19 cp-1860 - content items for de-identification with...

1 Final TextStatus2 2019/05/24Date of Last Update3 David Clunie

4 mailto:[email protected]

Person Assigned

5 David Clunie

6 mailto:[email protected]

Submitter Name

7 2018/09/29Submission Date

8 Correction Number CP-18609 Log Summary: Content items for de-identification with Clean Structured Content Option10 Name of Standard

11 PS3.15 2019b12 Rationale for Correction:

13 The Clean Structured Content option in PS3.15 Annex E is not specific about which content items to process and in what manner.

14 Add specific content item concept names using the templates in PS3.16 and apply related options for patient, device, institution15 characteristics.

16 Also add clinical trial time point related attributes to PS3.15 Annex E Table E.1-1.17 Correction Wording:

18 - Final Text -

19 CP-1860 - Content items for de-identification with Clean Structured Content Option

mailto:[email protected]

mailto:[email protected]

1 Amend DICOM PS3.15 as follows (changes to existing text are bold and underlined for additions and struckthrough for removals):

2 E.1.1 De-identifier

3 Table E.1-1. Application Level Confidentiality Profile Attributes

4 Clean5 Graph.6 Opt.

CleanStruct.Cont.

7 Opt.

CleanDesc.Opt.

Rtn.Long.Modif.Dates

8 Opt.

Rtn.Long.Full

DatesOpt.

Rtn.Pat.

Chars.Opt.

Rtn.Inst.Id.

Opt.

Rtn.Dev.Id.

Opt.

Rtn.UIDsOpt.

Rtn.SafePriv.Opt.

BasicProf.

In Std.Comp.

IOD(from????)

Retd.(from????)

TagAttribute Name

9 ZYN(0012,0050)Clinical Trial Time10 Point ID11 CXYN(0012,0051)Clinical Trial Time12 Point Description13 DYN(0012,0010)Clinical Trial14 Sponsor Name15 DYN(0012,0020)Clinical Trial16 Protocol ID17 ZYN(0012,0021)Clinical Trial18 Protocol Name19 KZYN(0012,0030)Clinical Trial Site ID20 KZYN(0012,0031)Clinical Trial Site21 Name22 DYN(0012,0040)Clinical Trial Subject23 ID24 DYN(0012,0042)Clinical Trial Subject25 Reading ID26 KDYN(0012,0081)Clinical Trial27 Protocol Ethics28 Committee Name29 XYN(0012,0082)Clinical Trial30 Protocol Ethics31 Committee Approval32 Number33 KZYN(0012,0060)Clinical Trial34 Coordinating Center35 Name36 XYN(0012,0071)Clinical Trial Series37 ID38 CXYN(0012,0072)Clinical Trial Series39 Description

40 E.3.4 Clean Structured Content Option41 Instances of Structured Report SOP Classes may contain identifiable information in a Content Sequence (0040,A730) encoded in42 Content Items. Instances of other SOP Classes may contain structured content encoded in a similar manner in the Acquisition Context43 Sequence (0040,0555) or Specimen Preparation Sequence (0040,0610).

44 When this Option is specified in addition to an Application Level Confidentiality Profile, any information encoded in SR Content Items45 or Acquisition Context or Specimen Preparation Sequence Items corresponding to the Attribute information specified to be removed46 by the Profile and any other Options specified shall also be removed.

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1 Note

2 1. For example, the "observer" responsible for a diagnostic imaging report may be explicitly identified in Observation3 Content related Content Items in an SR.

4 2. A de-identifier that does not implement this option creates significant risk when attempting to de-identity a Structured5 Report unless it is only used to de-identify instances that are known to have no identifying information in the Content6 Sequence.

7 3. As this Standard and external coding schemes are maintained, the codes specified as Concept Name Codes8 may change. The previous codes are considered Retired but implementations may continue to send them and9 de-identifiers will be expected to be able to continue to recognize and de-identify Content Items with the Retired10 codes, including the Code Value and Coding Scheme Designator, even if the current Standard does not publish11 them.

12 A notable example is the change throughout the Standard from using "SNOMED-RT style" code values with a13 Coding Scheme Designator of "SRT", "SNM3" or "99SDM", to the use of SNOMED CT numeric code values with14 a Coding Scheme Designator of "SCT". A mapping of retired to new SNOMED codes is found in PS3.16 Annex15 XXX.

16 Add new table to DICOM PS3.15 Section E.3.4 as follows :

17 Table E.3.4-1. Application Level Confidentiality Profile Clean Structured Content Option Content Item18 Concept Name Codes

19 Clean20 Desc.21 Opt.

Rtn.Long.Modif.

22 Dates23 Opt.

Rtn.Long.Full

DatesOpt.

Rtn.Pat.

Chars.Opt.

Rtn.Inst.Id.

Opt.

Rtn.Dev.Id.

Opt.

Rtn.UIDsOpt.

BasicProf.

InStd.Tpl.

(from????)

Retd.(from????)

Value TypeCodingScheme

Designator

CodeValue

Code Meaning

24 XYNTEXTDCM121022Accession Number25 KDYNIMAGEDCM113795Acquired Image26 CKXYNDATEDCM126201Acquisition Date27 CXYNTEXTDCM125203Acquisition Protocol28 CKXYNTIMEDCM126202Acquisition Time29 CXYNTEXTNCItC67447Activity Session30 CDYNTEXTSCT440252007Administration of31 radiopharmaceutical32 CKXYNDATETIMENCDR33 [2.0b]

15Admission DateTime

34 CXYNTEXTDCM112050Anatomic Identifier35 CKXYNDATETIMESCT398164008Anesthesia Finish36 Time37 CKXYNDATETIMESCT398325003Anesthesia Start Time38 KXYNIMAGEDCM121080Best illustration of39 finding40 KXYNWAVEFORMDCM121080Best illustration of41 finding42 CKDYNDATETIMEDCM113723Calibration DateTime43 CXYNTEXTDCM113720Calibration Protocol44 CDYNTEXTDCM113724Calibration45 Responsible Party

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Rtn.Long.Modif.

4 Dates5 Opt.

Rtn.Long.Full

DatesOpt.

Rtn.Pat.

Chars.Opt.

Rtn.Inst.Id.

Opt.

Rtn.Dev.Id.

Opt.

Rtn.UIDsOpt.

BasicProf.

InStd.Tpl.

(from????)

Retd.(from????)


Designator

CodeValue

Code Meaning

6 DYNPNAMENCDR7 [2.0b]

76CatheterizationOperator

8 KXYNCOMPOSITEDCM121120Cath Lab Procedure9 Log10 KXYNCOMPOSITESCT371524004Clinical Report11 CXYNTEXTSCT371524004Clinical Report12 CXYNTEXTDCM121106Comment13 CXYNTEXTSCT116224001Complication of14 Procedure15 DYNTEXTDCM112347Component ID16 CXYNTEXTDCM121077Conclusion17 CKX/DYNDATEDCM111018Content Date18 CKX/DYNTIMEDCM111019Content Time19 KXYNCOMPOSITEDCM122073Current procedure20 evidence21 CKXYNDATELN11955-2Date of last menstrual22 period23 CKXYNDATETIMEDCM121431DateTime Concern24 Noted25 CKXYNDATETIMEDCM121432DateTime Concern26 Resolved27 CKXYNDATETIMEDCM111527DateTime Ended28 CKXYNDATETIMEDCM122165DateTime of Death29 CKXYNDATETIMEDCM122105DateTime of30 Intervention31 CKXYNDATETIMEDCM111536DateTime of last32 evaluation33 CKXYNDATETIMEDCM111702DateTime of34 processing35 CKXYNDATETIMEDCM121125DateTime of36 Recording of Log37 Entry38 CKXYNDATETIMEDCM111535DateTime problem39 observed40 CKXYNDATETIMEDCM121433DateTime Problem41 Resolved42 CKX/DYNDATETIMEDCM111526DateTime Started43 DYNTEXTDCM112363Degree of Freedom44 ID45 KDYNUIDREFDCM112357Derived Fiducial46 KXYNCOMPOSITEDCM112373Derived Planning47 Data

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Rtn.Long.Modif.

4 Dates5 Opt.

Rtn.Long.Full

DatesOpt.

Rtn.Pat.

Chars.Opt.

Rtn.Inst.Id.

Opt.

Rtn.Dev.Id.

Opt.

Rtn.UIDsOpt.

BasicProf.

InStd.Tpl.

(from????)

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Designator

CodeValue

Code Meaning

6 KXYNCOMPOSITEDCM112372Derived Planning7 Images8 CXYNTEXTDCM111021Description of9 Change10 CXYNTEXTDCM121145Description of11 Material12 KXYNTEXTDCM113877Device Name13 KXYNTEXTDCM121013Device Observer14 Name15 KXYNTEXTDCM121017Device Observer16 Physical Location17 During Observation18 KXYNTEXTDCM121016Device Observer19 Serial Number20 KKX/DYNUIDREFDCM121012Device Observer UID21 KX/DYNTEXTDCM113880Device Serial Number22 KDYNTEXTDCM121193Device Subject Name23 KXYNTEXTDCM121197Device Subject24 Physical Location25 during observation26 KXYNTEXTDCM121196Device Subject Serial27 Number28 KKXYNUIDREFDCM121198Device Subject UID29 CKXYNDATETIMEDCM122163Discharge DateTime30 KXYNIMAGEDCM121342Dose Image31 CX/DYNTEXTDCM122083Drug administered32 CKXYNDATETIMEDCM122082Drug end33 CKXYNDATETIMEDCM122081Drug start34 CX/DYNTEXTSCT271921002ECG Finding35 CKXYNDATELN11778-8EDD36 CKDYNDATETIMEDCM113810End of X-Ray37 Irradiation38 CKXYNTEXTDCM121122Equipment39 Identification40 KDYNUIDREFDCM128429Event UID Used41 XYNPNAMEDCM121088Fellow42 DYNTEXTLN11951-1Fetus ID43 XYNTEXTDCM121021Filler Number44 CX/DYNTEXTDCM121071Finding45 CDYNTEXTSCT363698007Finding Site46 KX/DYNUIDREFDCM112227Frame of Reference47 UID

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Rtn.Long.Modif.

4 Dates5 Opt.

Rtn.Long.Full

DatesOpt.

Rtn.Pat.

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Opt.

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Opt.

Rtn.UIDsOpt.

BasicProf.

InStd.Tpl.

(from????)

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Designator

CodeValue

Code Meaning

6 CKDYNDATEDCM127857Glucose7 Measurement Date8 CKDYNTIMEDCM127858Glucose9 Measurement Time10 CXYNTEXTLN11329-0History11 KDYNTEXTDCM113832Identification of the12 X-Ray Source13 XYNTEXTDCM125010Identifier14 XYNTEXTDCM128775Identifier within15 Person Observer's16 Role17 KDYNIMAGEDCM112229Identifying Segment18 KXYNIMAGEDCM125201Illustration of Finding19 KXYNIMAGEDCM121200Illustration of ROI20 KDYNIMAGEDCM121138Image Acquired21 CKDYNDATETIMEDCM122712Imaging Start22 DateTime23 KXYNCOMPOSITEDCM112366Implant Assembly24 Template25 CDYNTEXTDCM111033Impression26 Description27 CDYNTEXTLN18785-6Indications for28 Procedure29 DYNTEXTDCM121154Intervention attempt30 identifier31 DYNPNAMEDCM113850Irradiation Authorizing32 XYNTEXTDCM113605Irradiation Event33 Label34 KDYNUIDREFDCM113769Irradiation Event UID35 XYNTEXTDCM110190Issuer of Identifier36 XYNTEXTDCM111706Issuer of Parent37 Specimen Identifier38 XYNTEXTDCM111724Issuer of Specimen39 Identifier40 CXYNTEXTDCM113012Key Object41 Description42 CXYNTEXTLN18118-0LV Wall Motion43 Segmental Findings44 KDYNCOMPOSITEDCM112371Manufacturer Implant45 Template46 DYNTEXTDCM112352Mating Feature ID47 DYNTEXTDCM112351Mating Feature Set ID48 CXYNTEXTDCM111516Medication Type

49 - Final Text -



Rtn.Long.Modif.

4 Dates5 Opt.

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DatesOpt.

Rtn.Pat.

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Opt.

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Opt.

Rtn.UIDsOpt.

BasicProf.

InStd.Tpl.

(from????)

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Designator

CodeValue

Code Meaning

6 XYNPNAMEDCM121036Mother of fetus7 KXYNTEXTDCM113873Organization Name8 KDYNCOMPOSITEDCM111040Original Source9 DYNTEXTDCM111705Parent Specimen10 Identifier11 KXYNCOMPOSITEDCM112361Patient Data Used12 During Planning13 KXYNIMAGEDCM112354Patient Image14 CDYNTEXTDCM113815Patient Model15 CXYNTEXTDCM121110Patient Presentation16 KXYNCOMPOSITEDCM128425Patient Radiation17 Dose Model Data18 KXYNIMAGEDCM128425Patient Radiation19 Dose Model Data20 KXYNUIDREFDCM128425Patient Radiation21 Dose Model Data22 CXYNTEXTDCM128426Patient Radiation23 Dose Model24 Reference25 CXYNTEXTDCM109054Patient State26 KXYNTEXTDCM122128Patient Transferred27 From28 KDYNUIDREFDCM121126Performed Procedure29 Step SOP Instance30 UID31 DYNPNAMEDCM121114Performing Physician32 XYNPNAMEDCM121152Person administering33 drug/contrast34 XYNTEXTDCM113871Person ID35 XYNTEXTDCM113872Person ID Issuer36 DYNPNAMEDCM113870Person Name37 XYNTEXTDCM128774Person Observer's38 Login Name39 KXYNTEXTDCM121009Person Observer's40 Organization Name41 DYNPNAMEDCM121008Person Observer42 Name43 CXYNTEXTDCM121173Physician Note44 XYNTEXTDCM121020Placer Number45 XYNTEXTDCM113516Prescription Identifier46 KXYNCOMPOSITEDCM122075Prior report for current47 patient48 X/DYNTEXTDCM121124Procedure Action ID

49 - Final Text -



Rtn.Long.Modif.

4 Dates5 Opt.

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DatesOpt.

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Opt.

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Opt.

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BasicProf.

InStd.Tpl.

(from????)

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Designator

CodeValue

Code Meaning

6 CKX/DYNDATETIMEDCM122146Procedure DateTime7 CKDYNDATETIMENCDR8 [2.0b]

52Procedure DateTime

9 CX/DYNTEXTDCM121065Procedure10 Description11 XYNTEXTNCDR12 [2.0b]

53Procedure Number inthis admission

13 CXYNTEXTDCM122177Procedure Result14 KXYNUIDREFDCM121019Procedure Study15 Component UID16 KXYNUIDREFDCM121018Procedure Study17 Instance UID18 CKXYNDATETIMEDCM122701Procedure Time Base19 CXYNTEXTDCM111703Processing step20 description21 CXYNTEXTDCM126071Protocol Time Point22 Identifier23 CXYNTEXTDCM128230Pulse Sequence24 Name25 KDYNCOMPOSITEDCM121002Quoted Source26 KDYNCOMPOSITEDCM128436Radiation Dose27 Composite28 Parameters29 CDYNTEXTDCM128403Radiation Dose30 Estimate Name31 KDYNCOMPOSITEDCM128414Radiation Dose32 Representation Data33 KDYNIMAGEDCM128414Radiation Dose34 Representation Data35 XYNTEXTDCM113514Radionuclide36 Identifier37 KDYNUIDREFDCM113503Radiopharmaceutical38 Administration Event39 UID40 XYNTEXTDCM113511Radiopharmaceutical41 Dispense Unit42 Identifier43 XYNTEXTDCM113512Radiopharmaceutical44 Lot Identifier45 CKX/DYNDATETIMEDCM123003Radiopharmaceutical46 Start DateTime47 CKXYNDATETIMEDCM123004Radiopharmaceutical48 Stop DateTime49 XYNTEXTDCM113513Reagent Vial Identifier

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Rtn.Long.Modif.

4 Dates5 Opt.

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DatesOpt.

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Opt.

Rtn.Dev.Id.

Opt.

Rtn.UIDsOpt.

BasicProf.

InStd.Tpl.

(from????)

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Designator

CodeValue

Code Meaning

6 KXYNCOMPOSITEDCM126100Real World Value7 Map used for8 measurement9 CXYNTEXTDCM113907Reason for10 Proceeding11 CXYNTEXTDCM113552Recent Physical12 Activity13 CXYNTEXTDCM121075Recommendation14 CKX/DYNDATEDCM111054Recommended15 Follow-up Date16 KX/DYNIMAGEDCM121191Referenced Segment17 KDYNIMAGEDCM121214Referenced18 Segmentation Frame19 KXYNCOMPOSITEDCM112364Related Patient Data20 Not Used During21 Planning22 XYNTEXTDCM121121Room Identification23 CKDYNDATETIMEDCM111469Sampling DateTime24 CDYNTEXTDCM111058Selected Region25 Description26 KDYNUIDREFDCM112002Series Instance UID27 KDYNUIDREFDCM113985Series or Instance28 used for Water29 Equivalent Diameter30 estimation31 KXYNTEXTDCM121434Service Delivery32 Location33 XYNPNAMEDCM121435Service Performer34 XYNTEXTDCM121435Service Performer35 CXYNTEXTSCT160476009Social History36 KDYNIMAGEDCM121233Source image for37 segmentation38 KDYNIMAGEDCM121112Source of39 Measurement40 KXYNWAVEFORMDCM121112Source of41 Measurement42 KDYNUIDREFDCM121232Source series for43 segmentation44 KXYNCOMPOSITEDCM128447Spatial Fiducials45 KXYNCOMPOSITEDCM112353Spatial Registration46 KDYNCOMPOSITEDCM128444Spatial Registration47 Reference48 XYNTEXTDCM111700Specimen Container49 Identifier

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Rtn.Long.Modif.

4 Dates5 Opt.

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DatesOpt.

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Opt.

Rtn.Dev.Id.

Opt.

Rtn.UIDsOpt.

BasicProf.

InStd.Tpl.

(from????)

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Designator

CodeValue

Code Meaning

6 XYNTEXTDCM121041Specimen Identifier7 KXYNUIDREFDCM121039Specimen UID8 KDYNCOMPOSITEDCM128416SR Instance Used9 CKDYNDATETIMESCT398201009Start DateTime10 CKDYNDATETIMEDCM113809Start of X-Ray11 Irradiation12 KXYNTEXTDCM110119Station AE Title13 CKXYNDATETIMEDCM122173ST Elevation Onset14 DateTime15 CKDYNDATETIMESCT397898000Stop DateTime16 CXYNTEXTDCM109056Stress Protocol17 CKX/DYNDATEDCM111060Study Date18 KDYNUIDREFDCM110180Study Instance UID19 CKX/DYNTIMEDCM111061Study Time20 KXYNNUMDCM121033Subject Age21 XYNDATEDCM121031Subject Birth Date22 X/DYNTEXTDCM121030Subject ID23 DYNPNAMEDCM121029Subject Name24 KXYNCODEDCM121032Subject Sex25 CXYNTEXTDCM126070Subject Time Point26 Identifier27 KXYNUIDREFDCM121028Subject UID28 CXYNTEXTDCM121111Summary29 KXYNCOMPOSITEDCM112359Supporting30 Information31 CX/DYNTEXTUMLSC2348792Time Point32 KDYNUIDREFDCM112040Tracking Unique33 Identifier34 KDYNUIDREFDCM112356User Selected35 Fiducial36 KDYNWAVEFORMDCM121143Waveform Acquired37 KXYNCOMPOSITEDCM128470X-Ray Attenuator38 Model Data39 KXYNIMAGEDCM128470X-Ray Attenuator40 Model Data41 KXYNUIDREFDCM128470X-Ray Attenuator42 Model Data43 KXYNCOMPOSITEDCM113701X-Ray Radiation44 Dose Report

45 - Final Text -


19 cp-1860 - content items for de-identification with...

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