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									                                                       July 16, 2002


              DICOM CORRECTION PACKET 17


This package contains Correction Proposals CP 209, CP 223, CP 248, CP 275, CP 277,
CP 281, CP 283 CP 289, CP 290, CP 291, CP 292, CP 293, CP 297, CP 298, CP 299, CP
300, CP 301, CP 302, and CP 303.




                                   File: cpack017doc




                                        1
                           DICOM Correction Proposal Form


Correction Number                        CP-209
Log Summary: RT Plan reference to acquisition frame of reference
Type of Modification:                    Name of Standard
Extension                                PS 3.3-2000
Rationale for Correction:

The RT Structure Set object provides capability for referencing one or more sets of
acquisition images used for structure definition. These image sets do not necessarily
have the same frame of reference, and the RT Structure Set object provides a
mechanism for relating these multiple frames of reference.

The RT Plan object contains attributes such as Isocenter Position (300A,012C) that are
related to a specific Frame of Reference. Currently, there is no explicit indication in the
RT Plan object which of the Frames of Reference described in the related RT Structure
Set is to be used. Current implementations must be based on a single Frame of
Reference for these attributes to be unambiguously interpreted.

However, when multiple image sets with different but related frames of reference (such
as in multimodality applications) are present in the RT Structure Set, it is necessary to
identify which of these Frames of Reference is used in an associated RT Plan. In
addition, this allows RT Plan objects to be linked directly to image sets when no RT
Structure Set object is present.
Sections of document affected:

Part 3 (Information Object Definitions), Section A.1.4 (Overview of the Composite
IOD Module Content) and Section A.20.3 (RT Plan IOD Module Table)
Correction Wording:

In Part 3, Table A.20.3-1 (RT Plan IOD Modules), add the following module after the
RT Series Module:

IE MODULE        REFERENCE             USAGE
Frame of Reference Frame of Reference C.7.4.1         U – See Note 1

Add the following note:



                                         Note 1


The RT Structure Set referenced in Referenced Structure Set Sequence (300C,0060) of
the RT General Plan Module may contain more than one item in the Referenced Frame


                                              2
of Reference Sequence (3006,0010) in the Structure Set Module. In this case, it is
highly recommended that the Frame of Reference Module by supplied in the RT Plan
object, to unambiguously specify the frame of reference of the RT Plan contents.


In Part 3, Table A.1-2 (Composite Information Object Modules Overview – Non-images), add
“U” to box at the intersection of the Frame of Reference row and the RT Plan column.




                                             3
                            DICOM Correction Proposal Form



Correction Number                      CP-223
Log Summary: Radiotherapy block and compensator mounting direction
Type of Modification:                  Name of Standard
Extension                              PS 3.3-2000
Rationale for Correction:

Within the RT Beams Module of the RT Plan IOD, blocks and compensators can be
specified to modify treatment beam shape. However, the current definitions do not
completely handle issues related to the realization of these modifiers, in particular:

        The side of the block tray to which a block is mounted
        Whether compensators are divergent
        The side of the compensator tray to which a compensator is mounted

Sections of document affected:

Part 3 (Information Object Definitions), Section C.8.8.2 (RT Image Module)
and Section C.8.8.14 (RT Beams Module)
Part 6 (Data Dictionary)



Correction Wording:

In Part 3, Table C.8-34 (RT Image Module Attributes) and Table C.8-46 (RT Beams
Module Attributes), add the following attribute immediately after Block Divergence
(300A,00FA):


>>Block Mounting Position          (300A,00FB) 3    Indicates on which side of the Block Tray
                                                    the block is mounted.
                                                    Enumerated Values:
                                                    PATIENT_SIDE = the block is mounted
                                                    on the side of the Block Tray which is
                                                    towards the patient.
                                                    SOURCE_SIDE = the block is mounted
                                                    on the side of the Block Tray which is
                                                    towards the radiation source.




In Part 3, Table C.8-46 (RT Beams Module Attributes), add the following attributes
immediately after Source to Compensator Tray Distance (300A,00E6):

>>Compensator Divergence           (300A,02E0) 3    Indicates presence or absence of



                                             4
                                                      geometrical divergence of the
                                                      compensator.
                                                      Enumerated Values:
                                                      PRESENT = the compensator is shaped
                                                      according to the beam geometrical
                                                      divergence.
                                                      ABSENT = the compensator is not
                                                      shaped according to the beam
                                                      geometrical divergence.

>>Compensator Mounting Position    (300A,02E1) 3      Indicates on which side of the
                                                      Compensator Tray the compensator is
                                                      mounted.
                                                      Enumerated Values:
                                                      PATIENT_SIDE = the compensator is
                                                      mounted on the side of the Compensator
                                                      Tray which is towards the patient.
                                                      SOURCE_SIDE = the compensator is
                                                      mounted on the side of the Compensator
                                                      Tray which is towards the radiation
                                                      source.
                                                      DOUBLE_SIDED = the compensator has
                                                      a shaped (i.e. non-flat) surface on both
                                                      sides of the Compensator Tray.




In Part 3, Table C.8-46 (RT Beams Module Attributes), modify the attribute description
for Compensator Thickness Data (300A,00EC):

>>Compensator Thickness Data       (300A,00EC) 1C A data stream of the pixel samples which
                                                  comprise the compensator, expressed as
                                                  thickness (in mm)., parallel to radiation
                                                  beam axis. The order of pixels sent is left to
                                                  right, top to bottom (upper left pixel,
                                                  followed by the remainder of row 1,
                                                  followed by the remainder of the columns).
                                                  Required if Compensator Sequence
                                                  (300A,00E3) is sent and Material ID
                                                  (300A,00E1) is non-zero length. See
                                                  C.8.8.14.4.

In Part 3, Table C.8-46 (RT Beams Module Attributes), add the following attribute
immediately after Compensator Thickness Data (300A,00EC):

>>Source to Compensator Distance   (300A,02E2)      1C A data stream of the pixel samples
                                                       which comprise the distance from the
                                                       radiation source to the compensator
                                                       surface closest to the radiation source
                                                       (in mm). The order of pixels sent is
                                                       left to right, top to bottom (upper left
                                                       pixel, followed by the remainder of
                                                       row 1, followed by the remainder of
                                                       the columns). Required if



                                              5
                                                             Compensator Sequence (300A,00E3)
                                                             is sent, Material ID (300A,00E1) is
                                                             non-zero length, and Compensator
                                                             Mounting Position (300A,02E1) is
                                                             DOUBLE_SIDED. See C.8.8.14.4.

In Part 3, Section C.8.8.14 (RT Beams Module), add the following normative
subsection, and renumber all subsequent subsections from C.8.8.14.4 onwards.
C.8.8.14.4 Compensator Thickness Data and Source to Compensator Distance

The values stored in Compensator Thickness Data (300A,00EC) and Source to Compensator
Distance (300A,02E2) shall be parallel to the radiation beam axis if Compensator Divergence
(300A,02E0) equals ABSENT, or divergent according to the beam geometrical divergence if
Compensator Divergence (300A,02E0) equals PRESENT. If Compensator Divergence (300A,02E0)
is not sent, then the parallel or divergent nature of the thicknesses is as if ABSENT was specified
for Compensator Divergence (300A,02E0).


In Part 6 (Data Dictionary), add four new attributes:

(300A,00FB)        Block Mounting Position                  CS             1
(300A,02E0)        Compensator Divergence                   CS             1
(300A,02E1)        Compensator Mounting Position            CS             1
(300A,02E2)        Source to Compensator Distance           DS             1-n




                                                  6
                              DICOM Correction Proposal Form


Correction Number          CP-248
Log Summary:           Patient Position attribute conditionality
Type of Modification                               Name of Standard
Clarification                                      PS 3.3-2000
Rationale for Correction
Patient Position (0018,5100) in the General Series Module is identified as Type 2C, Required
for CT and MR images.
Part 5 specifies:
  When the specified conditions are not met, Type 2C elements shall not be included
  in the Data Set.
Thus non-CT or -MR images which include this element are invalid.
However, the CR Series Module includes the attribute View Position, described as:
  Radiographic view associated with Patient Position (0018,5100).
Also, the note associated with Anatomic Region in the NM, US, and X-Ray Image Modules
implies that Patient Position may be present.
It is proposed that the condition be extended to add "may be present otherwise."
Sections of documents affected
PS 3.3, Section C.7.3.1, Table C.7-4
Correction Wording:



Patient Position               (0018,5100)         2C      Patient position descriptor relative to the
                                                           equipment. Required for CT and MR
                                                           images; may be present otherwise.
                                                           See C.7.3.1.1.2. for Defined Terms and
                                                           further explanation.




                                                  7
                           DICOM Correction Proposal Form

Tracking Information - Administration Use Only
Correction Proposal Number                       CP-275
STATUS                                           Letter Ballot
Date of Last Update                              7/11/2002
Person Assigned                                  Harry Solomon
Submitter Name                                   Harry Solomon
Submission date                                  5/31/2001


Correction Number          CP-275
Log Summary:           Revise Definition of Enumerated and Defined Templates and Context
Groups
Type of Modification                             Name of Standard
Clarification                                    PS3.3, PS3.6, PS 3.16
Rationale for Correction
The transitive properties of the Enumerated or Defined classification on recursively included
Templates is not clearly defined. For example, TID 1001 invokes TID 1002 as an ETID; this
means that invoked template shall not be extended. However, TID 1002 invokes other templates
(1003 and 1004) as DTIDs. Does that mean the "no extension" rule of the invocation from TID
1001 is carried through to 1002 and hence to 1003 and 1004?
Indeed, the Baseline, Defined, and Enumerated classifications of included Templates conflate two
independent concepts. First is a property of the invoking Template specifying whether in a
particular context a specific Template must be used, and second is a property of the target
Template specifying whether it is extensible. It is improper for an invoking Template to determine
whether a target Template is extensible; an invoking Template may choose to include either an
extensible or a non-extensible target Template, but extensibility is properly an attribute of the
target, not the invocation.
Disambiguating the concepts of invocation and extensibility will clarify the properties desired
during recursiveTemplate inclusion. It also simplifies the creation of applications to check the
validity of SR SOP Instances created using a template.
Part of the problem is terminological. The current names were intended to extend the terms
“Enumerated Values” and “Defined Terms” used in earlier editions of the DICOM Standard with
respect to value sets for attributes of Value Representation CS. This terminology has proven to
be more obfuscatory than illuminating, since these terms apply to the extensibility property of the
list, but are used during the invocation.
The invocation terminology could more properly be “Suggested” and “Required” templates;
however, due to established usage the terms “Baseline” and “Defined” will continue to be used.
This Change Proposal therefore revises or establishes the definitions for Baseline and Defined
Templates, and for Extensible and Non-extensible (formerly Enumerated) templates.




                                                 8
Another issue is confusion between the non-extensibility property, and the ability of the DICOM
Standards Committee to change the template. Extensibility/Non-extensibility is a property that
applies to an application’s use of the template, not to the ability for the standard to evolve. In fact,
as terminology codes are refined/retired/replaced by the coding scheme authority, the DICOM
standard must be able to be corrected or updated in in its template definitions under DSC
procedures of Change Proposals and Supplements. In particular, the revision process allows the
substitution of new codes for the same concept in a template, which is expressly forbidden in
application template extension.
Consideration of the use of templates within the Standard leads to the conclusion that they need
not be version-identified. Templates in effect follow the model of IOD Module definitions; in fact,
they are an extension of the SR Document Module definition. The same rules that the DICOM
procedures apply to revising module definitions apply to template revision. Since revisions are
forward and backward compatible, all SOP Instances based on any version of a template are
compatible under the “Standard Extended SOP Class” rules. And just as modules are not version-
identified, either in the standard or in SOP Instances, templates need not be versioned. This
Change Proposal therefore removes template version attributes from the Standard.
Baseline, Defined, and Enumerated Context Groups raise similar issues. Again, two independent
concepts are conflated – the property of the invocation specifying whether use of a particular
Context Group is required, and the extensibility property of the target Context Group. This
Change Proposal therefore revises or establishes the definitions for Baseline and Defined
Context Groups, and for Extensible and Non-extensible Context Groups.
With respect to versioning, however, Context Groups are different than Templates. There are use
cases where knowing the version identifier for the Context Group used in the creation of a SOP
Instance may be beneficial. And although Context Group versions are described in the standard,
version identifiers have not been assigned in Part 16. This CP assigns a version ID of 20011231
to all Context Groups in the 2001 edition of the standard.
Finally, the duplicate SR-related definitions in Parts 3 and 16 are consolidated into a single
location in Part 16.
Sections of documents affected
PS 3.3 Sections 3, 8, and 9
PS 3.6 Section 6
PS 3.16 Sections 3, 6, 7, and Annexes A and B
Correction Wording:



Move a definition from PS 3.3 Section 3.13 to Section 3.8.
3.13.5
3.8.13 Code Sequence Attribute: Attribute that (usually) includes the string "Code
       Sequence" in the Attribute Name and has a VR of SQ (Sequence of Items). Its
       purpose is to encode concepts using code values and optional text meanings from
       coding schemes. Sections 8.1 through 8.8 specify the Attributes of which the
       Sequence Items (Attribute Sets) of Code Sequence Attributes are constructed.


Modify the remaining definitions of PS 3.3 Section 3.13 to be by reference to PS3.16,
removing the redundant definitions.
3.13 CODES AND CONTROLLED TERMINOLOGY DEFINITIONS

This Part of the Standard makes use of the following terms defined in PS 3.16:


                                                   9
       a.                          Baseline Context Group Identifier (BCID)
       b.                          Required Context Group Identifier (RCID)
       c.                          Context Group
       d.                          Context Group Version
       e.                          Context ID (CID)
       f.                          Mapping Resource
       g.                          Relationship Type
       h.                          DICOM Content Mapping Resource (DCMR)
       i.                          Template
       j.                          Template ID (TID)
       k.                          Value Set
       l.                          Baseline Template Identifier (BTID)
       m.                          Required Template Identifier (RTID)
       n.                          Coding schemes
The following definitions are used:
3.13.1 Retired
3.13.2 Baseline Context Group: Context Group that specifies the suggested Value Set
       for a Code Sequence Attribute.
3.13.3 Defined Context Group: Context Group that specifies the Value Set for a Code
       Sequence Attribute that shall be used, but may be extended.
3.13.4 Enumerated Context Group: Context Group that specifies the Value Set for a
       Code Sequence Attribute that shall be used and shall not be extended.
3.13.5 Code Sequence Attribute: Attribute that (usually) includes the string "Code
       Sequence" in the Attribute Name and has a VR of SQ (Sequence of Items). Its
       purpose is to encode concepts using code values and optional text meanings from
       coding schemes. Sections 8.1 through 8.8 specify the Attributes of which the
       Sequence Items (Attribute Sets) of Code Sequence Attributes are constructed.
3.13.6 Retired.
3.13.7 Context Group: Attribute Value Set defined by a Mapping Resource.
3.13.8 Context Group Version: Version of a Context Group.
3.13.9 Context ID (CID): Identifier of a Context Group.
3.13.10        Retired.
3.13.11        Mapping Resource: A resource that defines context-dependent usage
       constraints (i.e. Value Set or Relationship Type restrictions) for Attributes. A
       resource that specifies the mapping of the content of an external controlled
       terminology to the components of a message standard.
3.13.12        Retired.
3.13.13        Retired.
3.13.14        Retired.
3.13.15        Relationship Type: The association between two Concepts. Examples:
       ”HAS PROPERTIES”, “CONTAINS”, “INFERRED FROM”.
3.13.16        DICOM Content Mapping Resource (DCMR): A Mapping Resource
       that defines Templates and Context Groups for use in DICOM IODs.
3.13.17        Template: A pattern that describes the Content Items, Value Types,
       Relationship Types and Value Sets that may be used in part of a Structured Report
       content tree, or in other coded entry items, such as Acquisition Context or



                                          10
       Waveform Channel Description. Analogous to a Module of an Information Object
       Definition.
3.13.18        Template ID (TID): Identifier of a Template.
3.13.19        Retired.
3.13.20        Value Set: The allowed values of a Code Sequence Attribute in a given
       context. Specified either as one or more individual values or by reference to a
       Context Group.
3.13.21        Baseline Template: A template suggested in an IOD which may be used
       in the creation of a SOP Instance, replaced by another template or extended.
3.13.22        Defined Template: A template defined in an IOD that specifies an
       extensible set of Content Items and corresponding Value Sets. A SOP Instance
       may optionally include additional Content Items beyond those specified in the
       template .
3.13.23        Enumerated Template: A template defined in an IOD that specifies the
       exact set of Content Items and corresponding Value Sets that shall be used and
       which shall not be extended. A SOP Instance shall be created according to the
       exact Template specification and shall not include additional Content Items.
3.13.24        Coding schemes: Dictionaries (lexicons) of terms with well defined
meanings.
 Note: Examples of coding schemes include SNOMED and LOINC.



Modify the definitions of PS 3.16 Section 3.1

3.1 CODES AND CONTROLLED TERMINOLOGY DEFINITIONS:

The following definitions are used in the specification of Interpretation Data Interchange
commonly used in this Part of the DICOM Standard:

3.1.1 Baseline Context Group Identifier (BCID): Context Group Identifier that
       specifies the suggested Context Group Value Set for a Code Sequence Attribute.
3.1.2 Defined Context Group Identifier (DCID): Context Group Identifier that
       specifies the Context Group Value Set for a Code Sequence Attribute that shall
       be used, but may be extended.
3.1.2a Extensible Context Group: Context Group that may be extended by a
       particular application by inclusion of additional concepts.
3.1.3 Enumerated Non-Extensible Context Group: Context Group whose defined
       set of concepts that specifies the Value Set for a Code Sequence Attribute that
       shall be used and shall not be extended by an application.
3.1.4 Code Sequence Attribute: Attribute that (usually) includes the string “Code
       Sequence” in the Attribute Name and has a VR of SQ (Sequence of Items). Its
       purpose is to encode concepts using code values and optional text meanings from
       coding schemes. Sections 8.1 through 8.8 specify the Attributes of which the
       Sequence Items (Attribute Sets) of Code Sequence Attributes are constructed.
3.1.5 Context Group: Attribute Value A set of coded concepts defined by a Mapping
       Resource forming a set appropriate to use in a particular context.
3.1.6 Context Group Version: Version of a Context Group.


                                                11
3.1.7 Context ID (CID): Identifier of a Context Group.
3.1.8 Mapping Resource: A resource that defines context-dependent usage constraints
       (i.e. Value Set or Relationship Type restrictions) for Attributes. A resource that
       specifies the mapping of the content of an external controlled terminology to the
       components of a message standard.
3.1.9 Relationship Type: The association between two Concepts. Examples: “HAS
       PROPERTIES”, “CONTAINS”, “INFERRED FROM”.
3.1.10 DICOM Content Mapping Resource (DCMR): A Mapping Resource that
       defines Templates and Context Groups for use in DICOM IODs.
3.1.11 Template: A pattern that describes the Content Items, Value Types, Relationship
       Types and Value Sets that may be used in part of a Structured Report content tree,
       or in other coded entry items, such as Acquisition Context or Waveform Channel
       Description. Analogous to a Module of an Information Object Definition.
3.1.12 Template ID (TID): Identifier of a Template.
3.1.13 Value Set: The allowed values of a Code Sequence Attribute in a given context.
       Specified either as one or more individual values or by reference to a Context
       Group.
3.1.14 Baseline Template Identifier (BTID): Identifier that specifies a Template
       suggested in an IOD which may to be used in the creation of a set of Content
       Items SOP Instance, replaced by another template or extended.
3.1.15 Defined Template Identifier (DTID): Identifier that specifies a Template that
       shall be used in the creation of a defined in an IOD that specifies an extensible
       set of Content Items and corresponding Value Sets.
3.1.15a        Extensible Template: A template that may be extended by a particular
       application by inclusion of A SOP Instance may optionally include additional
       Content Items beyond those specified in the template.
3.1.16 Enumerated Non-Extensible Template: A template defined in an IOD that
       specifies the exact set of Content Items and corresponding Value Sets that shall be
       used and which shall not be extended by an application. A SOP Instance shall be
       created according to the exact Template specification and shall not include
       additional Content Items.
3.1.17 Coding schemes: Dictionaries (lexicons) of concepts (terms) with assigned
       codes and well defined meanings.

 Note: Examples of coding schemes include SNOMED and LOINC.


3.2 INFORMATION OBJECT DEFINITIONS

This Part of the Standard makes use of the following terms defined in PS 3.3:
      a.                      Code Sequence Attribute


Modify the text of PS 3.3 Section 8

…
For any particular Code Sequence Attributes, the range of codes that may be used for that
attribute (the Value Set) may be suggested or constrained by specification of a Context


                                            12
Group. The Module or Template in which the attribute is used will specify whether or not
the context group is baseline, or defined or enumerated. A Baseline Context Group lists
codes for terms which are suggested and may be used, but are not required to be used. A
Defined Context Group lists codes for terms which shall be used if the term is used., but
which may be extended with codes for other terms. An Enumerated Context Group lists
codes for terms that shall be used, and no other codes or terms shall be used.

Context Groups are defined in a Mapping Resource, such as the DICOM Content
Mapping Resource (DCMR) specified in PS 3.16. Context Groups consist of lists of
terms, including the Code Value (0008,0100) and Coding Scheme Designator
(0008,0102). The Context Group specification identifies whether it is extensible, i.e.,
whether it may be modified in an Application to use additional, but not different
terms. Whether a Context Group is used as a Baseline, or Defined or Enumerated
Context Group is defined not in the mapping resource, but rather in the Template or
Module in which the Code Sequence Attribute is used.
…


Modify the Template Identification Macro of PS 3.3 Table 9-1

                                          Table 9-1
                    Template Identification Macro Attributes Description
 Attribute Name           Tag        Type                      Attribute Description
Template Identifier   (0040,DB00)      1    Template identifier.
Mapping Resource     (0008,0105)      1     Mapping Resource that defines the template. See Section
                                            8.4.
Template Version     (0040,DB06)     1C     Version of the Template. See Section 8.5. Required if the
                                            Template Identifier (0040,DB00) and Mapping Resource
                                            (0008,0105) are not sufficient to identify the template
                                            unambiguously.
Template Local       (0040,DB07)     1C     Local version number assigned to a template that contains
Version                                     private extensions. See Section 8.7.
                                            Required if the value of Template Extension Flag
                                            (0040,DB0B) is "Y".
Template             (0040,DB0B)     1C     Indicates that the template is a private extension of the
Extension Flag                              template denoted by Template Identifier (0040,DB00),
                                            Mapping Resource (0008,0105) and Template Version
                                            (0040,DB06). See Section 8.7 of this Part.
                                            Enumerated Values: Y, N
                                            "Y" shall mean the template is a private extension of the
                                            template designated by Template Identifier (0040,DB00),
                                            Mapping Resource (0008,0105) and Template Version
                                            (0040,DB06).
                                            Required if the template is a private extension of the
                                            template designated by Template Identifier (0040,DB00),
                                            Mapping Resource (0008,0105) and Template Version
                                            (0040,DB06).




                                            13
Template              (0040,DB0C)        2C   Identifies the organization that created and/or maintains an
Extension                                     extension to a template, if defined. See Section 8.7.
Organization UID                              Required if the value of Template Extension Flag
                                              (0040,DB0B) is "Y".
Template              (0040,DB0D)        2C   Identifies the person who created and/or maintains an
Extension Creator                             extension to a template. See Section 8.7.
UID                                           Required if the value of Template Extension Flag
                                              (0040,DB0B) is "Y".



Retire Template Version and Extension data elements in PS 3.6 Section 6


(0040,DB06) Template Version                                              DT            1      RET
(0040,DB07) Template Local Version                                        DT            1      RET
(0040,DB0B) Template Extension Flag                                       CS            1      RET
(0040,DB0C) Template Extension Organization UID                           UI            1      RET
(0040,DB0D Template Extension Creator UID                                 UI            1      RET
)


Modify the text of PS 3.16 Section 6.1

…
References to Context Groups take the following form:
        BCID or, DCID or ECID (CID) CNAME
               e.g., Defined Context Group 5000 is represented as follows:
                     DCID (5000) Language.


References to Templates take the following form:
        BTID or, DTID or ETID (TID) TNAME
               e.g., Enumerated Baseline Template 1000 is represented as follows:
                     EBTID (1000) Quotation.
…

6.1.5   Concept Name
Any constraints on Concept Name are specified in this field as defined or enumerated
coded entries, or as baseline, or defined or enumerated context groups. Alternatively,
when the VT field is “INCLUDE”, the Concept Name field specifies the template to be
included.

…




                                              14
6.1.9   Value Set Constraint
Value Set Constraints, if any, are specified in this field as defined or enumerated coded
entries, or as baseline, or defined or enumerated context groups.

…

6.1.9.1 NUM Units Constraint
Constraints on units of measurement, if any, are specified in the Value Set Constraint
field if and only if the Value Type is NUM. The constraints are specified either as
defined or enumerated coded entries, or as baseline, or defined or enumerated context
groups.


Add to PS 3.16 new Sections 6.2.5

6.2.5 Extension of Templates
An Extensible Template may be extended in an Application generating SOP
Instances to include additional Content Items in its definition. Such Content Items
shall not duplicate concepts for which an encoding is defined in the Template. I.e., if
a method is provided for the encoding of a concept in the Template, that concept
shall not be encoded using a different Content Item in an extension to the Template.

A Non-extensible Template shall not be modified in an Application by the addition
of Content Items to its definition.

  Notes:   The set of Content Items in either an Extensible or a Non-extensible Template may be
           changed in subsequent editions of the Standard, in accordance with the procedures of
           the DICOM Standards Committee.


A Non-Extensible Template may include a Template that is Extensible. In invoking
such a Template, the content structure of SOP Instances created from the Non-
Extensible Template may vary according to the varying content structure allowed
by the extension of the included Template.

  Note: Specification of such extensible content in a Non-Extensible Template may be desirable if
          the Template defines, e.g., a fixed top level structure into which a variety of lower level
          structures may be "plugged".



Modify the text of PS 3.16 Section 7.2.3

7.2.3 Extension of Context Groups
As the standard evolves, those Extensible Context Groups that are used in IODs or
Templates only as baseline context groups may be modified to use additional or different
terms. Those Context Groups that are used anywhere as defined context groups may be
modified in an Application to use additional, but not different terms. Such extension



                                                  15
may be made without a change in Context Group Identifier, but with the
specification of Code Set Extension (see PS3.3).

Those Non-extensible Context Groups that are used anywhere as enumerated context
groups may shall not be modified in an Application.

Whether a particular Context Group is used as a baseline, defined or enumerated Context
Group is determined at the point where the Context Group is invoked, and the most
restrictive use is indicated where the Context Group is defined.

 Note: The set of concepts in either an Extensible or a Non-extensible Context Group may be
         changed in subsequent editions of the Standard, in accordance with the procedures of
         the DICOM Standards Committee.




                                             16
         Modify the text of PS 3.16 Annex A:
         Replace all occurences of "ETID" with "DTID", and all occurences of "ECID" with "DCID".

                                                   TID 1001
                                             OBSERVATION CONTEXT
    NL Rel with       VT            Concept Name   VM Req       Condition                                 Value Set Constraint
        Parent                                         Type
1      HAS OBS     INCLUDE     EDTID (1002) “Observer      1     MC       Required if all aspects of
       CONTEXT                 Context”                                   observer context are not
                                                                          inherited.
2      HAS OBS     INCLUDE     EDTID (1005) “Procedure     1     MC       Required if all aspects of
       CONTEXT                 Context”                                   procedure context are not
                                                                          inherited.
3      HAS OBS     INCLUDE     EDTID (1006) “Subject       1     MC       Required if all aspects of
       CONTEXT                 Context”                                   observation subject context
                                                                          are not inherited.



                                                      TID 1007
                                              SUBJECT CONTEXT, PATIENT
     NL Rel with          VT        Concept Name               VM Req              Condition              Value Set Constraint
         Parent                                                   Type

5                  CODE        EV (121032,DCM, "Subject    1      U                                     Defaults to value of Patient’s
                               Sex”)                                                                    Sex (0010,0040) in Patient
                                                                                                        Module

                                                                                                        EDCID (7455) Sex
6                  NUM         EV (121033,DCM, "Subject    1      U                                     Defaults to value of Patient’s
                               Age”)                                                                    Age (0010,1010) in Patient
                                                                                                        Study Module

                                                                                                        Units EDCID (7456) Units of
                                                                                                        Measure for Age
7                  CODE        EV (121034,DCM, "Subject    1      MC     Required if not inherited.     DCID (7454) Species to define
                               Species”)                                                                various animals or plants, e.g.
                                                                                                        veterinary or research.

                                                                                                        Defaults to (L-85B00, SNM3,
                                                                                                        ”homo sapiens”).




                                                  TID 1210
                                   EQUIVALENT MEANING(S) OF CONCEPT NAME
    NL Rel with       VT            Concept Name           VM Req                 Condition               Value Set Constraint
        Parent                                                Type
1      HAS         TEXT        (121050,DCM,”Equivalent     1-n   MC      XOR Row 3                      Plain text equivalent of code
       CONCEPT                 Meaning of Concept Name”)                                                meaning of the concept name
       MOD                                                                                              of the content item being
                                                                                                        modified, in the specified
                                                                                                        language from the specified
                                                                                                        country, using the default
                                                                                                        character set or a character set
                                                                                                        selected from Specified
                                                                                                        Character Set
2>                 INCLUDE     EDTID (1201) Language of    1     U
                               Value
3      HAS         CODE        (121050,DCM,”Equivalent     1-n   MC      XOR Row 1
       CONCEPT                 Meaning of Concept Name”)
       MOD




                                                                 17
4>                   INCLUDE      EDTID (1201) Language of   1      U
                                  Value




                                                       TID 1211
                                            EQUIVALENT MEANING(S) OF VALUE
    NL Rel with         VT             Concept Name          VM Req               Condition      Value Set Constraint
        Parent                                                  Type
1        HAS         TEXT         (121051,DCM,”Equivalent    1-n    MC     XOR Row 3           Plain text equivalent of code
         CONCEPT                  Meaning of Value”)                                           meaning of the value of the
         MOD                                                                                   content item being modified, in
                                                                                               the specified language from the
                                                                                               specified country, using the
                                                                                               default character set or a
                                                                                               character set selected from
                                                                                               Specified Character Set
2>                   INCLUDE      EDTID (1201) Language of   1      U
                                  Value
3        HAS         CODE         (121051,DCM,”Equivalent    1-n    MC     XOR Row 1
         CONCEPT                  Meaning of Value”)
         MOD
4>                   INCLUDE      EDTID (1201) Language of   1      U
                                  Value




                                                       TID 2000
                                           BASIC DIAGNOSTIC IMAGING REPORT
    NL Rel with          VT            Concept Name              VM Req           Condition      Value Set Constraint
        Parent                                                      Type
1                    CONTAINER BCID(7000) Diagnostic     1          M                          Root node
                               Imaging Report Document
                               Titles
2   >     HAS        CODE      EV (121058,DCM,”Procedure 1-n        U
          CONCEPT              reported”)
          MOD
3   >     HAS        INCLUDE      EDTID (1204) Language of   1      M
          CONCEPT                 Content Item and
          MOD                     Descendants
4   >     HAS        INCLUDE      EDTID (1210) Equivalent    1-n    U
          CONCEPT                 Meaning of Concept Name
          MOD
5   >     HAS OBS    INCLUDE   EDTID (1001) Observation     1       M
          CONTEXT              Context
6   >     CONTAINS   CONTAINER BCID(7001) Diagnostic        1-n     U
                               Imaging Report Headings
7   >> HAS OBS       INCLUDE   EDTID (1001) Observation     1       U
          CONTEXT              Context
8   >>    CONTAINS   CODE      BCID(7002) Diagnostic        1-n     U
                               Imaging Report Elements
9   >>> INFERRED     INCLUDE   EDTID (2001)Basic Diagnostic 1-n     U
          FROM                 Imaging Report Observations
10 >>     CONTAINS   TEXT      BCID(7002) Diagnostic        1-n     U
                               Imaging Report Elements
11 >>> INFERRED      INCLUDE   EDTID (2001)Basic Diagnostic 1-n     U
       FROM                    Imaging Report Observations
12 >> CONTAINS       INCLUDE   EDTID (2001)Basic Diagnostic 1-n     U
                               Imaging Report Observations


                                                          TID 2010
                                                   KEY OBJECT SELECTION
         NL Rel with         VT           Concept Name             VM Req          Condition   Value Set Constraint
             Parent                                                   Type


                                                                   18
    4   >     HAS       INCLUDE      EDTID (1204) Language of         1     U
              CONCEPT                Content Item and
              MOD                    Descendants
    5   >     HAS OBS   INCLUDE      EDTID (1002) Observer            1     U
              CONTEXT                Context




                                                    TID 4000
                                          MAMMOGRAPHY CAD DOCUMENT ROOT
    NL Rel with           VT           Concept Name             VM Req                   Condition             Value Set Constraint
       Parent                                                      Type
1                     CONTAINER (111036, DCM,             1            M
                                “Mammography CAD Report”)
2 >         HAS       INCLUDE     EDTID (1204) “Language of     1      M
            CONCEPT               Content Item and
            MOD                   Descendants”
3 >         CONTAINS CONTAINER (111028, DCM, “Image             1      M
                               Library”)
4 >>        CONTAINS INCLUDE      EDTID (4020)                  1-n    M
                                  “Mammography CAD Image
                                  Library Entry”
5 >         CONTAINS INCLUDE      EDTID (4001)             1           M
                                  “Mammography CAD Overall
                                  Impression /
                                  Recommendation”
6 >         CONTAINS CODE         (111064, DCM, “Summary of     1      M                                      EDCID (6042) Status of
                                  Detections”)                                                                Results
7 >>        INFERRED INCLUDE      EDTID (4015)                  1      MC       Shall be present unless the
            FROM                  “Mammography CAD                              value of (111064, DCM,
                                  Detections Performed”                         “Summary of Detections”) is
                                                                                (111225, DCM, “Not
                                                                                Attempted”)
8 >         CONTAINS CODE         (111065, DCM, “Summary of     1      M                                      EDCID (6042) Status of
                                  Analyses”)                                                                  Results
9 >>        INFERRED INCLUDE      EDTID (4016)              1          MC       Shall be present unless the
            FROM                  “Mammography CAD Analyses                     value of (111065, DCM,
                                  Performed”                                    “Summary of Analyses”) is
                                                                                (111225, DCM, “Not
                                                                                Attempted”)




                                              TID 4001
                          MAMMOGRAPHY CAD OVERALL IMPRESSION/RECOMMENDATION
    NL Rel with           VT           Concept Name             VM Req                   Condition             Value Set Constraint
       Parent                                                      Type
1                     CODE        (111017, DCM, “CAD            1      M                                      EDCID (6047) CAD
                                  Processing and Findings                                                     Processing and Findings
                                  Summary”)                                                                   Summary
2 >         HAS PROP INCLUDE      EDTID (4002)              1          U
                                  “Mammography CAD
                                  Impression/Recommendation
                                  Body”




                                                                      19
    NL Rel with       VT          Concept Name              VM Req                Condition                  Value Set Constraint
       Parent                                                  Type
3 >    INFERRED INCLUDE      EDTID (4003)               1-n        MC   Shall be present if 1 or more
       FROM                  “Mammography CAD                           (111059, DCM, “Single Image
                             Individual                                 Finding”) or (111015, DCM,
                             Impression/Recommendation”                 “Composite Feature”) content
                                                                        items are reported.


                                             TID 4002
                         MAMMOGRAPHY CAD IMPRESSION/RECOMMENDATION BODY
    NL Rel with       VT          Concept Name              VM Req                Condition                  Value Set Constraint
       Parent                                                  Type

8                 INCLUDE    EDTID (4019)                   1-n    M
                             “CAD Algorithm Identification”


                                           TID 4003
                    MAMMOGRAPHY CAD INDIVIDUAL IMPRESSION/RECOMMENDATION
    NL Rel with       VT          Concept Name              VM Req                Condition                  Value Set Constraint
       Parent                                                  Type
1                 CONTAINER (111034, DCM, “Individual      1       M
                            Impression/
                            Recommendation”)
2 >    HAS        CODE       (111056, DCM, “Rendering      1       M                                        EDCID (6034) “Intended Use of
       CONCEPT               Intent”)                                                                       CAD Output”
       MOD
3 >    CONTAINS INCLUDE      EDTID (4002)                1         U
                             “Mammography CAD
                             Impression / Recommendation
                             Body”
4 >    CONTAINS INCLUDE      EDTID (4004)                  1-n     MC   At least one of rows 4, 5 shall
                             “Mammography CAD                           be present.
                             Composite Feature”
5 >    CONTAINS INCLUDE      EDTID (4006)                  1-n     MC   At least one of rows 4, 5 shall
                             “Mammography CAD Single                    be present.
                             Image Finding”


                                               TID 4004
                                  MAMMOGRAPHY CAD COMPOSITE FEATURE
    NL Rel with       VT          Concept Name              VM Req                Condition                  Value Set Constraint
       Parent                                                  Type
1                 CODE       (111015, DCM, “Composite      1       M                                        DCID (6016) “Mammography
                             Feature”)                                                                      Composite Feature”
2 >    HAS        CODE       (111056, DCM, “Rendering      1       M                                        EDCID (6034) “Intended Use of
       CONCEPT               Intent”)                                                                       CAD Output”
       MOD
3 >    HAS PROP INCLUDE      EDTID (4005)                  1       M
                             “Mammography CAD
                             Composite Feature Body”
4 >    INFERRED INCLUDE      EDTID (4004)                  1-n     MC   At least two items shall be
       FROM                  “Mammography CAD                           present: two of row 4, two of row
                             Composite Feature”                         5, or one of each.
5 >    INFERRED INCLUDE      EDTID (4006)                  1-n     MC   At least two items shall be
       FROM                  “Mammography CAD Single                    present: two of row 4, two of row
                             Image Finding”                             5, or one of each.




                                                                  20
     NL Rel with      VT          Concept Name              VM Req               Condition                   Value Set Constraint
        Parent                                                 Type
6 >     HAS OBS    INCLUDE   EDTID (4022)                  1      MC   Shall be present only if this
        CONTEXT              “CAD Observation Context”                 feature is incorporated from a
                                                                       different report than its parent.




                                             TID 4005
                              MAMMOGRAPHY CAD COMPOSITE FEATURE BODY
     NL Rel with      VT          Concept Name              VM Req               Condition                   Value Set Constraint
        Parent                                                 Type
1                  CODE      (111016, DCM, “Composite      1      M                                        EDCID (6035) “Composite
                             type”)                                                                        Feature Relations “. The value
                                                                                                           shall be (111155, DCM, “Target
                                                                                                           content items are related
                                                                                                           contra-laterally”) if the parent
                                                                                                           content item has code value (F-
                                                                                                           01792, SRT, “Focal asymmetric
                                                                                                           breast tissue”) or (F-01793,
                                                                                                           SRT, “Asymmetric breast
                                                                                                           tissue”).
2                  CODE      (111057, DCM, “Scope of       1      M                                        EDCID (6036) “Scope of
                             Feature”)                                                                     Feature”


10                 INCLUDE   EDTID (4021)                  1-n    U
                             “Mammography CAD
                             Geometry”




                                              TID 4006
                                 MAMMOGRAPHY CAD SINGLE IMAGE FINDING
     NL Rel with      VT          Concept Name              VM Req               Condition                   Value Set Constraint
        Parent                                                 Type
1                  CODE      (111059, DCM, “Single Image 1        M                                        DCID (6014) “Mammography
                             Finding”)                                                                     Single Image Finding”
2 >     HAS        CODE      (111056, DCM, “Rendering      1      M                                        EDCID (6034) “Intended Use of
        CONCEPT              Intent”)                                                                      CAD Output”
        MOD
3 >     HAS PROP INCLUDE     EDTID (4019)                   1     M
                             “CAD Algorithm Identification”
4 >     HAS PROP NUM         (111012, DCM, “Certainty of   1      U                                        UNITS = EV (%, UCUM,
                             Finding”)                                                                     “Percent”)
                                                                                                           Value = 0 – 100
5 >     HAS PROP NUM         (111047, DCM, “Probability of 1      UC   May be present unless value of UNITS = EV (%, UCUM,
                             cancer”)                                  parent is (111006, DCM, “Breast “Percent”)
                                                                       composition”), (111100, DCM, Value = 0 – 100
                                                                       “Breast geometry”), (T-04100,
                                                                       SNM3, “Nipple”), (111099,
                                                                       DCM, “Selected region”),
                                                                       (111101, DCM, “Image quality”)
                                                                       or (111102, DCM, “Non-lesion”)
6 >     HAS PROP INCLUDE     EDTID (4021)                  1      MC   Shall be present unless value of
                             “Mammography CAD                          parent is (111006, DCM, “Breast
                             Geometry”                                 composition”), (111100, DCM,
                                                                       “Breast geometry”) or (111101,
                                                                       DCM, “Image quality”)




                                                                 21
    NL Rel with       VT           Concept Name          VM Req                Condition                 Value Set Constraint
       Parent                                               Type
7 >    HAS PROP INCLUDE      EDTID (4007)                1      MC   Shall be present only if value of
                             “Mammography CAD Breast                 parent is (111006, DCM, “Breast
                             Composition”                            composition”)
8 >    R-       CODE                                     1-n    UC   May be present only if value of Shall reference a (111059,
       INFERRED                                                      parent is (111006, DCM, “Breast DCM, “Single Image Finding”)
       FROM                                                          composition”)                   of value: EV (111100, DCM,
                                                                                                     “Breast geometry”)
9 >    HAS PROP INCLUDE      EDTID (4008)                1      MC   Shall be present only if value of
                             “Mammography CAD Breast                 parent is (111100, DCM, “Breast
                             Geometry”                               geometry”)
10 >   HAS PROP INCLUDE      EDTID (4009)                1      UC   May be present only if value of
                             “Mammography CAD                        parent is (111104, DCM,
                             Individual Calcification”               “Individual Calcification”)
11 >   HAS PROP INCLUDE      EDTID (4010)                1      UC   May be present only if value of
                             “Mammography CAD                        parent is (111105, DCM,
                             Calcification Cluster”                  “Calcification Cluster”)
12 >   HAS PROP INCLUDE      EDTID (4011)              1        UC   May be present only if value of
                             “Mammography CAD Density”               parent is (111103, DCM,
                                                                     “Density”)
13 >   HAS PROP CODE         (111297,DCM, “Nipple        1      UC   May be present only if value of DCID (6039) “Nipple
                             Characteristic”)                        parent is (T-04100, SNM3,       Characteristic”
                                                                     “Nipple”)
14 >   HAS PROP INCLUDE      EDTID (4012)                1      MC   Shall be present only if value of
                             “Mammography CAD Non-                   parent is (111102, DCM, “Non-
                             Lesion”                                 lesion”)
15 >   HAS PROP INCLUDE      EDTID (4013)              1        MC   Shall be present only if value of
                             “Mammography CAD Selected               parent is (111099, DCM,
                             Region”                                 “Selected Region”)


19 >   HAS PROP INCLUDE      EDTID (4014)                1-n    MC   Shall be present only if value of
                             “Mammography CAD Image                  parent is (111101, DCM, “Image
                             Quality”                                quality”)
20 >   INFERRED INCLUDE      EDTID (4006)                1-n    UC   May be present only if value of EV (111104, DCM, “Individual
       FROM                  “Mammography CAD Single                 parent is (111105, DCM,         Calcification”)
                             Image Finding”                          “Calcification Cluster”)
21 >   HAS OBS    INCLUDE    EDTID (4022)                1      MC   Shall be present only if this
       CONTEXT               “CAD Observation Context”               finding is incorporated from a
                                                                     different report than its parent.




                                             TID 4015
                               MAMMOGRAPHY CAD DETECTIONS PERFORMED
    NL Rel with       VT           Concept Name          VM Req                Condition                 Value Set Constraint
       Parent                                               Type
1                 CONTAINER (111063, DCM, “Successful    1      MC   Shall be present only if value of
                            Detections”)                             parent is (111222, DCM,
                                                                     “Succeeded”) or (111223, DCM,
                                                                     “Partially Succeeded”)
2 >    CONTAINS INCLUDE      EDTID (4017)                1-n    M
                             “Mammography CAD
                             Detection Performed”
3                 CONTAINER (111025, DCM, “Failed        1      MC   Shall be present only if value of
                            Detections”)                             parent is (111224, DCM,
                                                                     “Failed”) or (111223, DCM,
                                                                     “Partially Succeeded”)




                                                               22
    NL Rel with       VT          Concept Name              VM Req               Condition                  Value Set Constraint
       Parent                                                  Type
4 >    CONTAINS INCLUDE      EDTID (4017)                  1-n    M
                             “Mammography CAD
                             Detection Performed”


                                              TID 4016
                                 MAMMOGRAPHY CAD ANALYSES PERFORMED
    NL Rel with       VT          Concept Name              VM Req               Condition                  Value Set Constraint
       Parent                                                  Type
1                 CONTAINER (111062, DCM, “Successful      1      MC   Shall be present only if value of
                            Analyses”)                                 parent is (111222, DCM,
                                                                       “Succeeded”) or (111223, DCM,
                                                                       “Partially Succeeded”)
2 >    CONTAINS INCLUDE      EDTID (4018)             1-n         M
                             “Mammograpy CAD Analysis
                             Performed”
3                 CONTAINER (111024, DCM, “Failed          1      MC   Shall be present only if value of
                            Analyses”)                                 parent is (111224, DCM,
                                                                       “Failed”) or (111223, DCM,
                                                                       “Partially Succeeded”)
4 >    CONTAINS INCLUDE      EDTID (4018)              1-n        M
                             “Mammography CAD Analysis
                             Performed”


                                              TID 4017
                                MAMMOGRAPHY CAD DETECTION PERFORMED
    NL Rel with       VT          Concept Name              VM Req               Condition                  Value Set Constraint
       Parent                                                  Type
1                 CODE       (111022, DCM, “Detection      1      M                                        DCID (6014) “Mammography
                             Performed”)                                                                   Single Image Finding”
2 >    HAS PROP INCLUDE      EDTID (4019)                   1     M
                             “CAD Algorithm Identification”




                                              TID 4018
                                 MAMMOGRAPHY CAD ANALYSIS PERFORMED
    NL Rel with       VT          Concept Name              VM Req               Condition                  Value Set Constraint
       Parent                                                  Type
1                 CODE       (111004, DCM, “Analysis       1      M                                        DCID (6043) “Types of
                             Performed”)                                                                   Mammography CAD Analysis”
2 >    HAS PROP INCLUDE      EDTID (4019)                   1     M
                             “CAD Algorithm Identification”




                                              TID 4020
                                 MAMMOGRAPHY CAD IMAGE LIBRARY ENTRY
    NL Rel with       VT          Concept Name              VM Req               Condition                  Value Set Constraint
       Parent                                                  Type
1                 IMAGE                                    1      M
2 >    HAS ACQ    CODE       (111027, DCM, “Image          1      MC   Shall be present if (0020,0062) EDCID (6022) “Side”
       CONTEXT               Laterality”)                              is in the Image IOD




                                                                 23
    NL Rel with       VT          Concept Name           VM Req              Condition                Value Set Constraint
       Parent                                               Type



                                                    TID 4022
                                            CAD OBSERVATION CONTEXT
    NL Rel with       VT          Concept Name           VM Req              Condition                Value Set Constraint
       Parent                                               Type
1                 COMPOSIT (111040, DCM, “Original       1    MC   Shall be present if the original
                  E        Source”)                                source is a DICOM object.
2 >    HAS        INCLUDE    EDTID (1204) “Language of   1    M
       CONCEPT               Content Item and
       MOD                   Descendants”
3                 INCLUDE    EDTID (1001)                1    M
                             “Observation Context”




                                                             24
Modify the text of PS 3.16 Annex B:
Add “Type: Non-extensible” to all targets of (former) ETID, “Type: Extensible” to all
other templates.

                                      TID 1000
                                     QUOTATION
                                   Type: Extensible


                                      TID 1001
                               OBSERVATION CONTEXT
                                Type: Non-Extensible

                                      TID 1002
                                OBSERVER CONTEXT
                                Type: Non-Extensible

                                  TID 1003
                   PERSON OBSERVER IDENTIFYING ATTRIBUTES
                               Type: Extensible

                                   TID 1004
                    DEVICE OBSERVER IDENTIFYING ATTRIBUTES
                                Type: Extensible

                                       TID 1005
                                PROCEDURE CONTEXT
                                 Type: Non-Extensible

                                       TID 1006
                                 SUBJECT CONTEXT
                                 Type: Non-Extensible

                                     TID 1007
                             SUBJECT CONTEXT, PATIENT
                                  Type: Extensible

                                     TID 1008
                              SUBJECT CONTEXT, FETUS
                                  Type: Extensible

                                     TID 1009
                            SUBJECT CONTEXT, SPECIMEN
                                 Type: Extensible

                                     TID 1200
                              LANGUAGE DESIGNATION
                                  Type: Extensible

                                       TID 1201
                                LANGUAGE OF VALUE
                                 Type: Non-Extensible




                                          25
                                     TID 1203
                            LANGUAGE OF NAME AND VALUE
                                  Type: Extensible

                                    TID 1204
                  LANGUAGE OF CONTENT ITEM AND DESCENDANTS
                              Type: Non-Extensible

                                     TID 1210
                     EQUIVALENT MEANING(S) OF CONCEPT NAME
                               Type: Non-Extensible

                                     TID 1211
                          EQUIVALENT MEANING(S) OF VALUE
                                  Type: Extensible

                                     TID 1350
                      NEGATION MODIFIER, PRESENCE OF FINDING
                                 Type: Extensible

                                       TID 1400
                                 LINEAR MEASUREMENT
                                    Type: Extensible

                                       TID 1401
                                  AREA MEASUREMENT
                                    Type: Extensible

                                       TID 1402
                                 VOLUME MEASUREMENT
                                    Type: Extensible

TID 2000     BASIC DIAGNOSTIC IMAGING REPORT

…
Is not extensible. That is, no other content items may be added to this template, or the
templates that are included, recursively.

                                        TID 2000
                          BASIC DIAGNOSTIC IMAGING REPORT
                                  Type: Non-Extensible

                                     TID 2001
                 BASIC DIAGNOSTIC IMAGING REPORT OBSERVATIONS
                               Type: Non-Extensible

TID 2010     KEY OBJECT SELECTION
…
The Template can only be instantiated at the root node and cannot be included in other
templates. The Template is not extensible; that is, no other content items may be added to
this template, or the templates that are included, recursively.


                                            26
                        TID 2010
                KEY OBJECT SELECTION
                  Type: Non-Extensible

                      TID 4000
          MAMMOGRAPHY CAD DOCUMENT ROOT
                Type: Non-Extensible

                      TID 4001
MAMMOGRAPHY CAD OVERALL IMPRESSION/RECOMMENDATION
                Type: Non-Extensible

                      TID 4002
  MAMMOGRAPHY CAD IMPRESSION/RECOMMENDATION BODY
                Type: Non-Extensible

                       TID 4003
MAMMOGRAPHY CAD INDIVIDUAL IMPRESSION/RECOMMENDATION
                 Type: Non-Extensible

                      TID 4004
        MAMMOGRAPHY CAD COMPOSITE FEATURE
                Type: Non-Extensible

                      TID 4005
      MAMMOGRAPHY CAD COMPOSITE FEATURE BODY
                Type: Non-Extensible

                      TID 4006
        MAMMOGRAPHY CAD SINGLE IMAGE FINDING
                Type: Non-Extensible

                      TID 4007
        MAMMOGRAPHY CAD BREAST COMPOSITION
                Type: Non-Extensible

                      TID 4008
         MAMMOGRAPHY CAD BREAST GEOMETRY
                Type: Non-Extensible

                      TID 4009
      MAMMOGRAPHY CAD INDIVIDUAL CALCIFICATION
                Type: Non-Extensible

                      TID 4010
       MAMMOGRAPHY CAD CALCIFICATION CLUSTER
                Type: Non-Extensible

                       TID 4011
              MAMMOGRAPHY CAD DENSITY
                 Type: Non-Extensible

                     TID 4012
            MAMMOGRAPHY CAD NON-LESION



                         27
          Type: Non-Extensible

               TID 4013
  MAMMOGRAPHY CAD SELECTED REGION
         Type: Non-Extensible

              TID 4014
   MAMMOGRAPHY CAD IMAGE QUALITY
        Type: Non-Extensible

               TID 4015
MAMMOGRAPHY CAD DETECTIONS PERFORMED
         Type: Non-Extensible

              TID 4016
MAMMOGRAPHY CAD ANALYSES PERFORMED
        Type: Non-Extensible

               TID 4017
MAMMOGRAPHY CAD DETECTION PERFORMED
         Type: Non-Extensible

               TID 4018
 MAMMOGRAPHY CAD ANALYSIS PERFORMED
         Type: Non-Extensible

                TID 4019
     CAD ALGORITHM IDENTIFICATION
          Type: Non-Extensible

               TID 4020
 MAMMOGRAPHY CAD IMAGE LIBRARY ENTRY
         Type: Non-Extensible

               TID 4021
     MAMMOGRAPHY CAD GEOMETRY
         Type: Non-Extensible

                 TID 4022
       CAD OBSERVATION CONTEXT
           Type: Non-Extensible




                  28
Modify the text of PS 3.16 Annex B:
Change all Context Groups with "Most Restricted Use: Enumerated" to "Type: Non-
Extensible"; assign version identifiers

                                   Context ID 4013
                          Anatomic Region for Mammography
 (Most Restrictive Use: Enumerated) Type: Non-Extensible           Version: 20011231

                                   Context ID 4014
                               View for Mammography
 (Most Restrictive Use: Enumerated) Type: Non-Extensible           Version: 20011231

                                   Context ID 4015
                           View Modifier for Mammography
 (Most Restrictive Use: Enumerated) Type: Non-Extensible           Version: 20011231

                                   Context ID 4016
                      Anatomic Region for Intra-oral Radiography
 (Most Restrictive Use: Enumerated) Type: Non-Extensible           Version: 20011231

                                   Context ID 4017
                  Anatomic Region Modifier for Intra-oral Radiography
 (Most Restrictive Use: Enumerated) Type: Non-Extensible            Version: 20011231

                                   Context ID 4018
                 Primary Anatomic Structure for Intra-oral Radiography
                      (Permanent Dentition - Designation of Teeth)
 (Most Restrictive Use: Enumerated) Type: Non-Extensible            Version: 20011231

                                   Context ID 4019
                 Primary Anatomic Structure for Intra-oral Radiography
                      (Deciduous Dentition - Designation of Teeth)
 (Most Restrictive Use: Enumerated) Type: Non-Extensible            Version: 20011231

                                   Context ID 6022
                                        Side
 (Most Restrictive Use: Enumerated) Type: Non-Extensible           Version: 20011231

                                   Context ID 6023
                                                   TM
                                Side from BI-RADS
 (Most Restrictive Use: Enumerated) Type: Non-Extensible           Version: 20011231




                                         29
                                   Context ID 6034
                            Intended Use of CAD Output
 (Most Restrictive Use: Enumerated) Type: Non-Extensible        Version: 20011231

                                   Context ID 6035
                            Composite Feature Relations
 (Most Restrictive Use: Enumerated) Type: Non-Extensible        Version: 20011231

                                   Context ID 6036
                                  Scope of Feature
 (Most Restrictive Use: Enumerated) Type: Non-Extensible        Version: 20011231

                                   Context ID 6042
                                  Status of Results
 (Most Restrictive Use: Enumerated) Type: Non-Extensible        Version: 20011231

                                   Context ID 6047
                        CAD Processing and Findings Summary
 (Most Restrictive Use: Enumerated) Type: Non-Extensible        Version: 20011231

                                      CID 7455
                                         Sex
 (Most Restrictive Use: Enumerated) Type: Non-Extensible        Version: 20011231

                                      CID 7456
                              Units of Measure for Age
 (Most Restrictive Use: Enumerated) Type: Non-Extensible        Version: 20011231



Modify the text of PS 3.16 Annex B:
Change all Context Groups with "Most Restricted Use: Baseline" or "Most Restricted
Use: Defined" to "Type: Extensible”; add version identifier “Version: 20011231”




                                        30
                             DICOM Correction Proposal Form


Correction Number                            CP-277
Log Summary: Adjustments of french translations for code meanings
Type of Modification                              Name of Standard
Harmonization with french edition of BI-          PS 3.16 2001
RADS™
Rationale for Correction
The SFR had signed a licence agreement with ACR to publish a french version of BI-RADS™.
The translation was achieve in July after the translation of codes for sup 50. The BI-RADS™
translation was done by the team which provides the french translation for DICOM sup 50
broaded with some more experts. The translation works was based on the work done for
DICOM but it appears that it is useful to modify the translation of some terms or sentences.
                                                             th
The fench edition of BI-RADS is available since October 26 , 2001.
The purpose of thisCP is to harmonized the french code meaning in DICOM with the final
translation of BI-RADS™.
Particularly the panel of expert decided to modify the translation of the term “craniocaudal” : in
France the term “face” is the most often used for this view. It appears that in common language
face is used for an antero-posterior view and that it is an unapropriate usage to call a cranio-
caudal view “face”. We decided to encourage now in France the use of “craniocaudal” instead
of “face”.Some few misspelling are corrected
Sections of documents affected
PS 3.16 Annex E
Correction Wording:


Amend the text in Annex E French Translations…:


   Annex E          French Translations of Selected Codes used in the DCMR
                                    (Normative)



   Coding         Coding        Code Value                          Code Meaning                              Code Meaning French Language
   Scheme         Scheme
  Designator      Version
       BI              3.0        II.AC.a        0 - Need additional imaging evaluation              0. Examen d’imagerie complémentaire
                                                                                                     nécessaire L’évaluation nécessite des
                                                                                                     compléments d’imagerie
       BI              3.0       II.AC.b.1       1 – Negative                                        1. Négatif
                                                                                                     …




                                                31
                                                                              …
SRT    1.1   F-01783     3 o’clock position                                   Situé à 3 heures
 BI    3.0   II.AC.b.4   4 - Suspicious abnormality, biopsy should be         4. Anomalie suspecte, une biopsie à envisage
                         considered                                           être envisagée
SRT    1.1   F-01784     4 o’clock position                                   Situé à 4 heures
 BI    3.0   II.AC.b.5   5 - Highly suggestive of malignancy, take            5. Très évocateur de malignité, agir en
                         appropriate action                                   conséquenceHaute probabilité de malignité
                                                                              action appropriée doit être entreprise
SRT    1.1   F-01785     5 o’clock position                                   Situé à 5 heures
 …     …        …        …                                                    …



 …     …        …        …                                                    …
DCM          111302      Angiosarcoma                                         Angiosarcome (hémangiosarcome)
SNM3         G-A105      Anterior                                             Antérieur
DCM          111141      Any decision to biopsy should be based on clinical   La Une éventuelle décision de biopsie devra
                         assessment                                           être basée sur les constatations l’évaluation
                                                                              cliniques
SNM3         M-84013     Apocrine adenocarcinoma                              Carcinome apocrine
SNM3         M-73310     Apocrine Metaplasia                                  Métaplasie apocrine
 BI    3.0      I.C      Architectural distortion                             Distorsion architecturale
DCM          111215      Artifact(s) other than grid or detector artifact     Artéfacts autres qu’artéfacts de grille ou du
                                                                              détecteur
DCM          111005      Assessment Category                                  Catégorie d’évaluation
SRT    1.1   F-01793     Asymmetric breast tissue                             Asymétrie du tTissu mammaire asymétrique
SRT    1.1   P5-B3412    Asymmetric breast tissue analysis                    Analyse de l’asymétrie du tissu mammaire
DCM          111254      Asynchronous involution                              Involution asynchrone
SNM3         M-72175     Atypical intraductal hyperplasia                     Hyperplasie intracanalaire atypique
SNM3         M-72105     Atypical lobular hyperplasia                         Hyperplasie lobulaire atypique
SRT    1.1   F-01794     Axilla position                                      AisselleSituation axillaire
 BI    3.0     I.E.6     Axillary adenopathy                                  Adénopathie axillaire
                                                                              …



                                                                              …
SNM3         D7-F0810    Benign neoplasm of nipple of female breast (Nipple   Adénomatose ( papillomatose) érosive du mam
                         adenoma)
DCM          111143      Biopsy should be considered                          Biopsie à envisager Une biopsie doit être
                                                                              envisagée
DCM          111148      Biopsy should be strongly considered                 Biopsie à envisager absolument Une biops
                                                                              être absolument envisagée
DCM          111303      Blood vessel (vascular) invasion                     Embole vasculaire
SNM3         T-04080     Both breasts                                         Les deux seins



                         32
DCM          111006     Breast composition                                   Composition du sein (des seins)
SRT    1.1   P5-B3414   Breast composition analysis                          Analyse de la composition mammaire du sein
                                                                             seins)
DCM          111100     Breast geometry                                      Morphologie du sein (des seins)
SNM3         D7-90428   Breast lobular hyperplasia                           Hyperplasie lobulaire mammaire
                                                                             …



                                                                             …
SRT    1.1   F-01769    Calcified skin of breast                             Calcification cutanée
SRT    1.1   F-0176A    Calcified suture material                            SutureFils de suture calcifiés
DCM          111304     Carcinoma in children                                Carcinome de l’enfant
                                                                             …



                                                                             …
SNM3         A-26800    Catheter                                             Cathéter
DCM          111203     CC Nipple not centered on image                      Face Cranio-caudal : mamelon non centré su
                                                                             l’image
DCM          111202     CC Not all medial tissue visualized                  Face Cranio-caudal : le tissu interne n’est pa
                                                                             totalement visible
DCM          111204     CC Posterior nipple line does not measure within 1   Face Cranio-caudal : longueur de la ligne
                        cm of MLO                                            rétroaréolaire sur la face plus courte de plus d
                                                                             centimètre que sur l'oblique
DCM          111010     Center                                               Centre
                                                                             …



                                                                             …
SNM3         M-92203    Chondrosarcoma                                       Chondrosarcome
SRT    1.1   F-01741    Circumscribed lesion                                 Circonscrites Lésion circonscrite (bien déli
                                                                             définie ou à contour net)
SNM3         A-12062    Clip                                                 Clip
 …     …        …       …                                                    …



 …     …        …       …                                                    …
SRT    1.1   F-017B3    Difference in location                               Différence de localisation
SRT    1.1   F-017B7    Difference in margin                                 Différence de limitescontours
SRT    1.1   F-017B5    Difference in number of calcifications               Différence dedu nombre de calcifications
SRT    1.1   F-017B2    Difference in opacity                                Différence de d’opacité
SRT    1.1   F-017B6    Difference in shape                                  Différence de forme
SRT    1.1   F-017B1    Difference in size                                   Différence de taille



                        33
SRT    1.1   F-017B4    Difference in spatial proximity                      Différence de proximité dans l’espace
SRT    1.1   F-017B8    Difference in symmetry                               Différence de symétrie
DCM          111023     Differential Diagnosis/Impression                    Diagnostic différentiel/Impression
SRT    1.1   F-01770    Diffuse calcification distribution                   Diffuses Calcifications diffuses (/disséminé
DCM          111258     Ductal adenoma                                       Adénome ductal
DCM          111249     Ductal hyperplasia, Usual                            Hyperplasie canalaire
DCM          111139     Ductography                                          Galactographie
SRT    1.1   F-01762    Dystrophic calcification                             Dystrophique
SNM3         D4-48014   Ectopic (accessory) breast tissue                    Tissu mammaire ectopique ( glande mammair
                                                                             accessoire)
SNM3         M-36300    Edema                                                Oedème
SRT    1.1   F-01763    Eggshell calcification                               En coquille d’œuf ou annulaire d’oeuf
DCM          111217     Electrical failure                                   Défaillance électrique
 …     …        …       …                                                    …



 …     …        …       …                                                    …
SRT    1.1   F-01722    Finding partially removed                            Exérèse partielle de l’élément
SRT    1.1   F-0176D    Fine, linear (casting) calcification                 Fine Calcification fine, linéaire, ou fine linéa
                                                                             ramifiée (moule galactophorique) (vermicu
SRT    1.1   F-0176E    Fine, linear, branching (casting) calcification      Fine Calcification fine, linéaire, arboriséeou
                                                                             linéaire ramifiée (moule galactophorique)
                                                                             (ramifiée)
DCM          111191     Flash doesn’t include cassette/screen/detector       Le marquage n’indique pas l’identifiant de
                        identification                                       cassette/écran/détecteur
                                                                             …



                                                                             …
SRT    1.1   F-01792    Focal asymmetric breast tissue                       Asymétrie focale du tissu mammaire
SRT    1.1   P5-B3410   Focal asymmetric density analysis                    Analyse de l’asymétrie focale de densité foca
SNM3         M-78266    Focal fibrosis                                       Fibrose focale
 …     …       …        …                                                    …



 …     …        …       …                                                    …
SRT    1.1   F-01713    Heterogeneously dense                                Dense et hétérogène
SRT    1.1   F-01751    High density lesion                                  Lésion de forte densité élevée
DCM          111149     Highly suggestive of malignancy – take appropriate   Haute probabilité de malignité - une action
                        action                                               appropriée doit être entreprise
                                                                             …




                        34
                                                                  …
DCM          111030    Image Region                               Région de l’image
DCM          111031    Image View                                 L’iIncidence
DCM          111032    Image View Modifier                        Modificateur due l’incidence
SNM3         A-04010   Implant                                    Prothèse
SRT    1.1   F-0172B   Implant revised since previous mammogram   Contrôle de la prothèse mammaire Prothès
                                                                  révisée depuis la mammographie précéden
DCM          111033    Impression Description                     Description de l’impression
DCM          111196    Inadequate compression                     Compression inadéquate
DCM          111219    Inappropriate image processing             Défaillance du processus de traitement d’imag
SRT    1.1   F-01726   Increase in number of calcifications       Augmentation du nombre de calcifications
SRT    1.1   M-02520   Increase in size                           Augmentation de taille
SRT    1.1   F-01744   Indistinct lesion                          Mal définies Lésion indistincte
DCM          111104    Individual Calcification                   Calcification isolée
                                                                  …



                                                                  …
DCM          111279    Lactational change                         Lobule sécrétant
DCM          111281    Large duct papilloma                       Papillome solitaire
SRT    1.1   F-01764   Large rod-like calcification               En Calcification en bâtonnet
SNM3         T-04030   Left breast                                Sein gauche
SNM3         M-88900   Leiomyoma                                  Léiomyome
SNM3         M-88903   Leiomyosarcoma                             Léiomyosarcome
DCM          111035    Lesion Density                             Densité de la lésion
SRT    1.1   F-01728   Less defined                               Moins bien limité défini
DCM          111318    Leukemic infiltration                      Infiltration leucémique
SRT    1.1   F-01771   Linear calcification distribution          Linéaires Distribution linéaire des calcifica
SNM3         M-83143   Lipid-rich (lipid-secreting) carcinoma     Carcinome à cellules lipidiques
                                                                  …



                                                                  …
SRT    1.0   T-04005   Lower outer quadrant of breast             Quadrant inféro-externe du sein
SRT    1.1   F-01766   Lucent-centered calcification              À Calcification à centre clair
DCM          111320    Lympathic vessel invasion                  Embole lymphatique
                                                                  …




                       35
                                                                      .
DCM          111036    Mammography CAD Report                         Compte rendu d’analyse mammographique pa
                                                                      système de DAO
DCM          111238    Mammography Quality Control Manual 1999, ACR      Formatted
                                                                      Note: Applicable only for mass screening. No
                                                                      applicable for other case of practice but work i
                                                                      progress in France. We will provide referenc
                                                                      ASAP when will find them.
DCM          111037    Margins                                        Limites Contours
DCM          111216    Mechanical failure                             Défaillance mécanique
                                                                      …



                                                                      …
DCM          111284    Microglandular adenosis                        Adénose microglandulaire
SRT    1.1   F-01742   Microlobulated lesion                          Microlobulées Lésion microlobulée
SNM3         G-A109    Middle                                         Médian
SRT    1.1   F-01765   Milk of calcium calcification                  Sédiment Lait calcique
DCM          111200    MLO Evidence of motion blur                    Oblique externe : présence d’un flou cinétique
                                                                      …



                                                                      …
UCUM   1.4     mo      Month                                          Mois
SRT    1.1   F-01729   More defined                                   Mieux limité défini
DCM          111210    Motion blur                                    Mouvement du patient Flou cinétique
SNM3         M-84803   Mucinous adenocarcinoma (Colloid carcinoma)    Carcinome (mucineux) colloïde
                                                                      …



                                                                      …
DCM          111212    Over exposed                                   Sur-exposé
DCM          111234    Overall Impression / Recommendation Analysis   Analyse de l’Impression / Recommandation gl
SNM3   3.4   M-02120   Ovoid shape (Oval)                             Forme ovale (Ovale)
DCM          111171    Pacemaker                                      Stimulateur cardiaque
DCM          111172    Paddle                                         Pelotte de compression
SNM3         M-85403   Paget’s disease, mammary (of the nipple)       Maladie de Paget du mamelon
SNM3         M-80503   Papillary carcinoma (invasive)                 Carcinome papillaire infiltrant
DCM          111336    Papillary carcinoma in-situ                    Carcinome papillaire in-situ
SNM3         M-80500   Papilloma                                      Papillome
                                                                      …




                       36
                                                                             …
DCM          111292     Pseudoangiomatous stromal hyperplasia                Hyperplasie stromale pseudo-angiomateuse
SRT    1.1   F-01767    Punctate calcification                               Punctiforme Calcification punctiforme régu
DCM          111048     Quadrant location                                    Localisation du quadrant
                                                                             …



                                                                             …
SRT    1.1   P5-B3404   Spatial proximity analysis                           Analyse de proximité spatiale
SRT    1.1   F-01745    Spiculated lesion                                    Spiculées Lésion spiculée
SNM3         M-78190    Spindle cell nodule (tumor)                          Nodule (tumeur) à cellules fusiformes




DCM          111063     Successful Detections                                Procédures de détection réussies
DCM          111146     Suggestive of malignancy – take appropriate action   Évocateur de malignité, agir en consequence
                                                                             action appropriée doit être entreprise
DCM          111065     Summary of Analyses                                  Résumé des analyses
                                                                             …



                                                                             …
SNM3         D3-87780   Thrombophlebitis of breast (Mondor’s disease)        Thrombophlébite du sein (maladie de Mondor)
DCM          111239     Title 21 CFR Section 900, Subpart B                     Formatted
                                                                             Note: Applicable only for mass screening. Not
                                                                             applicable for other case of practice but work i
                                                                             progress in France. We will provide referenc
                                                                             ASAP when will find them.
 BI    3.0     I.E.4    Trabecular thickening                                Épaississement trabéculaire
                                                                             …



                                                                             …
DCM          111237     Usable  Meets the quality control standard          Exploitable  Répond aux standards de contr
                                                                             qualité
SRT    1.1   F-0176B    Vascular calcification                               Vasculaire Calcification vasculaire
DCM          111066     Vertical Imager Pixel Spacing                        Espacement vertical des pixels de l’imageur
DCM          111179     View and Laterality Marker does not have approved    n.a.
                        codes
DCM          111178     View and Laterality Marker does not have both view   Le marqueur plombé Le marquage n’indique
                        and laterality                                       l’incidence ni le côté
DCM          111183     View and Laterality Marker is incorrect              Le marqueur plombé Le marquage est incor
DCM          111177     View and Laterality Marker is missing                Marqueur Le marquage est absent



                        37
DCM   111180   View and Laterality Marker is not near the axilla   Le marqueur plombé Le marquage n’est pas
                                                                   de l’aisselle
DCM   111184   View and Laterality Marker is off image             Le marqueur plombé Le marquage est en d
                                                                   du film
DCM   111182   View and Laterality Marker is partially obscured    Le marqueur plombé Le marquage est
                                                                   partiellement masqué
DCM   111181   View and Laterality Marker overlaps breast tissue   Le marqueur plombé Le marquage chevauc
                                                                   sein
DCM   111298   Virginal hyperplasia                                Hypertrophie juvénile
                                                                   …




               38
                               DICOM Correction Proposal Form


 Correction Number                             CP-281
 Log Summary: Clarify use of Referenced Study Sequence in MWL
 Type of Modification                               Name of Standard
 Clarification                                      PS 3.4 2001
 Rationale for Correction
 Table K.6-1 states that the Modality Worklist query and response may contain all attributes from
 a number of normalized modules, in particular, from Requested Procedure, Visit Relationship
 and Patient Relationship modules.
 Apparently, each of these modules contains Referenced Study Sequence, with different
 meaning in each of the modules. Although this attribute is explicitly named only once (among
 Requested Procedure module’s attribute), there is a possibility for someone to use it according
 to definitions in Visit Relationship module (“Uniquely identifies the Study SOP Instances
 associated with the Visit SOP Instance”) or Patient Relationship module (“Uniquely identifies
 the Study SOP Instances associated with the Patient SOP Instance”).
 Similar situation happens in the General Purpose Worklist class as well, where Referenced
 Study Sequence is included explicitly inside the Referenced Request Sequence, and implicitly,
 through the Patient Relationship module.
 Unfortunately, rules for overriding the attribute meaning (if only on the level of attribute’s Type)
 are determined for attributes defined in multiple modules of composite objects, but such rules
 are not defined for normalized objects or worklists.
 With IHE recently proposing very specific use of Referenced Study Sequence in Modality
 Worklist, it is desirable to resolve this issue to explicitly specify what meaning shall the
 Sequence have.
 There are three possible ways to deal with it: (a) Generic rule that applies to all normalized
 modules; (b) Explicitly call out the attributes of Visit Relationship and Patient Relationship
 modules an omit Referenced Study Sequence from both; (c) Add a note to exclude the
 Referenced Study Sequence from both modules for a purpose of MWL. This proposal suggests
 exclusion of these attributes. It also corrects call-out of the Referenced Patient Sequence in
 Visit Relationship (atributes in the sequence are Type 2, not Type 1C).
 Sections of documents affected
 PS 3.4 Section K.6.1
 Correction Wording:


 Amend Table K.6-1 in Section 6 of PS 3.4:

                                   Table K.6-1
            ATTRIBUTES FOR THE MODALITY WORKLIST INFORMATION MODEL
Description / Module         Tag      Match- Return Remark/Matching Type
                                     ing Key   Key
                                       Type    Type




                                                   39
SOP Common
…                                    …        …    …     …
Requested Procedure
Requested Procedure ID          (0040,1001)   O    1
Requested Procedure             (0032,1060)   O    1C    The Requested Procedure
Description                                              Description (0032,1060) or the
                                                         Requested Procedure Code
                                                         Sequence (0032,1064) or both
                                                         shall be supported by the SCP.
Requested Procedure Code        (0032,1064)   O    1C    The Requested Procedure
Sequence                                                 Description (0032,1060) or the
                                                         Requested Procedure Code
                                                         Sequence (0032,1064) or both
                                                         shall be supported by the SCP.
                                                         The Requested Procedure Code
                                                         Sequence shall contain only a
                                                         single Item.
>Code Value                     (0008,0100)   O    1C    Required if a Sequence Item is
                                                         present.
>Coding Scheme                  (0008,0102)   O    1C    Required if a Sequence Item is
Designator                                               present.
>Coding Scheme Version          (0008,0103)   O    3
>Code Meaning                   (0008,0104)   O    3
Study Instance UID              (0020,000D)   O    1
Referenced Study Sequence       (0008,1110)   O    2
>Referenced SOP Class           (0008,1150)   O    1C    Required if a Sequence Item is
UID                                                      present.
>Referenced SOP Instance        (0008,1155)   O    1C    Required if a Sequence Item is
UID                                                      present.
…                                    …        …    …     …
Visit Status
Current Patient Location        (0038,0300)   O     2
All other Attributes from the                 O     3
Visit Status Module
Visit Relationship
Referenced Patient              (0008,1120)   O     2
Sequence
>Referenced SOP Class           (0008,1150)   O    1C2   Required if a Sequence Item is
UID                                                      present.
>Referenced SOP Instance        (0008,1155)   O    1C2   Required if a Sequence Item is
UID                                                      present.
All other Attributes from the                 O     3
Visit Relationship Module
except those explicitly
included in this table (see
Note 3)



                                              40
Visit Admission
All Attributes from the Visit                        O          3
Admission Module
Patient Relationship
All Attributes from the                              O          3
Patient Relationship Module
except those explicitly
included in this Table (see
Note 3)
Patient Identification
Patient's Name                    (0010,0010)        R          1     Patient Name shall be retrieved
                                                                      with Single Value Matching or Wild
                                                                      Card Matching.
Patient ID                        (0010,0020)        R          1     Patient ID shall be retrieved with
                                                                      Single Value Matching.
All other Attributes from the                        O          3
Patient Identification Module
Patient Demographic
Patients Birth Date               (0010,0030)        O          2
Patient's Sex                     (0010,0040)        O          2
Patient's Weight                  (0010,1030)        O          2
Confidentiality constraint on     (0040,3001)        O          2
patient data
All other Attributes from the                        O          3
Patient Demographic
Module
Patient Medical
Patient State                     (0038,0500)        O          2
Pregnancy Status                  (0010,21C0)        O          2
Medical Alerts                    (0010,2000)        O          2
Contrast Allergies                (0010,2110)        O          2
Special Needs                     (0038,0050)        O          2
All other Attributes from the                        O          3
Patient Medical Module

    Notes:      …
                3. The reason for this exclusion is to assure that the attributes that may be present in
                multiple modules are included only once with the meaning pertaining to only one module
                (for example, Referenced Study Sequence (0008,1110) shall be included once with the
                meaning as defined in the Requested Procedure Module).


  Amend Table 6-2 in Section 6 of PS 3.4:




                                                     41
          Table K.6-2 Attributes for the General Purpose Worklist Information Model
  Description / Module         Tag         Match- Return                Remark /
                                          ing Key   Key               Matching Type
                                            Type    Type
SOP Common
…                               …           …        …     …
General Purpose
Scheduled Procedure
Step Information
…                               …           …        …     …
General Purpose
Scheduled Procedure
Step Relationship
Referenced Request         (0040,A370)     O         1
Sequence
>Study Instance UID        (0020,000D)     O         1    This is the Study Instance UID that
                                                          shall be used to identify an identical
                                                          copy of an SR Object, in case
                                                          multiple copies are created.
>Referenced Study          (0008,1110)     O         2
Sequence
>>Referenced SOP Class     (0008,1150)     O         1
UID
>>Referenced SOP           (0008,1155)     O         1
Instance UID
>Requested Procedure ID    (0040,1001)     O         1
>Requested Procedure       (0032,1060)     O         1C   The Requested Procedure
Description                                               Description (0032,1060) or the
                                                          Requested Procedure Code
                                                          Sequence (0032,1064) or both shall
                                                          be supported by the SCP.
>Requested Procedure       (0032,1064)     O         1C   The Requested Procedure
Code Sequence                                             Description (0032,1060) or the
                                                          Requested Procedure Code
                                                          Sequence (0032,1064) or both shall
                                                          be supported by the SCP.
                                                          The Requested Procedure Code
                                                          Sequence shall contain only a single
                                                          Item.
>>Code Value               (0008,0100)     O         1
>>Coding Scheme            (0008,0102)     O         1
Designator
>>Code Meaning             (0008,0104)      -        1    Code Meaning shall not be used as
                                                          Matching Key.
>Accession Number          (0008,0050)     R         2    Accession Number shall be retrieved
                                                          with Single Value Matching.
>Requesting Physician      (0032,1032)     O         2




                                                42
>All other Attributes                             O          3
relating to the Requested
Procedure and the Imaging
Service Request in the
General Purpose
Scheduled Procedure Step
Relationship Module
Patient Relationship
All Attributes from the                           O          3
Patient Relationship
Module except those
explicitly included in this
Table (see Note)
Patient Identification
Patient's Name                 (0010,0010)        R          1     Patient's Name shall be retrieved with
                                                                   Single Value Matching or Wild Card
                                                                   Matching.
Patient ID                     (0010,0020)        R          1     Patient ID shall be retrieved with
                                                                   Single Value Matching.
All other Attributes from                         O          3
the Patient Identification
Module
Patient Demographic
Patient's Birth Date           (0010,0030)        O          2
Patient's Sex                  (0010,0040)        O          2
All other Attributes from                         O          3
the Patient Demographic
Module
Patient Medical
All Attributes from the                           O          3
Patient Medical Module
     Note: The reason for this exclusion is to assure that the attributes that may be present in multiple
             modules are included only once with the meaning pertaining to only one module (for
             example, Referenced Study Sequence (0008,1110) shall be included once with the
             meaning as defined in the Requested Procedure Module).




                                                      43
                                 DICOM Correction Proposal Form


Correction Number                                 CP-283
Log Summary: Clarification: Multi-frame with empty Basic Offset Table is valid DICOM
Type of Modification                                   Name of Standard
Clarification                                          PS 3.5 2001
Rationale for Correction
Implementations that use a empty Basic Offset Table (Item Length is zero) are valid DICOM
objects with an transfer syntaxes for Encapsulation of Encoded Pixel Data.
This is not well understood. Proposed is to put a note that emphasis that an offset table length
of zero has to be accepted by decoders of encapsulated multi-fame pixel data.
Sections of documents affected
PS 3.5 A.4
Correction Wording:


                       The first Item in the Sequence of Items before the encoded Pixel Data
                        Stream shall be a Basic Offset Table item. The Basic Offset Table Item
                        Value, however, is not required to be present.
                            When the Item Value is not present, the Item Length shall be zero
                             (00000000H) (see Table A.4-1).
                            When the Item Value is present, the Basic Offset Table Item Value
                             shall contain concatenated 32-bit unsigned integer values that are byte
                             offsets to the first byte of the Item Tag of the first fragment for each
                             frame in the Sequence of Items. These offsets are measured from the
                             first byte of the first Item Tag following the Basic Offset Table item (See
                             Table A.4-2).

  Notes:     1. For a Multi-Frame Image containing only one frame or a Single Frame Image, the Basic
             Offset Table Item Value may be present or not. If present it will contain a single 00000000H
             value.
             2. Decoders of encapsulated multi-frame pixel data shall accept both an empty Basic
             Offset Table (zero length) and a Basic Offset Table filled with 32 bit offset values.




                                                     44
                                  DICOM Correction Proposal Form

     Correction Number                            CP-289
     Log Summary: Move Refernced Waveform from US Image to General Image Module
     Type of Modification                                 Name of Standard
     Addition                                             PS 3.3 2001
     Rationale for Correction
     Supplement IVUS 48 introduced the Referenced Waveform Sequence into the Ultrasound
     Image Module. This restricts the functionality to ultrasound users only and forces other
     modalities to either 1) redundantly replicate these attributes in other image modules; or 2) opt
     for an entirely new mechanisms for dealing with image-waveform relationships. Therefore, the
     choice of a modality specific module was unfortunate because it unnecessarily increases the
     divergence of the DICOM Standard.
     The proposal is to move the Referenced Waveform Sequence to the General Image Module.
     Sections of documents affected
     PS 3.3 C.8.5.6 Table C.8-18, and Table C.7-7
     Correction Wording:


                         In the US Image Module, strike the following attributes

                                              Table C.8-18
                                     US IMAGE MODULE ATTRIBUTES

       Attribute Name                 Tag         Type                   Attribute Description
…                                …                …         …
Referenced Waveform               (0008,113A)         3     References to waveforms acquired in
Sequence                                                    conjunction with this image. These Waveforms
                                                            may or may not be temporally synchronized with
                                                            this image. One or more Items may be included
                                                            in this Sequence.
>Include ‘SOP Instance Reference Macro’ Table C.17-3                                                          Formatted

>Purpose of Reference Code        (0040,A170)         1     Code describing the purpose of the reference to   Formatted
Sequence                                                    the waveform(s). Only a single Item shall be      Formatted
                                                            permitted in this sequence.
                                                                                                              Formatted
>>Include 'Code Sequence Macro' Table 8.8-1               Defined Context ID is CID 7004
                                                                                                              Formatted
                                                                                                              Formatted
                        In the General Image Module, add the following attributes                             Formatted
                                                                                                              Formatted
                                           Table C.7-7
                                GENERAL IMAGE MODULE ATTRIBUTES
       Attribute Name               Tag     Type            Attribute Description
…                                …                …         …
Referenced Waveform               (0008,113A)         3     References to waveforms acquired in
Sequence                                                    conjunction with this image. These Waveforms
                                                            may or may not be temporally synchronized with



                                                      45
                                                       this image. One or more Items may be included
                                                       in this Sequence.
>Include ‘SOP Instance Reference Macro’ Table C.17-3                                                     Formatted

>Purpose of Reference Code     (0040,A170)     1       Code describing the purpose of the reference to   Formatted
Sequence                                               the waveform(s). Only a single Item shall be      Formatted
                                                       permitted in this sequence.
                                                                                                         Formatted
>>Include 'Code Sequence Macro' Table 8.8-1        Defined Context ID is CID 7004
                                                                                                         Formatted
                                                                                                         Formatted
                                                                                                         Formatted
                                                                                                         Formatted




                                                46
                             DICOM Correction Proposal Form


Correction Number CP-290
Log Summary:           Context Group code updates for Mammography CAD SR
Type of Modification                            Name of Standard
Clarification                                   PS 3.16
Rationale for Correction
After the final text of Supplement 50, Mammography CAD SR was completed, SNOMED sent
the final code assignments for some of the context groups contained therein.

Sections of documents affected
PS 3.3, Annex X (Informative), PS 3.16, Annex A, B, D, E, F
Correction Wording: Update the following Context Groups in PS 3.16 Annex B, and update PS
3.3, Annex X (Informative), and PS 3.16 Annex A, D, E and F to match:


PS 3.3, Annex X (Informative)
Example 1:
1.3.1.1           Detection Performed                              Mammography breast       4017
                                                                   Ddensity


Example 2:
1.2.1.2.6         Single Image Finding                             Mammography breast       4006
                                                                   Ddensity
1.2.1.2.7         Single Image Finding                             Mammography breast       4006
                                                                   Ddensity


1.2.1.2.6         Single Image Finding                             Mammography breast       4006
                                                                   Ddensity
1.2.1.2.7         Single Image Finding                             Mammography breast       4006
                                                                   Ddensity


1.2.2.2           Single Image Finding                             Mammography breast       4006
                                                                   Ddensity


1.3.1.1           Detection Performed                              Mammography breast       4017
                                                                   Ddensity


Example 3:
1.2.5.8.8              Pathology                                   Invasive lLobular        4005
                                                                   carcinoma in situ of
                                                                   breast




                                              47
     1.2.5.8.13.6          Single Image Finding                                  Mammography breast              4006
                                                                                 Ddensity


     1.2.5.8.13.7          Single Image Finding                                  Mammography breast              4006
                                                                                 Ddensity


     1.2.5.8.14.7          Single Image Finding                                  Mammography breast              4006
                                                                                 Ddensity


     1.2.5.8.14.8          Single Image Finding                                  Mammography breast              4006
                                                                                 Ddensity


     1.2.6.2            Single Image Finding                                     Mammography breast              4006
                                                                                 Ddensity


     1.3.1.1            Detection Performed                                      Mammography breast              4017
                                                                                 Ddensity

     PS 3.16, Annex A
                                       TID 4005
                        MAMMOGRAPHY CAD COMPOSITE FEATURE BODY
19             CODE     (111035, DCM, “Lesion       1       UC   May be present only if value of DCID (6008) “Density Modifier”
                        Density”)                                parent is (F-01791, SRT,
                                                                 “Mammographic breast mass”)
                                                                 or (111103, DCMF-01796, SRT,
                                                                 “Mammography breast
                                                                 Ddensity”)
20             CODE     (M-020F9, SNM3, “Shape”)    1       UC   May be present only if value of DCID (6004) “Mammography
                                                                 parent is (F-01791, SRT,        Characteristics of Shape”
                                                                 “Mammographic breast mass”)
                                                                 or (111103, DCMF-01796, SRT,
                                                                 “Mammography breast
                                                                 Ddensity”)
21             CODE     (111037, DCM, “Margins”)    1-n     UC   May be present only if value of DCID (6006) “Mammography
                                                                 parent is (F-01791, SRT,        Characteristics of Margin”
                                                                 “Mammographic breast mass”)
                                                                 or (111103, DCMF-01796, SRT,
                                                                 “Mammography breast
                                                                 Ddensity”)
22             CODE     (111009, DCM, “Calcification 1-n    UC   May be present only if value of DCID (6010) “Mammography
                        Type”)                                   parent is (111105, DCMF-        Calcification Types”
                                                                 01775, SRT, “Calcification
                                                                 Cluster”) or (111104, DCMF-
                                                                 01776, SRT, DCM, “Individual
                                                                 Calcification”)
23             CODE     (111008, DCM, “Calcification 1      UC   May be present only if value of DCID (6012) “Calcification
                        Distribution”)                           parent is (111105, DCMF-        Distribution Modifier”
                                                                 01775, SRT, “Calcification
                                                                 Cluster”)
24             NUM      (111038, DCM, “Number of    1       UC   May be present only if value of UNITS = (1, UCUM, “Unity”)
                        calcifications”)                         parent is (111105, DCMF-        Value = Integer 1 – n
                                                                 01775, SRT, “Calcification
                                                                 Cluster”)




                                                           48
        PS 3.16, Annex A
                                            TID 4006
                               MAMMOGRAPHY CAD SINGLE IMAGE FINDING
5 >    HAS PROP NUM        (111047, DCM, “Probability of 1     UC   May be present unless value of UNITS = (%, UCUM, “Percent”)
                           cancer”)                                 parent is (111006, DCMF-       Value = 0 – 100
                                                                    01710, SRT, “Breast
                                                                    composition”), (111100, DCM,
                                                                    “Breast geometry”), (T-04100,
                                                                    SNM3, “Nipple”), (111099,
                                                                    DCM, “Selected region”),
                                                                    (111101, DCM, “Image quality”)
                                                                    or (111102, DCM, “Non-lesion”)
6 >    HAS PROP INCLUDE    ETID (4021)                  1      MC   Shall be present unless value of
                           “Mammography CAD                         parent is (111006, DCMF-
                           Geometry”                                01710, SRT, “Breast
                                                                    composition”), (111100, DCM,
                                                                    “Breast geometry”) or (111101,
                                                                    DCM, “Image quality”)
7 >    HAS PROP INCLUDE    ETID (4007)                  1      MC   Shall be present only if value of
                           “Mammography CAD Breast                  parent is (111006, DCMF-
                           Composition”                             01710, SRT, “Breast
                                                                    composition”)
8 >    R-       CODE                                    1-n    UC   May be present only if value of     Shall reference a (111059,
       INFERRED                                                     parent is (111006, DCMF-            DCM, “Single Image Finding”)
       FROM                                                         01710, SRT, “Breast                 of value: EV (111100, DCM,
                                                                    composition”)                       “Breast geometry”)


10 >   HAS PROP INCLUDE    ETID (4009)                  1      UC   May be present only if value of
                           “Mammography CAD                         parent is (111104, DCMF-
                           Individual Calcification”                01776, SRT, “Individual
                                                                    Calcification”)
11 >   HAS PROP INCLUDE    ETID (4010)                  1      UC   May be present only if value of
                           “Mammography CAD                         parent is (111105, DCMF-
                           Calcification Cluster”                   01775, SRT, “Calcification
                                                                    Cluster”)
12 >   HAS PROP INCLUDE    ETID (4011)               1         UC   May be present only if value of
                           “Mammography CAD Density”                parent is (111103, DCMF-
                                                                    01796, SRT, “Mammography
                                                                    breast Ddensity”)


20 >   INFERRED INCLUDE    ETID (4006)                  1-n    UC   May be present only if value of EV (111104, DCMF-01776,
       FROM                “Mammography CAD Single                  parent is (111105, DCMF-        SRT, “Individual Calcification”)
                           Image Finding”                           01775, SRT, “Calcification
                                                                    Cluster”)


                                            TID 4007
                               MAMMOGRAPHY CAD BREAST COMPOSITION
1               CODE       (111006, DCMF-01710, SRT, 1         MC   At least one of row 1 or 2 shall DCID (6000) “Overall Breast
                           “Breast composition”)                    be present                       Composition”


        PS 3.16, Annex B
                                                 Context ID 6005
                                                                         TM
                                    Characteristics of Shape from BI-RADS
                                        (Most Restrictive Use: Defined)

                             TM
          Note: From BI-RADS      Third Edition (National Mammography Database, E80)




                                                              49
  Coding        Coding           Code Value                            Code Meaning
  Scheme        Scheme           (0008,0100)                            (0008,0104)
Designator      Version
(0008,0102)   (0008,0103)
  SNM3             3.4              M-02100         Round shape
  SNM3             3.4              M-02120         Ovoid shape (Oval)
  SNM3             3.4              G-A640          Lobular
  SNM3             3.4              G-A402          Irregular

                                        Context ID 6015
                                                                 TM
                              Single Image Finding from BI-RADS
                                 (Most Restrictive Use: Defined)
                               TM
  Note: Collected from BI-RADS      Third Edition
  Coding        Coding           Code Value                            Code Meaning
  Scheme        Scheme           (0008,0100)                            (0008,0104)
Designator      Version
(0008,0102)   (0008,0103)
 DCMSRT            1.1              111103F-        DensityMammography breast density
                                     01796
 DCMSRT            1.1              111104F-        Individual Calcification
                                     01776
 DCMSRT            1.1              111105F-        Calcification Cluster
                                     01775
  BISRT          3.01.1           I.CF-01795        Architectural distortion of breast
  BISRT          3.01.1          I.D.1F-01797       Tubular density
 BISNM3            3.0           I.D.2T-C4351       Intra-mammary lymph node
  BISRT          3.01.1          I.E.4F-01798       Trabecular thickening of breast
 DCMSRT            1.1              111006F-        Breast composition
                                     01710
  BISRT          3.01.1          I.E.1F-01799       Skin retraction of breast
  BISRT          3.01.1          I.E.3F-0179A       Skin thickening of breast
    BI             3.0                I.E.6         Axillary adenopathy
 BISNM3          3.01.1        I.E.5D0-00050        Skin lesion



                                         Context ID 6027
                                                              TM
                                   Assessment from BI-RADS
                                  (Most Restrictive Use: Defined)

                     TM
  Note: From BI-RADS      Third Edition (National Mammography Database, E100)
  Coding        Coding           Code Value                             Code Meaning
  Scheme        Scheme           (0008,0100)                             (0008,0104)
Designator      Version
(0008,0102)   (0008,0103)
    BI             3.0               II.AC.a         0 - Need additional imaging evaluation



                                                    50
  Coding        Coding          Code Value                         Code Meaning
  Scheme        Scheme          (0008,0100)                         (0008,0104)
Designator      Version
(0008,0102)   (0008,0103)
    BI            3.0             II.AC.b.1      1 – Negative
    BI            3.0             II.AC.b.2      2 – Benign Finding
    BI            3.0             II.AC.b.3      3 - Probably bBenign Finding – short interval
                                                 follow-up (1-11 months)
    BI            3.0             II.AC.b.4      4 - Suspicious abnormality, biopsy should be
                                                 considered
    BI            3.0             II.AC.b.5      5 - Highly suggestive of malignancy, take
                                                 appropriate action

                                     Context ID 6029
                                                              TM
                          Recommended Follow-up from BI-RADS
                              (Most Restrictive Use: Defined)
                    TM
  Note: From BI-RADS     Third Edition (National Mammography Database, E101) for Assessment
           Category 0
  Coding        Coding          Code Value                         Code Meaning
  Scheme        Scheme          (0008,0100)                         (0008,0104)
Designator      Version
(0008,0102)   (0008,0103)
   DCM                            111135         Additional projections
  SNM3                           R-102D6         Magnification views
  SNM3                           R-102D7         Spot compression
   DCM                            111136         Spot magnification view(s)
 DCMSRT           1.1           111137P5-        Ultrasound procedure
                                  B0099
   DCM                            111138         Old films for comparison
 DCMSRT           1.1           111139P5-        DuctographyMammary ductogram
                                  40060
   DCM                            111140         Normal interval follow-up
   DCM                            111141         Any decision to biopsy should be based on clinical
                                                 assessment
   DCM                            111142         Follow-up at short interval (1-11 months)
   DCM                            111143         Biopsy should be considered
   DCM                            111144         Needle localization and biopsy
   DCM                            111145         Histology using core biopsy
   DCM                            111146         Suggestive of malignancy – take appropriate action
   DCM                            111147         Cytologic analysis
   DCM                            111148         Biopsy should be strongly considered
   DCM                            111149         Highly suggestive of malignancy – take appropriate
                                                 action




                                                51
                                      Context ID 6031
                                                                TM
                           Benign Pathology Codes from BI-RADS
                               (Most Restrictive Use: Baseline)
                    TM
  Note: From BI-RADS     Third Edition, with Addendum 3.1 (National Mammography Database, F110)
  Coding        Coding          Code Value                          Code Meaning
  Scheme        Scheme          (0008,0100)                          (0008,0104)
Designator      Version
(0008,0102)   (0008,0103)
  SNM3                           M-41610         Abscess
  SNM3                           M-74200         Adenosis
  SNM3                           M-81400         Adenoma
DCMSNM3                          111248M-        Adenolipoma
                                   83240
  SNM3                           M-73310         Apocrine Metaplasia
DCMSNM3                          111250M-        Adenomyoepithelioma
                                   89830
  SNM3                           M-55160         Amyloid (tumor)
   DCM                            111251         Normal axillary node
  SNM3                           M-88610         Angiolipoma
   DCM                            111252         Axillary node with calcifications
  SNM3                           M-76100         Angiomatosis
   DCM                            111253         Axillary node hyperplasia
DCMSNM3                          111254F-        Asynchronous involution of breast
                                  8A063
  SNM3                           D7-90360        Cyst of breast
   DCM                            111255         Benign cyst with blood
   DCM                            111256         Benign calcifications
  SNM3                           M-92200         Chondroma
DCMSNM3                          111257M-        Intracystic papilloma
                                   85040
   DCM                            111258         Ductal adenoma
  SNM3                           D7-90370        Mammary duct ectasia
   DCM                            111259         Diabetic fibrous mastopathy
DCMSNM3                          111249M-        Ductal hyperplasia, Usual
                                   72170
DCMSNM3                          111260M-        Extra abdomenal desmoid
                                   88211
  SNM3                           D4-48014        Ectopic (accessory) breast tissue
DCMSNM3                          111262M-        Epidermal inclusion cyst
                                   33410
  SNM3                           M-36300         Edema
  SNM3                           M-90100         Fibroadenoma
   DCM                            111263         Fibroadenomatoid hyperplasia




                                                52
  Coding        Coding      Code Value                        Code Meaning
  Scheme        Scheme      (0008,0100)                        (0008,0104)
Designator      Version
(0008,0102)   (0008,0103)
   DCM                        111264       Fibroadenolipoma
DCMSNM3                      111265M-      Foreign body (reaction)
                               44140
  SNM3                       D7-90310      Fibrocystic disease of breast
  SNM3                        M-78266      Focal fibrosis
  SNM3                        M-78800      Fibromatosis
  SNM3                       D7-90434      Fat necrosis of breast
DCMSNM3                      111269D7-     Galactocele
                               90364
  SNM3                        M-95800      Granular cell tumor
  SNM3                        M-90160      Giant fibroadenoma
  SNM3                       D7-90420      Gynecomastia
  SNM3                        M-75500      Hamartoma
  SNM3                        M-91200      Hemangioma
DCMSNM3                      111271D3-     Hemangioma – nonparenchymal, subcutaneous
                               F0620       Hemangioma of subcutaneous tissue
  SNM3                        M-91220      Hemangioma – venous
  SNM3                        M-35060      Hematoma
DCMSNM3                      111273M-      Hyperplasia, usual
                               72000
  SNM3                       D7-90452      Infarction of breast
  SNM3                        M-40000      Inflammation
 BISNM3           3.0       I.D.2T-C4351   Intra-mammary lymph node
  SNM3                        M-85030      Intraductal papilloma
  SNM3                        M-90300      Juvenile fibroadenoma
   DCM                        111277       Juvenile papillomatosis
DCMSNM3                      111278M-      Lactating adenoma
                               82040
  SNM3                        M-88500      Lipoma of the breast
   DCM                        111279       Lactational change
  SNM3                       D7-90428      Breast lobular hyperplasia
  SNM3                        M-88900      Leiomyoma
  SNM3                        T-C4000      Lymph node
   DCM                        111281       Large duct papilloma
  SNM3                       D3-87780      Thrombophlebitis of breast (Mondor’s disease)
DCMSNM3                      111283M-      Myofibroblastoma
                               88250
   DCM                        111284       Microglandular adenosis
   DCM                        111285       Multiple Intraductal Papillomas


                                           53
  Coding        Coding          Code Value                          Code Meaning
  Scheme        Scheme          (0008,0100)                          (0008,0104)
Designator      Version
(0008,0102)   (0008,0103)
   DCM                            111286         No abnormality
   DCM                            111287         Normal breast tissue
  SNM3                           M-95400         Neurofibroma
DCMSNM3                          111288M-        Neurofibromatosis
                                   95401
  SNM3                            D7-F0810       Benign neoplasm of nipple of female breast
                                                 (Nipple adenoma)
   DCM                            111290         Oil cyst (fat necrosis cyst)
  SNM3                           M-80500         Papilloma
  SNM3                           M-89400         Pleomorphic adenoma
   DCM                            111291         Post reduction mammoplasty
   DCM                            111292         Pseudoangiomatous stromal hyperplasia
DCMSNM3                          111293M-        Radial scar
                                   78731
DCMSNM3                          111294M-        Sclerosing adenosis
                                   74220
  SNM3                           M-36050         Seroma
   DCM                            111296         Silicone granuloma
DCMSNM3                          111168M-        Scar tissue
                                   78060
  SNM3                           M-82110         Tubular adenoma
   DCM                            111298         Virginal hyperplasia



                                      Context ID 6033
                                                                TM
                         Malignant Pathology Codes from BI-RADS
                               (Most Restrictive Use: Baseline)
                    TM
  Note: From BI-RADS     Third Edition, with Addendum 3.1 (National Mammography Database, F110)
  SNM3                           M-82003         Adenoid cystic carcinoma
   DCM                            111300         Axillary node with lymphoma
   DCM                            111301         Axillary nodal metastases
  SNM3                           M-84013         Apocrine adenocarcinoma
DCMSNM3                          111302M-        Angiosarcoma
                                   91203
   DCM                            111307         Basal cell carcinoma of nipple
   DCM                            111303         Blood vessel (vascular) invasion
  SNM3                           M-84803         Mucinous adenocarcinoma (Colloid carcinoma)
   DCM                            111304         Carcinoma in children
  SNM3                           M-92203         Chondrosarcoma



                                                54
 DCM        111305     Carcinoma in ectopic breast
 DCM        111306     Carcinoma with endocrine differentiation
 SNM3      M-850132    Comedocarcinoma (intraductal)
 SNM3      D7-F0902    Carcinoma in situ of male breast
DCMSNM3    111308M-    Carcinoma with metaplasia
             85733
 DCM        111309     Cartilaginous and osseous change
 DCM        111310     Carcinoma in pregnancy and lactation
DCMSNM3    111311M-    Carcinosarcoma
             89803
 DCM        111312     Intraductal comedocarcinoma with necrosis
 DCM        111341     Intraductal carcinoma, high grade
 DCM        111313     Intraductal carcinoma, low grade
DCMSNM3    111314M-    Intraductal carcinoma micro-papillary
             85072
 SNM3      M-88103     Fibrosarcoma
 SNM3      M-83153     Glycogen-rich carcinoma
 SNM3      M-91501     Hemangiopericytoma
 SNM3     DC-F1000M-   Hodgkin’s disease (lymphoma)
            96503
DCMSNM3    111342M-    Invasive cribriform carcinoma
             82013
 DCM        111315     Intracystic papillary carcinoma
 SNM3      M-85003     Infiltrating duct carcinoma
 DCM        111316     Invasive and in-situ carcinoma
DCMSNM3    111317M-    Invasive lobular carcinoma
             85203
 SNM3      M-85303     Inflammatory carcinoma
 SNM3      M-80503     Papillary carcinoma (invasive)
 DCM        111318     Leukemic infiltration
 SNM3      M-88903     Leiomyosarcoma
 SNM3      M-88503     Liposarcoma
 SNM3      M-83143     Lipid-rich (lipid-secreting) carcinoma
 DCM        111320     Lympathic vessel invasion
DCMSNM3    111321M-    Lymphoma
             95903
 DCM        111322     Occult carcinoma presenting with axillary lymph
                       node metastases
 DCM        111323     Metastatic cancer to the breast
 DCM        111324     Metastatic cancer to the breast from the colon
 DCM        111325     Metastatic cancer to the breast from the lung
 DCM        111326     Metastatic melanoma to the breast



                       55
   DCM                        111327      Metastatic cancer to the breast from the ovary
   DCM                        111328      Metastatic sarcoma to the breast
   SNM3                      M-85103      Medullary carcinoma
   DCM                        111329      Multifocal intraductal carcinoma
   DCM                        111330      Metastatic disease to axillary node
DCMSNM3                      111331M-     Malignant fibrous histiocytoma
                               88303
   DCM                        111332      Multifocal invasive ductal carcinoma
   DCM                        111333      Metastasis to an intramammary lymph node
   DCM                        111334      Malignant melanoma of nipple
   SNM3                     DC-F0002M-    Non-Hodgkin’s lymphoma
                              95913
DCMSNM3                     111335D0-     Neoplasm of the mammary skin
                              F035F
   SNM3                      M-91803      Osteogenic sarcoma
DCMSNM3                      111336M-     Papillary carcinoma in-situ
                               80502
   SNM3                      M-85403      Paget’s disease, mammary (of the nipple)
   SNM3                      M-97313      Plasmacytoma
   SNM3                      M-90203      Phyllodes tumor – malignant
   DCM                        111338      Recurrent malignancy
   SNM3                      M-84903      Signet ring cell carcinoma
   DCM                        111340      Squamous cell carcinoma of the nipple
   SNM3                      M-78190      Spindle cell nodule (tumor)
   SNM3                      M-85023      Secretory (juvenile) carcinoma of the breast
   SNM3                      M-80703      Squamous cell carcinoma
   SNM3                      M-82113      Tubular adenocarcinoma

                                   Context ID 6040
                               Non-Lesion Object Type
                            (Most Restrictive Use: Defined)
  Coding        Coding      Code Value                        Code Meaning
  Scheme        Scheme      (0008,0100)                        (0008,0104)
Designator      Version
(0008,0102)   (0008,0103)
  SNM3                       A-04010      Implant
DCMSNM3                      111168M-     Scar tissue
                               78060
  SNM3                       A-32475      BB shot
  SNM3                       J-83250      Metal (Lead) Marker
  SNM3                       A-32110      Bullet
DCMSNM3                      111170A-     J Wire
                              1016B



                                          56
      Coding           Coding         Code Value                              Code Meaning
      Scheme           Scheme         (0008,0100)                              (0008,0104)
    Designator         Version
    (0008,0102)      (0008,0103)
         SNM3                           A-13600         Staple
         SNM3                           A-13510         Suture material
         SNM3                           A-12062         Clip
    DCMSNM3                            111171A-         Pacemaker
                                        11101
         SNM3                           A-26800         Catheter
    DCMSNM3                            111172A-         Compression pPaddle
                                        10042
    DCMSNM3                            111173A-         Collimator
                                        10044
    DCMSNM3                            111174A-         ID Plate
                                        16016
         SNM3                           C-B0300         Contrast agent NOS
         DCM                            111175          Other Marker
         DCM                            111176          Unspecified

        PS 3.16, ANNEX D

Code            Code Meaning                         Definition                                 Notes
Value

111006     Breast composition         Assessment of annotating tissues in        Retired. Replaced with (F-01799,
                                      breast; generally including fatty,         SRT 1.1, “Breast composition”).
                                      mixed or dense
111103     Density                    A space-occupying lesion identified        Retired. Replaced with (F-01796,
                                      in a single image or projection            SRT 1.1, “Mammography breast
                                                                                 density”).
111104     Individual Calcification   A single identified calcification          Retired. Replaced with (F-01776,
                                                                                 SRT 1.1, “Individual
                                                                                 Calcification”).
111105     Calcification Cluster      Multiple calcifications identified as      Retired. Replaced with (F-01775,
                                      occupying a small area of tissue           SRT 1.1, “Calcification Cluster”).
                                      (less than 2 cc)
111137     Ultrasound                                                            Retired. Replaced with (P5-
                                                                                 B0099, SRT 1.1, “Ultrasound
                                                                                 procedure”).
111139     Ductography                A medical procedure used for the           Retired. Replaced with (P5-40060,
                                      sampling of mammary duct tissue            SRT 1.1, “Mammary ductogram”).
111168     Scar tissue                The fibrous tissue replacing normal        Retired. Replaced with (M-78060,
                                      tissues destroyed by disease or            SNM3, “Scar tissue”).
                                      injury




                                                       57
Code          Code Meaning                         Definition                              Notes
Value

111170   J Wire                     A medical appliance used for             Retired. Replaced with (A-1016B,
                                    localization of non palpable breast      SNM3, “J Wire”).
                                    lesions to insure that the proper area
                                    is removed in a surgical biopsy
111171   Pacemaker                  A medical appliance used for             Retired. Replaced with (A-11101,
                                    regulating cardiac rhythms               SNM3, “Pacemaker”).
111172   Paddle                     A compression device used for            Retired. Replaced with (A-10042,
                                    obtaining mammographic images            SNM3, “Compression paddle”).
111173   Collimator                 A device used for restricting an X-      Retired. Replaced with (A-10044,
                                    Ray beam                                 SNM3, “Collimator”).
111174   ID Plate                   An area designated on a                  Retired. Replaced with (A-16016,
                                    radiographic film for facility and       SNM3, “ID Plate”).
                                    patient ID information
111248   Adenolipoma                A benign tumor having glandular          Retired. Replaced with (M-83240,
                                    characteristics but composed of fat,     SNM3, “Adenolipoma”).
                                    with the presence of normal
                                    mammary ducts
111249   Ductal hyperplasia                                                  Retired. Replaced with (M-72170,
                                                                             SNM3, “Ductal hyperplasia,
                                                                             Usual”).
111250   Adenomyoepithelioma        Neoplasms composed of                    Retired. Replaced with (M-89830,
                                    myoepithelial cells                      SNM3, “Adenomyoepithelioma”).
111254   Asynchronous                                                        Retired. Replaced with (F-8A063,
         involution                                                          SNM3, “Asynchronous involution
                                                                             of breast”).
111257   Intracystic papilloma      Growing within a cystic adenoma,         Retired. Replaced with (M-85040,
                                    filling the cavity with a mass of        SNM3, “Intracystic papilloma”).
                                    branching epithelial processes
111260   Extra abdomenal            A deep seated firm tumor frequently      Retired. Replaced with (M-88211,
         desmoid                    occurring on the chest consisting of     SNM3, “Extra abdominal
                                    collagenous tissue that infiltrates      desmoid”).
                                    surround muscle; frequently recurs
                                    but does not metastasize
111262   Epidermal inclusion cyst   A cyst formed of a mass of epithelial    Retired. Replaced with (M-33410,
                                    cells, as a result of trauma has been    SNM3, “Epidermal inclusion
                                    pushed beneath the epidermis. The        cyst”).
                                    cyst is lined with squamous
                                    epithelium and contains concentric
                                    layers or keratin
111265   Foreign body (reaction)                                             Retired. Replaced with (M-44140,
                                                                             SNM3, “Foreign body
                                                                             (reaction)”).
111269   Galactocele                Retention cyst caused by occlusion       Retired. Replaced with (D7-90364,
                                    of a lactiferous duct                    SNM3, “Galactocele”).




                                                     58
Code         Code Meaning                      Definition                               Notes
Value

111271   Hemangioma –            A congenital anomaly that leads to a     Retired. Replaced with (D3-
         nonparenchymal,         proliferation of blood vessels leading   F0620, SNM3, “Hemangioma of
         subcutaneous            to a mass that resembles a               subcutaneous tissue”).
                                 neoplasm, not located in
                                 parenchymal areas but
                                 subcutaneous
111273   Hyperplasia, usual                                               Retired. Replaced with (M-72000,
                                                                          SNM3, “Hyperplasia, usual”).
111278   Lactating adenoma       Enlarging masses during lactation. A     Retired. Replaced with (M-82040,
                                 circumscribed benign tumor               SNM3, “Lactating adenoma”).
                                 composed primarily of glandular
                                 structures with scanty stroma, with
                                 prominent secretory changes in the
                                 duct
111283   Myofibroblastoma        Solitary or multiple tumors of           Retired. Replaced with (M-88250,
                                 muscles and fibrous tissues, or          SNM3, “Myofibroblastoma”).
                                 tumors composed of myofibroblasts
111288   Neurofibromatosis       Condition in which there are tumors      Retired. Replaced with (M-95401,
                                 of various sizes on peripheral           SNM3, “Neurofibromatosis”).
                                 nerves. They may be neuromas or
                                 fibromas
111293   Radial scar             An nonencapsulated stellate lesion       Retired. Replaced with (M-78731,
                                 consisting of a fibroelastic core and    SNM3, “Radial scar”).
                                 radiating bands of fibrous connective
                                 tissue containing lobules manifesting
                                 adenosis and ducts with papillary or
                                 diffuse intraductal hyperplasia
111294   Sclerosing adenosis     Prominent interductal fibrosis of the    Retired. Replaced with (M-74220,
                                 terminal ductules                        SNM3, “Sclerosing adenosis”).
111302   Angiosarcoma            A malignant neoplasm occurring           Retired. Replaced with (M-91203,
                                 most often in breast and skin,           SNM3, “Angiosarcoma”).
                                 believed to originate from endothelial
                                 cells of blood vessels,
                                 microscopically composed of closely
                                 packed round or spindle shaped
                                 cells, some of which line small
                                 spaces resembling vascular clefts
111308   Carcinoma with                                                   Retired. Replaced with (M-85733,
         metaplasia                                                       SNM3, “Carcinoma with
                                                                          metaplasia”).
111311   Carcinosarcoma          A malignant neopalsm that contains       Retired. Replaced with (M-89803,
                                 elements of carcinoma and sarcoma,       SNM3, “Carcinosarcoma”).
                                 so extensively intermixed as to
                                 indicate neoplasia of epithelial and
                                 mesenchymal tissue
111314   Intraductal carcinoma                                            Retired. Replaced with (M-85072,
         micro-papillary                                                  SNM3, “Intraductal carcinoma
                                                                          micro-papillary”).



                                                 59
Code          Code Meaning                      Definition                             Notes
Value

111317   Invasive lobular                                                Retired. Replaced with (M-85203,
         carcinoma                                                       SNM3, “Invasive lobular
                                                                         carcinoma”).
111321   Lymphoma                  A heterogenous group of neoplasms     Retired. Replaced with (M-95903,
                                   arising in the reticuloendoethelial   SNM3, “Lymphoma”).
                                   and lymphatic systems
111331   Malignant fibrous                                               Retired. Replaced with (M-88303,
         histiocytoma                                                    SNM3, “Malignant fibrous
                                                                         histiocytoma”).
111335   Neoplasm of the                                                 Retired. Replaced with (D0-
         mammary skin                                                    F035F, SNM3, “Neoplasm of the
                                                                         mammary skin”).
111336   Papillary carcinoma in-                                         Retired. Replaced with (M-80502,
         situ                                                            SNM3, “Papillary carcinoma in-
                                                                         situ”).
111342   Invasive cribriform                                             Retired. Replaced with (M-82013,
         carcinoma                                                       SNM3, “Invasive cribriform
                                                                         carcinoma”).




                                                  60
PS 3.16, ANNEX E

    BI        3.0    II.AC.b.2   2 – Benign Finding            2. Bénin Constatations bénignes
    BI        3.0    II.AC.b.3   3 - Probably bBenign          3. Probablement bénin –
                                 Finding – short interval      surveillance à court terme (1 à
                                 follow-up (1-11 months)       11 mois) Anomalie
                                                               probablement bénigne -
                                                               proposition d'une surveillance à
                                                               court terme
DCMSNM3              111248M-    Adenolipoma                   Adénolipome
                       83240
DCMSNM3              111250M-    Adenomyoepithelioma           Adénomyoépithéliome
                       89830
DCMSNM3              111302M-    Angiosarcoma                  Angiosarcome (hémangiosarcome)
                       91203
  BISRT     3.01.1     I.CF-     Architectural distortion of   Distorsion architecturale du sein
                      01795      breast
DCMSNM3              111254F-    Asynchronous involution of    Involution asynchrone du sein
                      8A063      breast
DCMSRT        1.1    111006F-    Breast composition            Composition du sein
                      01710
DCMSRT        1.1    111105F-    Calcification Cluster         Foyer de microcalcifications
                      01775
DCMSNM3              111308M-    Carcinoma with metaplasia     Carcinome métaplasique
                       85733
DCMSNM3              111311M-    Carcinosarcoma                Carcinosarcome
                       89803
  DCM                111173A-    Collimator                    Collimateur
  SNM3                10044
  SNM3               M-850132    Comedocarcinoma               Carcinome intracanalaire de type
                                 (intraductal)                 comédo
DCMSRT        1.1    111103F-    Mammography breast            Opacité mammaire à la
                      01796      Ddensity                      mammographie
DCMSNM3              111249M-    Ductal hyperplasia, Usual     Hyperplasie canalaire
                       72170
DCMSRT        1.1    111139P5    DuctographyMammary            Galactographie
                      -40060     ductogram
DCMSNM3              111262M-    Epidermal inclusion cyst      Kyste épidermique
                       33410
DCMSNM3              111260M-    Extra abdomenal desmoid       Tumeur desmoïde
                       88211                                   extraabdominale
DCMSNM3              111265M-    Foreign body (reaction)       Réaction à corps étranger
                       44140
DCMSNM3              111269D7    Galactocele                   Galactocèle
                      -90364




                                          61
DCMSNM3         111271D3   Hemangioma –                   Hémangiome des tissus sous-
                 -F0620    nonparenchymal,                cutané non parenchymateux
                           subcutaneous
                           Hemangioma of
                           subcutaneous tissue
 SNM3             DC-      Hodgkin’s disease              Maladie de Hodgkin
                F1000M-    (lymphoma)
                 96503
DCMSNM3         111273M-   Hyperplasia, usual             Hyperplasie simple
                  72000
 DCM            111174A-   ID Plate                       Zone d’identification
 SNM3            16016
DCMSRT    1.1   111104F-   Individual Calcification       Calcification isolée
                 01776
DCMSNM3         111257M-   Intracystic papilloma          Papillome intrakystique
                  85040
DCMSNM3         111314M-   Intraductal carcinoma micro-   Carcinome intracanalaire de type
                  85072    papillary                      micropapillaire
BISNM3    3.0    I.D.2T-   Intra-mammary lymph node       Ganglion intramammaire
                 C4351
DCMSNM3         111342M-   Invasive cribriform            Carcinome infiltrant cribriforme
                  82013    carcinoma
DCMSNM3         111317M-   Invasive lobular carcinoma     Carcinome lobulaire infiltrant
                  85203
 DCM            111170A-   J Wire                         Hameçon
 SNM3            1016B
DCMSNM3         111278M-   Lactating adenoma              Adénome lactant
                  82040
DCMSNM3         111321M-   Lymphoma                       Lymphome
                  95903
DCMSNM3         111331M-   Malignant fibrous              Histiocytofibrome malin
                  88303    histiocytoma
DCMSNM3         111283M-   Myofibroblastoma               Myofibroblastome
                  88250
DCMSNM3         111335D0   Neoplasm of mammary skin       Tumeur de la peau mammaire
                 -F035F
DCMSNM3         111288M-   Neurofibromatosis              Neurofibromatose
                  95401
 SNM3             DC-      Non-Hodgkin’s lymphoma         Lymphome non hodgkinien
                F0002M-
                 95913
 DCM            111171A-   Pacemaker                      Stimulateur cardiaque
 SNM3            11101
 DCM            111172A-   Compression pPaddle            Pelotte Palette de compression
 SNM3            10042
DCMSNM3         111336M-   Papillary carcinoma in-situ
                  80502




                                      62
DCMSNM3                  111293M-    Radial scar                      Cicatrice radiaire
                           78731
  DCM                    111168M-    Scar tissue                      Tissu cicatriciel
  SNM3                     78060
DCMSNM3                  111294M-    Sclerosing adenosis              Adénose sclérosante
                           74220
 BISNM3        3.01.1     I.E.5D0-   Skin lesion                      Lésion cutanée
                            00050
  BISRT        3.01.1     I.E.1F-    Skin retraction of breast        Rétraction cutanée du sein
                          01799
  BISRT        3.01.1     I.E.3F-    Skin thickening of breast        Épaississement cutané du sein
                          0179A
  BISRT        3.01.1     I.E.4F-    Trabecular thickening of         Épaississement trabéculaire du
                          01798      breast                           sein
  BISRT        3.01.1     I.D.1F-    Tubular density                  Opacité tubulaire
                          01797
 DCMSRT         1.1      111137P5    Ultrasound procedure             Procédure échographique
                          -B0099                                      Échographie


The following table provides a mapping of pathologoy codes used in DICOM, to ADICAP
(L’association pour le Développement de l’Informatique en Anatomie et Cytologie Pathologiques).

DCMSNM3                  111248M-    Adénolipome                                      A0L2
                           83240
DCMSNM3                  111250M-    Adénomyoépithéliome                             A0A0
                           89830
DCMSNM3                  111302M-    Angiosarcome (hémangiosarcome)                  V7A0
                           91203
DCMSNM3                  111308M-    Carcinome métaplasique                          A7W0
                           85733
DCMSNM3                  111249M-    Hyperplasie canalaire                            6712
                           72170
DCMSNM3                  111265M-    Réaction à corps étranger                        7440
                           44140
DCMSNM3                  111271D3    Hémangiome sous-cutané non                      V0A0
                          -F0620     parenchymateux
  SNM3                     DC-       Maladie de Hodgkin                              K7A0
                         F1000M-
                          96503
DCMSNM3                  111317M-    Carcinome lobulaire infiltrant                  A7B1
                           85203
DCMSNM3                  111278M-    Adénome lactant                                 A0M2
                           82040
  SNM3                     DC-       Lymphome non hodgkinien                         K7G0
                         F0002M-
                          95913




                                              63
DCMSNM3   111293M-   Cicatrice radiaire    6773
            78731
DCMSNM3   111294M-   Adénose sclérosante   6772
            74220




                             64
PS 3.16, ANNEX F

    BI        3.0     II.AC.b.2   2 – Benign Finding              良 所
                                                                2- 性 見
    BI        3.0     II.AC.b.3   3 - Probably bBenign            良 ―しかし悪 を否 できず
                                                                3- 性       性 定
                                  Finding – short interval      所 ―短 隔
                                                                 見          過 察 要
                                                                      い間 での経 観 が必 (1-
                                  follow-up (1-11 months)       11ヶ月)
DCMSNM3               111248M-    Adenolipoma                    脂 腫
                                                                腺 肪
                        83240
DCMSNM3               111250M-    Adenomyoepithelioma            筋 皮
                                                                腺 上 腫
                        89830
DCMSNM3               111302M-    Angiosarcoma                   管 腫
                                                                血 肉
                        91203
  BISRT      3.01.1     I.CF-     Architectural distortion of    房 築 れ
                                                                乳 の構 の乱
                       01795      breast
DCMSNM3               111254F-    Asynchronous involution of     房 同 性 縮
                                                                乳 の非 期 退
                       8A063      breast
DCMSRT        1.1     111006F-    Breast composition             房 成
                                                                乳 の構
                       01710
DCMSRT        1.1     111105F-    Calcification Cluster          灰 の集
                                                                石 化 簇
                       01775
DCMSNM3               111308M-    Carcinoma with metaplasia      生 う
                                                                化 を伴 癌
                        85733
DCMSNM3               111311M-    Carcinosarcoma
                        89803
  DCM                 111173A-    Collimator                    コリ メータ
  SNM3                 10044
  SNM3                M-850132    Comedocarcinoma
                                  (intraductal)
DCMSRT        1.1     111103F-    Mammography breast             房 像 度
                                                                乳 画 の濃
                       01796      Ddensity
DCMSRT        1.1     111139P5    DuctographyMammary             房 影
                                                                乳 造 ( G)
                       -40060     ductogram
DCMSNM3               111249M-    Ductal hyperplasia, Usual      管 形 ; 管 過 成
                                                                乳 過 成 乳 内 形
                        72170
DCMSNM3               111262M-    Epidermal inclusion cyst
                        33410
DCMSNM3               111260M-    Extra abdomenal desmoid
                        88211
DCMSNM3               111265M-    Foreign body (reaction)        物 応
                                                                異 反
                        44140
DCMSNM3               111269D7    Galactocele
                       -90364




                                           65
DCMSNM3         111271D3   Hemangioma –                    実 性 下 織 管
                                                          非 質 皮 組 血 腫
                 -F0620    nonparenchymal,
                           subcutaneous
                           Hemangioma of
                           subcutaneous tissue
 SNM3             DC-      Hodgkin’s disease              ホジキン病
                F1000M-    (lymphoma)
                 96503
DCMSNM3         111273M-   Hyperplasia, usual
                  72000
 DCM            111174A-   ID Plate                       IDプレート
 SNM3            16016
DCMSRT    1.1   111104F-   Individual Calcification        々 灰
                                                          個 の石 化
                 01776
DCMSNM3         111257M-   Intracystic papilloma
                  85040
DCMSNM3         111314M-   Intraductal carcinoma micro-
                  85072    papillary
BISNM3    3.0    I.D.2T-   Intra-mammary lymph node        房 リ
                                                          乳 内 ンパ節
                 C4351
DCMSNM3         111342M-   Invasive cribriform             潤 篩 癌
                                                          浸 性 状
                  82013    carcinoma
DCMSNM3         111317M-   Invasive lobular carcinoma      潤 小 癌
                                                          浸 性 葉
                  85203
 DCM            111170A-   J Wire                         Jワイヤー
 SNM3            1016B
DCMSNM3         111278M-   Lactating adenoma               乳 腺
                                                          授 性 腫
                  82040
DCMSNM3         111321M-   Lymphoma
                  95903
DCMSNM3         111331M-   Malignant fibrous
                  88303    histiocytoma
DCMSNM3         111283M-   Myofibroblastoma                線 芽
                                                          筋 維 腫
                  88250
DCMSNM3         111335D0   Neoplasm of mammary skin        房 膚 生
                                                          乳 皮 の新 物
                 -F035F
DCMSNM3         111288M-   Neurofibromatosis
                  95401
 SNM3             DC-      Non-Hodgkin’s lymphoma         非ホジキンリ ンパ腫
                F0002M-
                 95913
 DCM            111171A-   Pacemaker                      ペースメーカー
 SNM3            11101
 DCM            111172A-   Compression pPaddle             縮
                                                          圧 パドル
 SNM3            10042
DCMSNM3         111336M-   Papillary carcinoma in-situ
                  80502




                                      66
DCMSNM3            111293M-   Radial scar                  射 硬 性 変 射 瘢 )
                                                          放 状 化 病 (放 状 痕
                     78731
 DCM               111168M-   Scar tissue                  痕 織
                                                          瘢 組
 SNM3                78060
DCMSNM3            111294M-   Sclerosing adenosis          化 腺
                                                          硬 性 症
                     74220
BISNM3    3.01.1   I.E.5D0-   Skin lesion                  膚 変
                                                          皮 病
                     00050
 BISRT    3.01.1    I.E.1F-   Skin retraction of breast    房 膚 凹
                                                          乳 の皮 陥
                    01799
 BISRT    3.01.1    I.E.3F-   Skin thickening of breast    房 膚 厚
                                                          乳 の皮 肥
                    0179A
 BISRT    3.01.1    I.E.4F-   Trabecular thickening of     房 柱 厚
                                                          乳 の梁 の肥
                    01798     breast
 BISRT    3.01.1    I.D.1F-   Tubular density              状
                                                          管 影
                    01797
DCMSRT     1.1     111137P5   Ultrasound procedure         音 検 手 (
                                                          超 波 査 技 U)
                    -B0099




                                      67
                                     DICOM Correction Proposal Form


       Correction Number                                CP-291
       Log Summary: Ultrasound Stage-View Preference (Best Object Selection)
       Type of Modification                                Name of Standard
       Addition                                            PS 3.16 2001
       Rationale for Correction
       A common feature of ultrasound systems is that the user can select which image is considered
       best diagnostically in a given Protocol Stage and View. There is currently no way to convey this
       information. A means of conveying such information in Key Object Selection SOP Instances is
       proposed by adding a new Key Object Selection Document Title.
       This CP proposes a generic mechanism for specifying the best images in a set rather than one
       specific to just ultrasound stage-views. It proposes the addition of a new Key Object Selection
       Document Title “Best In Set”. Such a ‘generic’ Document Title has the advantage that it can
       then be used to identify the best images in medical imaging sets other than just ultrasound
       stage-views. This title also does not specify ‘images’ so it can be used to identify other types of
       Composite SOP Instances.
       In order to clarify the nature of the ‘set’ being referred to by “Best In Set” it is proposed that the
       Document Title Modifier be used. A new Context Group is created specifically for the purpose of
       clarifying the nature of such ‘sets’.
       Sections of documents affected
       PS 3.16
       Correction Wording:


       Add “Best In Set” to Context ID 7010 - Key Object Selection Document Titles.

                                               Context ID 7010
                                      Key Object Selection Document Title


      Coding Scheme Designator              Code Value                          Code Meaning
             (0008,0102)                    (0008,0100)                          (0008,0104)
                  DCM                         113013             Best In Set




       Modify TID 2010 – Key Object Selection.

                                                   TID 2010
                                            KEY OBJECT SELECTION
    NL Rel with        VT          Concept Name           VM Req           Condition         Value Set Constraint
        Parent                                               Type
1                 CONTAINER DCID(7010) Key Object          1      M                         Root node
                            Selection Document Titles




                                                          68
2   >   HAS        CODE       EV (113011, DCM,             1-n   U
        CONCEPT               "Document Title Modifier")
        MOD
3   >   HAS        CODE       EV (113011, DCM,             1     UC   IF Row 1 Concept Name = DCID (7011)
        CONCEPT               "Document Title Modifier")              (113001, DCM, "Rejected
        MOD                                                           for Quality Reasons") or
                                                                      (113010, DCM," Quality
                                                                      Issue")
4   >   HAS        CODE       EV (113011, DCM,             1     MC   IF Row 1 Concept Name = DCID (7012)
        CONCEPT               "Document Title Modifier")              (113013, DCM, "Best In
        MOD                                                           Set")
4   >   HAS        INCLUDE ETID(1204) Language of          1     U
5       CONCEPT            Content Item and
        MOD                Descendants
5 >     HAS OBS  INCLUDE   ETID(1002) Observer             1     U
6       CONTEXT            Context
6 >     CONTAINS TEXT      EV(113012, DCM, ”Key            1     U
7                          Object Description”)
7 >     CONTAINS IMAGE     Purpose of Reference shall      1-n   MC   At least one of Rows 7, 8,
8                          not be present                             and 9 shall be present
8 >     CONTAINS WAVEFORM Purpose of Reference shall       1-n   MC   At least one of Rows 7, 8,
9                          not be present                             and 9 shall be present
9 >     CONTAINS COMPOSITE Purpose of Reference shall      1-n   MC   At least one of Rows 7, 8, Shall not reference another
10                         not be present                             and 9 shall be present     Key Object Selection
                                                                                                 Document




                                                           69
Create Context ID 7012 – Best In Set.

Note that the Code Values stipulated here have been assigned by using
consecutive numbers starting from the next available number after those
specified for Key Object Description. If these Code Values are altered when
adding these coded concepts to the DICOM Standard then make sure to also
change the Code Values stipulated for these concepts in Supplement 45.

                                 Context ID 7012
                                   Best In Set
                          (Most Restrictive Use: Defined)

  Coding Scheme Designator       Code Value                  Code Meaning
         (0008,0102)             (0008,0100)                  (0008,0104)
            DCM                    113014         Study
            DCM                    113015         Series
            DCM                    113016         Performed Procedure Step
            DCM                    113017         Stage-View




                                        70
                                     DICOM Correction Proposal Form


       Correction Number                             CP-292
       Log Summary: Different description of Performed Procedure Step ID attribute
       Type of Modification                               Name of Standard
       Clarification                                      PS 3.3 2001
       Rationale for Correction
       The Description of the Performed Procedure Step ID (0040,0253) attribute is (slightly) different
       specified in Table C.4-14 and C.7-4.
       C.4-14: User or equipment generated identifier of that part of a Procedure that has been carried
               out within this step.
       C.7-4: Identification of that part of a Procedure that has been carried out within this step.
       Replace the second description by the more precise first one.
       Sections of documents affected
       PS 3.3 C.7.4
       Correction Wording:


                                              Table C.7-4
                                  GENERAL SERIES MODULE ATTRIBUTES
Attribute Name                                  Tag          Type Attribute Description
....
Performed Procedure Step ID                 (0040,0253)       3     User or equipment generated identifier
                                                                    Identification of that part of a Procedure
                                                                    that has been carried out within this step.
....




                                                        71
                              DICOM Correction Proposal Form


Correction Number                             CP-293
Log Summary: Wrong value multiplicity Coordination Curve attributes
Type of Modification                               Name of Standard
Clarification                                      PS 3.6 2001
Rationale for Correction
The attributes Coordinate Start Value (50xx,0112) and Coordinate Step Value (50xx,0114)
(Table C.10-2) can have more then one value according the attribute description:
For example, the Coordinate Start Value (50xx,0112) description
                       The starting point of a one dimensional data list. Required if
                       Curve Data Descriptor is used. One value for each dimension.
                       The Value Representation is given in Data Value
                       Representation (50xx,0103).
The value multiplicity of both attributes is defined 1 in PS 3.6, this should be 1-n.
Sections of documents affected
PS 3.6 6
Correction Wording:


Tag              Name                                                          VR       VM
....
(50xx,0112)      Coordinate Start Value                                        US       1-n
(50xx,0114)      Coordinate Step Value                                         US       1-n
....




                                                  72
                                        DICOM Correction Proposal Form


         Correction Number                              CP-297
         Log Summary: Modify TID 1008 Subject Context, Fetus
         Type of Modification                                Name of Standard
         Modify TID 1008                                     PS 3.16 2001
         Rationale for Correction
         TID 1008 introduces two DICOM terms that have LOINC equivalents that significantly predate
         the DICOM terms. LOINC terms are preferred to be consistent with DICOM’s intent of
         leveraging existing terminology rather than creating redundant terminology.
         Also, the conditionality of the rows is not consistent with common clinical usage for identifying
         the fetus in a multiple fetus pregnancy. Some applications use non-numeric identifiers and have
         no numeric identifier to communicate. This value is not essential for the applications that
         exchage the report. Therefore this content item should not be mandatory. The only requirement
         is that there exist an identifier to distinguish one fetus from another. Since no applications
         depend on this, the Requirement Type can safely be changed from mandatory to a mandatory
         conditional.
         Also correct spelling error of the word multiple.
         Sections of documents affected
         PS 3.16 Annex A, B and D
         Correction Wording:


         In Annex A of PS 3.16 change rows 3,4 and 5 in the TID 1008 table

                                             SUBJECT CONTEXT, FETUS
    NL Rel with       VT         Concept Name           VM Req             Condition         Value Set Constraint
        Parent                                             Type
1                 PNAME      EV (121036,DCM, "Mother of 1   U                              Defaults to an observation
                             fetus”)                                                       subject that is a patient prior to
                                                                                           replacing the Observation
                                                                                           Subject Class with Fetus.
2                 UIDREF     EV (121028,DCM, "Subject   1   U                              For longitudinal tracking of
                             UID”)                                                         individual fetuses
3                 TEXT       EV (121030,DCM, "Subject   1   UMC   IF row 4 is absent       For longitudinal tracking of
                             ID”)                                                          individual fetuses (human
                                                                                           readable value e.g. “A” or “1”)
4                 NUM TEXT EV (121037,DCM, "Fetus       1   MC    IF row 3 is absent       For separation of multiplte
                           Number”) EV (11951-1,LN,                                        multiple fetuses during this
                           "Fetus ID”)                                                     procedure e.g. fetus ‘1” of ‘2” …
                                                                                           not for longitudinal
                                                                                           comparisons.; ie. the “m” of
                                                                                           fetus “m” of “n”

                                                                                           Units EV (1,UCUM,”1”)
5                 NUM        EV (121038,DCM, "Number of 1   MU                             i.e. the “n” of fetus “m” of “n”
                             Fetuses”) EV (11878-6,LN,
                             "Number of Fetuses”)                                          Units EV (1,UCUM,”1”)



         In Annex D of PS 3.16, retire the following DICOM terms



                                                            73
Code Value               Code Meaning        Definition       Notes

  121037     Fetus number                                 Retired.
                                                          Replaced with
                                                          (11951-1,LN,
                                                          "Fetus ID”).
  121038     Number of Fetuses                            Retired.
                                                          Replaced with
                                                          (11878-6,LN,
                                                          "Number of
                                                          Fetuses”).




                                        74
                              DICOM Correction Proposal Form


Correction Number          CP-298
Log Summary:           Add template convention for Coding Scheme Version
Type of Modification                             Name of Standard
Clarification                                    PS 3.16
Rationale for Correction
The template specification conventions do not provide a pattern for invoking a particular Coding
Scheme Version.
Sections of documents affected
PS 3.16 Section 6.1
Correction Wording:


References to coded concepts take the following form:
         EV or DT (CV, CSD, “CM”)
                e.g. an Enumerated Value with only CV, CSD, and CM defined is represented as
                     follows: EV (CV, CSD, “CM”), for example EV (T-04000, SNM3, “Breast”).


If reference to a specific coding scheme version is required, it takes the
following form:
         EV or DT (CV, CSD [CSV] , “CM”)
                e.g., DT (D3-81922, SRT [V1], “Aortic fistula”).




                                               75
                               DICOM Correction Proposal Form


 Correction Number          CP-299
 Log Summary:           Correct CID 9
 Type of Modification                            Name of Standard
 Clarification                                   PS 3.16
 Rationale for Correction
 CID 9 references an undefined Coding Scheme for SNOMED RT.
 Sections of documents affected
 PS 3.16 Annex B
 Correction Wording:


                                           Context ID 9
                               Image Guided Therapeutic Procedures
                                  (Most Restrictive Use: Baseline)
Coding Scheme Coding Scheme             Code Value                    Code Meaning
  Designator      Version               (0008,0100)                    (0008,0104)
  (0008,0102)   (0008,0103)
       …
    SRT1.1               1.1             P1-86101     Decompression amniocentesis
                                                      [decompression of amnion]
     SNM3                                P2-68060     Intrauterine transfusion
    SRT1.1               1.1            P1-86C50      Fetocide (selective reduction)
    SRT1.1               1.1             P1-93506     Prostaglandin injection




                                                76
                              DICOM Correction Proposal Form

Correction Number          CP-300
Log Summary:           Correct Spatial Transformation Condition
Type of Modification                            Name of Standard
Clarification                                   PS 3.3
Rationale for Correction
Spatial Transformation Module does not include magnification.
Sections of documents affected
PS 3.3 Annex A
Correction Wording:


                                       Table A.33-1
                    Grayscale Softcopy Presentation State IOD MODULES
 IE              Module                          Reference                    Usage
 …
                 Spatial Transformation             C.10.6           C - Required if rotation, or
                                                                  flipping or magnification are to
                                                                      be applied to referenced
                                                                              image(s)




                                               77
                              DICOM Correction Proposal Form


Correction Number          CP-301
Log Summary:           Correct C-MOVE and C-GET response attributes
Type of Modification                               Name of Standard
Clarification                                      PS 3.4, PS 3.7
Rationale for Correction
Technically, the four attributes Number of Remaining / Successful / Failed / Warning Sub-
operations in the C-MOVE and C-GET responses are not part of the Identifier; they are part of
the Command.
Further, although Part 7 tables claim the Identifier includes the matching attributes, that is not
specified in the Part 7 or Part 4 text.
Sections of documents affected
PS 3.4 Sections C.4.2.1 and C.4.3.1
Correction Wording:


Modify PS3.4 Section C.4.2.1
C.4.2.1.6          Number of Remaining Sub-Operations
…
The Identifier in A C-MOVE response with a status of:
      —     Pending shall contain the Number of Remaining Sub-operations Attribute
      —     Canceled may contain the Number of Remaining Sub-operations Attribute
      —     Warning, Failed, Refused, or Successful shall not contain the Number of Remaining
            Sub-operations Attribute

C.4.2.1.7          Number of Successful Sub-Operations
…
The Identifier in A C-MOVE response with a status of:
      —     Pending shall contain the Number of Successful Sub-operations Attribute
      —     Canceled, Warning, Failed, Refused, or Successful may contain the Number of
            Successful Sub-operations Attribute

C.4.2.1.8          Number of Failed Sub-Operations
…
The Identifier in A C-MOVE response with a status of:
      —     Pending shall contain the Number of Failed Sub-operations Attribute
      —     Canceled, Warning, Failed, Refused, or Successful may contain the Number of Failed
            Sub-operations Attribute

C.4.2.1.9          Number of Warning Sub-Operations
...
The Identifier in A C-MOVE response with a status of:


                                                 78
       —     Pending shall contain the Number of Warnings Sub-operations Attribute
       —     Canceled, Warning, Failed, Refused, or Successful may contain the Number of
             Warning Sub-operations Attribute



Modify PS3.4 Section C.4.3.1
C.4.3.1.5           Number of Remaining Sub-Operations
...
The Identifier in A C-GET response with a status of:
       —     Pending shall contain the Number of Remaining Sub-operations Attribute
       —     Canceled may contain the Number of Remaining Sub-operations Attribute
       —     Warning, Failed, Refused, or Successful shall not contain the Number of Remaining
             Sub-operations Attribute.

C.4.3.1.6           Number of Successful Sub-Operations
...
The Identifier in A C-GET response with a status of:
       —     Pending shall contain the Number of Successful Sub-operations Attribute
       —     Canceled, Warning, Failed, Refused, or Successful may contain the Number of
             Successful Sub-operations Attribute

C.4.3.1.7           Number of Failed Sub-Operations
...
The Identifier in A C-GET response with a status of:
       —     Pending shall contain the Number of Failed Sub-operations Attribute
       —     Canceled, Warning, Failed, Refused, or Successful may contain the Number of Failed
             Sub-operations Attribute

C.4.3.1.8           Number of Warning Sub-Operations
...
The Identifier in A C-GET response with a status of:
       —     Pending shall contain the Number of Warning Sub-operations Attribute
       —     Canceled, Warning, Failed, Refused, or Successful may contain the Number of
             Warning Sub-operations Attribute




Modify PS3.7 Section 9.3
                                         Table 9.3-7
                                 C-GET-RSP MESSAGE FIELDS
Message Field        Tag           VR      VM        Description of Field


Identifier           (no tag)                      A Data Set which encodes the Identifier that
                                                     was matched that encodes attributes
                                                     providing status information about the C-
                                                     GET operation. See Section 9.1.3.1.5.



                                                79
                                   Table 9.3-10
                           C-MOVE-RSP MESSAGE FIELDS
Message Field   Tag          VR   VM        Description of Field


Identifier      (no tag)                  A Data Set which encodes the Identifier that
                                            was matched that encodes attributes
                                            providing status information about the C-
                                            MOVE operation. See Section 9.1.4.1.6.




                                       80
                                DICOM Correction Proposal Form

Correction Number          CP-302
Log Summary:             Storage Commitment SCP must use single AE Title
Type of Modification                                  Name of Standard
Clarification                                         PS 3.4
Rationale for Correction
Can a Storage Commitment SCP respond with the N-Event-Report from a different AE Title
than that with which it receives the N-Action?
Since the N-Event-Report must be matched with the N-Action request using the Transaction
UID, the AE Titles used on the associations could be considered irrelevant to the semantics of
the messages. This might be useful if the real storage commitment is ultimately from a different
device (image archive, vs. image manager), much as the C-Stores subsidiary to a C-Move may
come from a different AE Title.
However, the DICOM Standard technically defines a Service between two peer applications,
each identified by an AE Title. Thus the SCP should be consistently identified for all
Associations in the particular instance of the Storage Commitment Service.
A note is proposed clarifying that the Storage Commitment SCP must use a single AE Title for
both N-Action and N-Event-Report.
Sections of documents affected
PS 3.4 Section
Correction Wording:


J.3.3.1.2           Service Class Provider Behavior
…
An SCP shall be capable of issuing the N-EVENT-REPORT on a different
association than the one on which the N-ACTION operation was performed.
  Notes: 1. The SCP may attempt to issue the N-EVENT-REPORT on the same Association, but this
            operation may fail because the SCU is free to release at any time the Association on which it
            sent the N-ACTION-Request. As DICOM defaults the association requestor to the SCU role,
            the SCP (i.e. the association requester) negotiates an SCP role using the SCU/SCP role
            negotiation (see PS 3.7).
         2. When responding on a different Association, the SCP must use the same AE Title as it
            used on the original Association, because the DICOM Standard defines a Service
            between two peer applications, each identified by an AE Title. Thus the SCP should be
            consistently identified for all Associations in the particular instance of the Storage
            Commitment Service.
         23. The optional Attributes Retrieve AE Title (0008,0054), Storage Media File-Set ID (0088,0130)
            and Storage Media File-Set UID (0088,0140) within the Event Information allows an SCP to
            indicate the location where it has stored SOP Instances for safekeeping. For example, the SCP
            could relay SOP Instances to a third Application Entity using this Service Class. In which case it
            can use the Retrieve AE Title Attribute to indicate the real location of the data. Another example
            is if the SCP stores data on media, it can indicate this using the Storage Media File-Set ID and
            UID Attributes.




                                                     81
                              DICOM Correction Proposal Form

Tracking Information - Administration Use Only
Correction Proposal Number                        CP-303
STATUS                                            Assigned
Date of Last Update                               2002/06/13
Person Assigned                                   David Heaney, dheaney@alitech.com
Submitter Name                                    Tom.Probasco@usg.sms.siemens.com
Submission date                                   2001/12/11


Correction Number                             CP-303
Log Summary: Fix attribute VR for US Region Calibration Elements
Type of Modification                              Name of Standard
Correction / Clarification                        PS 3.3, PS 3.6 2001
Rationale for Correction
1. Doppler Sample Volume Position and TM-Line Position attributes are defined as "The
displacement, in pixels, from the Reference pixel”. These attributes have a VR of UL (unsigned
long). However, in some cases the 2D image will be displayed in an Up/down or Left/Right
flipped orientation. In such cases this offset to the reference pixel will be a negative number.
The VR needs to be SL (signed long) to correctly represent the relative offset from the
Reference pixel. It is proposed to retire the existing Elements and add new ones with the
correct VR to replace their use. This is deemed preferable to changing the VR of the existing
Elements because doing so could cause toolkit parsing and validation to fail.
2. It is unclear as to whether the TM-Line Position is referring to the M-mode line of acquisition
located in the associated 2D region, or the TM scroll line located in the M-Mode region.
Sections of documents affected
PS 3.3, PS 3.6 Section 6
Correction Wording:




                                                 82
     Modify Table C.8-17 in Section C.8.5.5.1 of PS 3.3:

     C.8.5.5.1           US Region Calibration Attribute Definitions
     Table C.8-17 contains IOD Attributes that describe an ultrasound region calibration.
                                                  Table C.8-17
                            US REGION CALIBRATION MODULE ATTRIBUTES
Attribute Name                                   Tag            Type   Attribute Description
>Doppler Sample Volume X Position           (0018,6038)          3     The x displacement, in pixels, from the
                                            (0018,6039)                Reference pixel to the center of the
                                                                       Doppler sample volume.
>Doppler Sample Volume Y Position           (0018,603A)          3     The y displacement, in pixels, from the
                                            (0018,603B)                Reference pixel to the center of the
                                                                       Doppler sample volume.
>TM-Line Position x0                        (0018,603C)          3     The starting and ending coordinates pairs
                                            (0018,603D)                of the m-line. Where the X0,Y0 are the
                                                                       starting point and X1,Y1 are the end point
                                                                       of the tm-line.
                                                                       See C.8.5.5.1.10 for further explanation.
>TM-Line Position y0                        (0018,603E)          3     The starting and ending coordinates pairs
                                            (0018,603F)                of the m-line. Where the X0,Y0 are the
                                                                       starting point and X1,Y1 are the end point
                                                                       of the tm-line.
                                                                       See C.8.5.5.1.10 for further explanation.
>TM-Line Position x1                        (0018,6040)          3     The starting and ending coordinates pairs
                                            (0018,6041)                of the m-line. Where the X0,Y0 are the
                                                                       starting point and X1,Y1 are the end point
                                                                       of the tm-line.
                                                                       See C.8.5.5.1.10 for further explanation.
>TM-Line Position y1                        (0018,6042)          3     The starting and ending coordinates pairs
                                            (0018,6043)                of the m-line. Where the X0,Y0 are the
                                                                       starting point and X1,Y1 are the end point
                                                                       of the tm-line.
                                                                       See C.8.5.5.1.10 for further explanation.




                                                           83
Modify Table in Section 6 of PS 3.6:


                          6 6 Registry of DICOM Data Elements                                                  Formatted: Bullets and Numbering


(0018,6038)          Doppler Sample Volume X Position                              UL             1      RET
(0018,6039)          Doppler Sample Volume X Position                              SL             1
(0018,603A)          Doppler Sample Volume Y Position                              UL             1      RET
(0018,603B)          Doppler Sample Volume Y Position                              SL             1
(0018,603C)          TM-Line Position X0                                           UL             1      RET

(0018,603D)          TM-Line Position X0                                           SL             1

(0018,603E)          TM-Line Position Y0                                           UL             1      RET

(0018,603F)          TM-Line Position Y0                                           SL             1

(0018,6040)          TM-Line Position X1                                           UL             1      RET

(0018,6041)          TM-Line Position X1                                           SL             1

(0018,6042)          TM-Line Position Y1                                           UL             1      RET

(0018,6043)          TM-Line Position Y1                                           SL             1




Modify Section C.8.5.5.1.10 of PS 3.3:



C.8.5.5.1.10      TM-Line Position X0 , TM-Line Position Y0,
         TM-Line Position X1 ,TM-Line Position Y1
The TM-Line Position X0 (0018,603CD) and TM-Line Position Y0 (0018,603EF) are the coordinates of
the starting point and TM-Line Position X1 (0018,60401), TM-Line Position Y1 (0018,60423) are the
coordinates of the end point of the TM-line. The coordinate is defined as the displacement, in pixels, from
the Reference pixel. Typically used for M-mode line and CW doppler line in the 2D region.




                                                    84

								
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