primary level of difficulty Intermediate level The teaching material is of an intermediate level of difficulty Advanced level The teaching material is of an advanced level of difficulty Musculoskeletal imaging subject The subject matter pertains to musculoskeletal imaging. 31 matter Pulmonary imaging subject matter The subject matter pertains to pulmonary imaging Cardiovascular imaging subject The subject matter pertains to cardiovascular imaging. 34 matter Gastrointestinal imaging subject The subject matter pertains to gastrointestinal imaging. 36 matter Genitourinary imaging subject The subject matter pertains to genitourinary imaging. 38 matter Neuroimaging subject matter The subject matter pertains to neuroimaging Vascular and interventional imaging The subject matter pertains to vascular and interventional 41 subject matter imaging Nuclear medicine imaging subject The subject matter pertains to nuclear medicine imaging. 43 matter Ultrasound imaging subject matter The subject matter pertains to ultrasound imaging Pediatric imaging subject matter The subject matter pertains to pediatric imaging Breast imaging subject matter The subject matter pertains to breast imaging. 47 Amend DICOM PS3.6 as follows (changes to existing text are bold and underlined for additions and struckthrough for removals): 48 - Final Text -

9 10 CP Add teaching file export related codes Page 9 1 A Registry of DICOM Unique Identifiers (UIDs) (Normative) 2 Table A-3. Context Group UID Values 3 Context UID Context Identifier Context Group Name CID CID CID CID CID Final Text -

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 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

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