ISO 21860:2020 pdf download Health Informatics — Reference standards portfolio (RSP) — Clinical imaging
Until 2018, SNOMED codes used in the DICOM Standard followed the older RT Identifiers which used alphanumeric code values. Since 2019, the DICOM Standard uses the newer ConceptID numeric identifiers, however significant numbers of older products and data objects might be encountered that use the older codes. Mappings to the new codes can be found in DICOM PS3.16.
5.3.1.2 LOINC SDO: Regenstrief Institute [6] LOINC codes are incorporated in many data elements in DICOM instances, HL7v2 messages and CDA documents to encode the measurement concepts.
For example, (2160-0, LN, “Serum Creatinine”) to indicate that the subsequent numeric value represents an observation of serum creatinine. Implementations making use of these codes shall conform to LOINC. Tooling: Tools for browsing terms, mapping codes, translating meanings, etc.:
— https:// loinc .org/ downloads/
5.3.1.3 UCUM SDO: Regenstrief Institute [7] UCUM codes are incorporated in many numerical data elements in DICOM instances to encode the unit of measure of the value. For example, mg/dl for a serum creatinine value. UCUM codes are based on ISO 80000:2009 [8] . Implementations making use of these codes shall conform to UCUM. Tooling: Tools for finding and validating codes:
— https:// ucum .nlm .nih .gov/
5.3.1.4 DICOM Codes SDO: DICOM [9] , See PS3.16, Annex D DICOM Codes are used to encode a variety of concepts inside DICOM instances. DICOM Codes are typically defined for concepts that do not clearly belong in one of the other Data Standards listed here. Implementations making use of these codes shall conform to DICOM PS3. Tooling: Code tables downloadable in XML or OWL. Also available through BioPortal in OWL, CSV, and RDF/XML.
5.3.1.5 DICOM Context Groups SDO: DICOM [9] , See PS3.16, Annex B DICOM Context Groups provide selected sets of codes appropriate for coding values of associated DICOM attributes or DICOM SR Template concepts. The codes are typically drawn from coding schemes like SNOMED, LOINC, UCUM, DICOM, and ICD-10. Many Context Groups include equivalent codes from several coding schemes. Implementations making use of these codes shall conform to DICOM PS3. Tooling: Context Group code tables are downloadable in HTML, FHIR JSON, FHIR XML, and IHE SVS XML.
5.3.1.6 ICD-9, ICD-10, ICD-11 SDO: World Health Organization [10] ICD-9, ICD-10 and ICD-11 are, respectively, the 9 th , 10 th , and 11 th revisions of the International Statistical Classification of Diseases and Related Health Problems. ICD codes are used to encode diagnoses, symptoms, and findings in structured reports and fields such as admitting diagnosis, etc. Various countries publish national variants of the ICD codeset, distinguished by a suffix, e.g. ICD-10-GM. Since diagnosis is a very significant detail for many types of data analysis and population health, some jurisdictions (e.g. Germany) make the use of ICD codes required for reimbursement. Implementations making use of these codes shall conform to ICD-9, ICD-10, and/or ICD-11.
Tooling: A variety of free and commercial tools exist for searching, browsing, and mapping ICD codes.
5.3.1.7 RadLex Playbook SDO: RSNA [11] and Regenstrief Institute [6] Playbook codes are used in worklists to encode the ordered imaging procedure to be performed. For example, (36244-2, LN, “MR Prostate W contrast IV”). The codes might also appear in images and reports to encode the imaging procedure that was actually performed and reported on. The code might also be used to drive workflow, e.g. standard procedure at a given site might be to perform a 3D reconstruction for all cardiac CT studies.
The codes are managed by RSNA and published as part of LOINC in version 2.6 and later.
Implementations making use of these codes shall conform to Radlex.
5.3.1.8 UDI
SDO: United States Food and Drug Administration (FDA) [12]
The UDI standard is managed by the US FDA in collaboration with other international medical device regulators for use worldwide. UDI codes are administered by several Issuing Agencies, such as GS1,ISO 21860:2020 pdf download
HIBCC, or ICCBBA.