13 CP-1962 - Changes to Abdomen-related anatomy concepts ... · 29 SCT 416949008 818982008 Abdomen...

1 Letter BallotStatus2 2020/03/09Date of Last Update3 David Clunie

4 mailto:[email protected]

Person Assigned

5 David Clunie

6 mailto:[email protected]

Submitter Name

7 2018/07/04Submission Date

8 Correction Number CP-19629 Log Summary: Changes to Abdomen-related anatomy concepts in SNOMED CT10 Name of Standard

11 PS3.16

12 - Letter Ballot -

13 CP-1962 - Changes to Abdomen-related anatomy concepts in SNOMED CT

mailto:[email protected]

mailto:[email protected]

1 - Letter Ballot -


1 Rationale for Correction:

2 During its anatomy remodelling, SNOMED inactivated 416949008 "abdomen and/or pelvis structure", transiently redefined 113345001 "abdominal3 structure" to mean "abdominalpelvic" then inactivated it.

4 New specific imaging-specific concepts that relate to cross-sectional regions that do not necessarily have traditional clinical anatomical correlates,5 e.g., strcutures related to the"cross-sectional segment of trunk" have been added to account for the various different anatomical, clinical and6 radiological variants of the colloquial concept "abdomen". Details of the discussion can be found in the paper at7 http://docs.google.com/document/d/14900YhOBn63g3-zL_0lcP8BwSjRbhE4vKzOwFGt_8tk. See also the SNOMED CT Release Notes for the8 J A N 2 0 2 0 I N T R e l e a s e 9 (https://confluence.ihtsdotools.org/display/RMT/SNOMED+CT+January+2020+International+Edition+-+SNOMED+International+Release+notes).10 The cross-sectional variants are also applicable to projection radiography, and arguably ultrasound. since they involve the full thickness of the body11 and do not exclude the back.

12 Proposed changes:

13 • replace all 113345001 (inactive) with 818981001 "Structure of abdominal cross-sectional segment of trunk (body structure)" (new)

14 continue with DICOM synonym "Abdomen" mapped to BodyPartExamined "ABDOMEN"

15 • replace all 416949008 "Abdomen and/or pelvis structure (body structure)" (inactive) with 818982008 "Structure of abdominopelvic cross-sectional16 segment of trunk (body structure)" (new)

17 continue with DICOM synonym "Abdomen and Pelvis" mapped to BodyPartExamined "ABDOMENPELVIS"

18 (we use the cross-sectional concept, rather than using 818983003 "Structure of abdominopelvic cavity and/or content of abdominopelvic cavity19 and/or anterior abdominal wall (body structure)", which is not full thickness)

20 • replace all 12921003 "Structure of pelvis (body structure)" with 816092008 "Structure of pelvic cross-sectional segment of trunk (body structure)"21 (new)

22 continue with DICOM synonym "Pelvis" mapped to BodyPartExamined "PELVIS"

23 (even though 12921003 is still active in SNOMED CT, "in contrast to the 'pelvic segment of trunk' excludes the perineum, external genitalia")

24 • replace most 51185008 "Thoracic structure (body structure)" with 816094009 "Structure of thoracic cross-sectional segment of trunk (body25 structure)"

26 continue with DICOM synonyms "Chest" and "Thorax" mapped to BodyPartExamined "CHEST" and "THORAX"

27 (even though 51185008 is still active in SNOMED CT, we replace it with the cross-sectional concept that is full thickness)

28 • rather than 51185008 "Thoracic structure (body structure)" use 43799004 "Thoracic cavity structure (body structure)"

29 for DICOM synonym "Intra-thoracic" (for endoscopy site)

30 make consistent between common anatomic regions and endoscopy specific context group and Annex I

31 • replace 52731004 "Abdominopelvic cavity structure (body structure)" (inactive) with 818987002 "Structure of abdominopelvic cavity (body32 structure)" (new)

33 used with DICOM synonym "Intra-abdominal" (for endoscopy site) and "Abdominal cavity" add replace DICOM code meaning with34 "Intra-abdominopelvic" (since laparoscopy includes the pelvic cavity) and "Abdominopelvic cavity" to reduce ambiguity

35 make consistent between common anatomic regions and endoscopy specific context group and Annex I

36 • replace 21844003 "Pelvic cavity structure (body structure)" (inactive) with 816989007 "Structure of cavity of false and/or true pelvis (body37 structure)"

38 used with DICOM synonym "Intra-pelvic" (for endoscopy site)

39 use concept that includes both false and true pelvis since pelvic laparoscopy involves both



https://docs.google.com/document/d/14900YhOBn63g3-zL_0lcP8BwSjRbhE4vKzOwFGt_8tk/edit

https://confluence.ihtsdotools.org/display/RMT/SNOMED+CT+January+2020+International+Edition+-+SNOMED+International+Release+notes

1 make consistent between common anatomic regions and endoscopy specific context group and Annex I - add to CID 4040

2 Subdivisions (e.g., upper abdomen) and surfaces (e.g., skin of abdomen) are not changed since these concepts remain active in SNOMED and3 their interpretaion has not changed.

4 [Ed.Note: SNOMED Request ID 748359 includes 818981001, 818982008, 818983003, 816092008, 816094009, 818987002, 816989007, 43799004,5 816990003, 816991004]

6 Correction Wording:

7 - Letter Ballot -


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

2 CID 4 Anatomic Region3 Resources:4 HTML | FHIR JSON | FHIR XML | IHE SVS XML5 Type:6 Extensible7 Version:8 20170914yyyymmdd9 UID:10 1.2.840.10008.6.1.2

11 Table CID 4. Anatomic Region

12 UMLS Concept Unique13 ID

SNOMED-RT IDCode MeaningCode ValueCoding SchemeDesignator

14 Include CID 4030 “CT, MR and PET Anatomy Imaged”

15 Include CID 4040 “Endoscopy Anatomic Regions”

16 Include ???

17 C0004600T-D2100Back77568009SCT18 C0230185T-D4200Epigastric region27947004SCT19 C0230171T-D2310Flank58602004SCT20 C0230189T-D4240Hypogastric region11708003SCT21 C0230168T-D4010Intra-abdominalopelvic52731004 818987002SCT22 C0559769T-D6221Intra-pelvic21844003 816989007SCT23 C0817096 C0230139T-D3000T-D3200Intra-thoracic51185008 43799004SCT24 C0738591T-D4211Left hypochondriac region133945003SCT25 C0230321T-D7020Left inguinal region85119005SCT26 C0230180T-D4140Left lower quadrant of abdomen68505006SCT27 C1297910T-D2340Left lumbar region133943005SCT28 C0230179T-D4130Left upper quadrant of abdomen86367003SCT29 C0024090T-D2300Lumbar region52612000SCT30 C0024109T-28000Lung39607008SCT31 C0035359T-D4900Retroperitoneum82849001SCT32 C0738590T-D4212Right hypochondriac region133946002SCT33 C0230318T-D7010Right inguinal region37117007SCT34 C0230178T-D4120Right lower quadrant of35 abdomen

48544008SCT

36 C1297911T-D2342Right lumbar region133944004SCT37 C0230177T-D4110Right upper quadrant of38 abdomen

50519007SCT

39 C0442184T-D4210Subcostal19695001SCT40 C0230144T-D3213Subxiphoid5076001SCT41 C0230189T-D4240Suprapubic region11708003SCT42 C0817096T-D3000Thorax51185008 816094009SCT43 C0041638T-D4230Umbilical region90290004SCT

44 CID 4029 Dermatology Anatomic Sites45 Resources:46 HTML | FHIR JSON | FHIR XML | IHE SVS XML



http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_4.html

ftp://medical.nema.org/medical/dicom/resources/valuesets/fhir/json/CID_4.json

ftp://medical.nema.org/medical/dicom/resources/valuesets/fhir/xml/CID_4.xml

ftp://medical.nema.org/medical/dicom/resources/valuesets/ihe/svs/1.2.840.10008.6.1.2.xml

http://uts.nlm.nih.gov/metathesaurus.html?cui=C0004600

http://snomed.info/id/77568009



















































































1 Type:2 Extensible3 Version:4 201908175 UID:6 1.2.840.10008.6.1.1268

7 Table CID 4029. Dermatology Anatomic Sites

8 Mayo9 Code10 R

MayoCode

M

MayoCode

L

NYUCode

R

NYUCode

M

NYUCode

L

ICD-11FMA IDUMLSConcept

Unique ID

SNOMED-RTID

Code MeaningCode ValueCodingScheme

Designator11 522522XA6GV022988C0222166T-02480Skin of abdomen75093004SCT12 521C0448821T-02425Skin of anterior13 surface of thorax

244106003SCT

14 521aC3698018T-02408Skin of anterior15 trunk

181491009SCT

16 52710462C0222155T-02450Skin of back66643007SCT17 521b49943C0923309Skin of back of18 trunk

49943FMA

19 224225224225XA10L723024C3697168R-FB4DASkin of back of20 upper thoracic21 region

699893008SCT

22 233233322773C0222167T-02481Skin of epigastric23 area

30598005SCT

24 235235323207C1288307T-02488Skin of25 hypogastric region

367578008SCT

26 20220320220361431C0222145T-02414Skin of27 infraclavicular28 region

66288003SCT

29 222223222223326059C0222173T-02487Skin of inguinal30 region

39687006SCT

31 220221220221C3698018R-FB4EFSkin of lower32 abdomen

699914002SCT

33 602603C3698018R-FB4EFSkin of lower34 abdomen

699914002SCT

35 228229228229XA9ET2322763C0222157T-02452Skin of lower back113182001SCT36 216217216217C3698074R-FB4F0Skin of lower37 chest wall

699915001SCT

38 236XA7ZW8Skin of lower39 paraspinal region

130304DCM

40 226227226227Skin of mid back130323DCM41 234Skin of mid42 paraspinal region

130303DCM

43 519XA7AA623021C0205030T-02300Skin of neck43081002SCT44 62Skin of paraspinal45 area of the neck

130300DCM

46 63Skin of paraspinal47 area of the48 superior back

130301DCM

49 50495049XA10L774762C0448820T-0242ASkin of posterior50 surface of thorax

244111001SCT

51 200200XA3MT874803C0222169T-02483Skin of umbilicus315003SCT



http://id.who.int/icd/entity/1983193090

http://purl.org/sig/ont/fma/fma22988




































































1 Mayo2 Code3 R

MayoCode

M

MayoCode

L

NYUCode

R

NYUCode

M

NYUCode

L

ICD-11FMA IDUMLSConcept

Unique ID

SNOMED-RTID

Code MeaningCode ValueCodingScheme

Designator4 218219218219C3696900R-FB504Skin of upper5 abdomen

699935000SCT

6 600601C3696900R-FB504Skin of upper7 abdomen

699935000SCT

8 232232Skin of upper9 paraspinal region

130302DCM

10 520XA4QH7C0222138T-02401Skin of upper11 trunk

54440003SCT

12 Note

13 1. It is desirable to use more general standard coding schemes such as SNOMED CT whenever possible, to support inter-14 operability across specialist domains, yet the numeric codes from the NYU and Mayo systems are well known to derma-15 tologists. Multiple codes may be encoded in the image by using the equivalent code mechansism. See ????. Standard16 Coding Scheme Designators (NYUMCCG and MAYOASRG) are defined.

17 2. SNOMED CT and FMA "skin of" or "mucosa of" specific concepts are used here when available, rather than the more18 generic underlying organ or part concepts; this sacrifices commonality with the anatomic regions used for more general19 applications, but is appropriate for dermatologic applications. E.g., (59112000, SCT, "Skin of anus") is used instead of20 (53505006, SCT, "Anal structure").

21 3. The DICOM convention is to use "structure of" concepts rather than "entire" concepts when both are defined, and that22 convention is followed here. E.g., (37671003, SCT, "Skin structure of lateral canthus") is used in preference to (368772009,23 SCT "Entire skin of lateral canthus").

24 4. .

25 5. .

26 6. .

27 7. .

28 8. Laterality is pre-coordinated in most of the NYU and Mayo codes, but by convention is factored out and encoded29 seperately in DICOM. The appropriate modifiers are listed in ???. The left and right modifiers correspond to the NYU/Mayo30 columns labelled "L" and "R" in this context group table. An entry in the "M" column of this table means that the NYU or31 Mayo code is for a midline or unpaired structure or refers to the median part of a structure that spans from left to right.

32 9. .

33 CID 4030 CT, MR and PET Anatomy Imaged34 Resources:35 HTML | FHIR JSON | FHIR XML | IHE SVS XML36 Type:37 Extensible38 Version:39 2017091440 UID:41 1.2.840.10008.6.1.307

42 Table CID 4030. CT, MR and PET Anatomy Imaged

43 UMLS Concept Unique IDSNOMED-RT IDCode MeaningCode ValueCoding Scheme Designator44 Include CID 4031 “Common Anatomic Regions”

45 ...






















1 CID 4031 Common Anatomic Regions2 Resources:3 HTML | FHIR JSON | FHIR XML | IHE SVS XML4 Type:5 Extensible6 Version:7 20170914yyyymmdd8 UID:9 1.2.840.10008.6.1.308

10 Table CID 4031. Common Anatomic Regions



13 C0000726T-D4000Abdomen113345001 818981001SCT14 C1508499R-FAB57Abdomen and Pelvis416949008 818982008SCT15 C0817096T-D3000Chest51185008 816094009SCT16 C1442171R-FAB55Chest and Abdomen416550000SCT17 C1562547R-FAB56Chest, Abdomen and Pelvis416775004SCT18 C1562459R-FAB52Neck and Chest417437006SCT19 C1562378R-FAB53Neck, Chest and Abdomen416152001SCT20 C1562776R-FAB54Neck, Chest, Abdomen and21 Pelvis

416319003SCT

22 C0030797T-D6000Pelvis12921003 816092008SCT23 C1562943R-FAB58Pelvis and lower extremities416631005SCT

24 Note

25 1. .

26 2. .

27 3. In a prior ...

28 CID 4040 Endoscopy Anatomic Regions29 Resources:30 HTML | FHIR JSON | FHIR XML | IHE SVS XML31 Type:32 Extensible33 Version:34 20160314yyyymmdd35 UID:36 1.2.840.10008.6.1.311

37 Table CID 4040. Endoscopy Anatomic Regions



40 C0000726T-D4000AbdomenIntra-abdominopelvic113345001 818987002SCT41 C0817096 C0230139T-D3000T-D3200ChestIntra-thoracic51185008 43799004SCT42 C0018246T-D7000Inguinal region26893007SCT43 Intra-pelvic816989007SCT

44 Note

45 1. See Annex I for examples of the relationship between anatomic regions and type of endoscopy performed.

46 2. .


























































1 3. In a prior version of this Context Group, concepts that were not specific to the abdominopelvic and thoracic2 cavities were used.

3 CID 6129 Chest Site Involvement4 Resources:5 HTML | FHIR JSON | FHIR XML | IHE SVS XML6 Type:7 Extensible8 Version:9 2003010810 UID:11 1.2.840.10008.6.1.449

12 Table CID 6129. Chest Site Involvement

13 UMLS Concept Unique IDSNOMED-RT IDCode MeaningCode ValueCoding Scheme14 Designator15 C0205076T-D3050Chest wall78904004SCT16 C2937240T-D4001Upper abdomen80581009SCT

17 CID 7154 Abdominal Segmentation Types18 Resources:19 HTML | FHIR JSON | FHIR XML | IHE SVS XML20 Type:21 Extensible22 Version:23 20130617yyyymmdd24 UID:25 1.2.840.10008.6.1.500

26 Table CID 7154. Abdominal Segmentation Types



29 C0000726T-D4000Abdomen113345001 818981001SCT30 C0230168T-D4010Abdominalopelvic cavity52731004 818987002SCT31 C1279385T-14001Abdominal wall muscle195879000SCT32 C0035359T-D4900Retroperitoneal space82849001SCT33 C0222166T-02480Skin of abdomen75093004SCT

34 CID 7155 Thoracic Segmentation Types35 Resources:36 HTML | FHIR JSON | FHIR XML | IHE SVS XML37 Type:38 Extensible39 Version:40 20130617yyyymmdd41 UID:42 1.2.840.10008.6.1.501

43 Table CID 7155. Thoracic Segmentation Types

44 UMLS Concept Unique IDSNOMED-RT IDCode MeaningCode ValueCoding Scheme45 Designator46 C0448157T-D0170Bone of thorax272710004SCT47 C0230139T-D3200Chest cavity43799004SCT48 C1269825T-14122Chest wall muscle372074006SCT49 C0222149T-02424Skin of chest74160004SCT50 C0817096T-D3000Thorax51185008 816094009SCT






















































1 CID 7160 Pelvic Organ Segmentation Types2 Resources:3 HTML | FHIR JSON | FHIR XML | IHE SVS XML4 Type:5 Extensible6 Version:7 20130617yyyymmdd8 UID:9 1.2.840.10008.6.1.506

10 Table CID 7160. Pelvic Organ Segmentation Types

11 UMLS Concept12 Unique ID


13 ,,,14 Pelvis816092008SCT15 Pelvic cavity, false and true816989007SCT16 Pelvic cavity, false816990003SCT17 Pelvic cavity, true816991004SCT

18 CID 7483 Common Anatomic Regions for Animals19 Resources:20 HTML | FHIR JSON | FHIR XML | IHE SVS XML21 Type:22 Extensible23 Version:24 20170914yyyymmdd25 UID:26 1.2.840.10008.6.1.815

27 Table CID 7483. Common Anatomic Regions for Animals

28 NotesUMLS Concept Unique29 ID


30 C0000726T-D4000Abdomen113345001 818981001SCT31 C0817096T-D3000Chest51185008 816094009SCT32 C1442171R-FAB55Chest and Abdomen416550000SCT33 C0030797T-D6000Pelvis12921003 816092008SCT

34 Note

35 1. .

36 2. .

37 3. .

38 4. .

39 5. .

40 6. .

41 CID 12020 Fetal Biometry Anatomic Sites42 Resources:43 HTML | FHIR JSON | FHIR XML | IHE SVS XML44 Type:45 Extensible46 Version:47 20141110yyyymmdd48 UID:49 1.2.840.10008.6.1.1005


































1 Table CID 12020. Fetal Biometry Anatomic Sites

2 UMLS Concept Unique IDSNOMED-RT IDCode MeaningCode ValueCoding Scheme3 Designator4 C0000726T-D4000Abdomen113345001 818981001SCT5 C0817096T-D3000Thorax51185008 816094009SCT6 C0460005T-D2000Trunk22943007SCT

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

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

9 Code Meaning French10 Language

Code Meaning EnglishLanguage

Code ValueCoding SchemeVersion

Coding SchemeDesignator

11 Abdomen supérieurUpper abdomen80581009SCT

12 I Relationship of Endoscopy Procedures to Anatomic Regions (Informative)13 Table I-1 provides examples of the common nomenclature for the type of endoscopy performed, and the code value suggested for14 use for anatomic region in CID 4040 “Endoscopy Anatomic Regions”.

15 Table I-1. Examples of the Common Nomenclature for the Type of Endoscopy Performed

16 Example of the type of endoscopy for17 which this region is applicable18 (Informative)

Code MeaningCode ValueCoding SchemeDesignator

19 LaparoscopyAbdomenIntra-abdominopelvic113345001 818987002SCT20 ThoracoscopyChestIntra-thoracic51185008 43799004SCT21 Endoscopic inguinal hernia repairInguinal region26893007SCT

22 L Correspondence of Anatomic Region Codes and Body Part Examined Defined23 Terms

24 Table L-1. Corresponding Codes and Terms for Human Use

25 UMLS26 Concept27 UniqueID

FMACodeValue

SNOMED-RT ID(Retired)

Body Part ExaminedCode MeaningCode ValueCodingScheme

Designator28 T-D4000ABDOMENAbdomen113345001 818981001SCT29 R-FAB57ABDOMENPELVISAbdomen and Pelvis416949008 818982008SCT30 T-D3000CHESTChest51185008 816094009SCT31 R-FAB56CHESTABDPELVISChest, Abdomen and32 Pelvis

416775004SCT

33 R-FAB55CHESTABDOMENChest and Abdomen416550000SCT34 R-FAB54NECKCHESTABDPELVNeck, Chest, Abdomen35 and Pelvis

416319003SCT

36 R-FAB53NECKCHESTABDOMENNeck, Chest and37 Abdomen

416152001SCT

38 R-FAB52NECKCHESTNeck and Chest417437006SCT39 T-D6000PELVISPelvis12921003 816092008SCT


































FMACodeValue


Body Part ExaminedCode MeaningCode ValueCodingScheme

Designator4 R-FAB58Pelvis and lower5 extremities

416631005SCT

6 T-D3000THORAXThorax51185008 816094009SCT

7 Note

8 In prior versions of this table, different codes were used for some concepts; see PS3.16-2011.

9 Table L-2. Corresponding Codes and Terms for Large Animals


FMA CodeValue


Body PartExamined

Code MeaningCode ValueCoding SchemeDesignator

13 T-D4000ABDOMENAbdomen113345001 818981001SCT14 T-D3000CHESTChest51185008 816094009SCT15 R-FAB55CHESTABDOMENChest and16 Abdomen

416550000SCT

17 T-D6000PELVISPelvis12921003 816092008SCT

18 Note

19 In prior versions of this table, different codes were used for some concepts; see PS3.16-2011.

20 Table L-3. Corresponding Codes And Terms for Small Animal Use


Uberon IDNCIt IDMouseAnatomy ID

FMA IDSNOMED-RTID (Retired)

Body PartExamined

CodeMeaning

Code ValueCodingScheme

Designator24 C00307970002355C1276700000309578T-D6000PELVISPelvis1292100325 816092008

SCT

26 Note

27 Since the Adult Mouse Anatomy Ontology is not in the UMLS, the mapping of Mouse Anatomy codes described here is an28 extract of a mapping to the NCI Thesaurus described in Hayamizu TF, de Coronado S, Fragoso G, Sioutos N, Kadin JA,29 Ringwald M. The mouse-human anatomy ontology mapping project. Database: The Journal of Biological Databases and30 Curation 2012;2012:bar066. doi:10.1093/database/bar066. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3308156/. The31 mapping files used can be found at ftp://ftp.informatics.jax.org/pub/reports/ma2ncit.obo.

32 The NCI Thesaurus codes were then used to look up corresponding concepts in UMLS, from which SNOMED and FMA33 codes were extracted automatically (and various conflicts and ambiguities resolved manually). The same correspondence34 to existing Body Part Examined values is used as in other tables in this Annex.

35 Another mapping project using the FMA as a reference ontology was not used, since the files were not available. See Zhang36 S, Bodenreider O. Alignment of Multiple Ontologies of Anatomy: Deriving Indirect Mappings from Direct Mappings to a Ref-37 erence. AMIA Annual Symposium Proceedings 2005;2005:864-868 http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1560629/.

38 Table L-4. Correspondence between Animal-specific and Generic NCI Thesaurus Codes

39 Rat-specific UMLS40 Concept UniqueID

Rat-specificNCIt ID

Mouse-specificUMLS Concept

41 UniqueID

Mouse-specificNCIt ID

Generic UMLSConcept UniqueID

Generic NCItID

CodeMeaning

42 C23698C0030797C12767Pelvis














http://purl.obolibrary.org/obo/UBERON_0002355

http://ncit.nci.nih.gov/ncitbrowser/ConceptReport.jsp?dictionary=NCI_Thesaurus&code=C12767

http://www.informatics.jax.org/searches/AMA.cgi?id=MA:0000030




http://dx.doi.org/10.1093/database/bar066

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3308156/

ftp://ftp.informatics.jax.org/pub/reports/ma2ncit.obo

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1560629/




1 Note

2 For the mouse, NCIt contains some duplicate anatomical concepts, including those which have been marked inactive and3 appear to have been replaced with improved codes for the "Mouse Models of Human Cancers Consortium" (MMHCC).4 Whenever duplicates were found, the MMHCC concept has been used in this table.

5 This table was produced by searching NCIt for all concepts that had "mouse" or "rat" in their concept name or synonyms,6 and then using that synonym with the word "mouse" or "rat" removed, to match against generic concept names.

7 The NCI Thesaurus codes were then used to look up corresponding concepts in UMLS, though not all of the concepts are8 included in UMLS yet (especially the MMHCC concepts).

9 Table L-5. Pairedness of Anatomic Concepts

10 Paired StructureCode MeaningSNOMED Code Value11 NAbdomen113345001 81898100112 NAbdomen and Pelvis416949008 81898200813 NChest51185008 81609400914 NChest, Abdomen and Pelvis41677500415 NChest and Abdomen41655000016 NNeck, Chest, Abdomen and Pelvis41631900317 NNeck, Chest and Abdomen41615200118 NNeck and Chest41743700619 NPelvis12921003 81609200820 NPelvis and lower extremities41663100521 NThorax51185008 816094009

22 Amend DICOM PS3.16 to add the following retired code entries:

23 J SNOMED Retired Codes

24 Table J-1. SNOMED Codes Retired from DICOM Use

25 NotesReplacement CodeCode MeaningRetired Code Value26 Replacement code has meaning of "Structure of abdominal27 cross-sectional segment of trunk (body structure)".

28 Retired code is inactive in SNOMED CT.

818981001Abdomen113345001

29 Replacement code has meaning of "Structure of abdominopelvic30 cross-sectional segment of trunk (body structure)".


818982008Abdomen andPelvis

416949008

32 Replacement code has meaning of "Structure of thoracic33 cross-sectional segment of trunk (body structure)".

34 Retired code is still active in SNOMED CT.

35 Also used in DICOM with synonym "Thorax".

816094009Chest51185008

36 Replacement code has meaning of "Structure of pelvic cross-sectional37 segment of trunk (body structure)".


816092008Pelvis12921003



























1 NotesReplacement CodeCode MeaningRetired Code Value2 Replacement code has meaning of "Structure of abdominopelvic3 cavity (body structure)".


5 Also used in DICOM with synonym "Abdominopelvic cavity".

818987002Intra-abdominal52731004

6 Replacement code has meaning of "Structure of cavity of false and/or7 true pelvis (body structure)".


816989007Intra-pelvic21844003

9 Replacement code has meaning of "Thoracic cavity structure (body10 structure)".


12 Also used in DICOM with synonym "Chest cavity"

43799004Intra-thoracic51185008









13 CP-1962 - Changes to Abdomen-related anatomy concepts ... · 29 SCT 416949008 818982008 Abdomen...

Documents

Transcript of 13 CP-1962 - Changes to Abdomen-related anatomy concepts ... · 29 SCT 416949008 818982008 Abdomen...