DICOM PS3.15 2020d - Security and System Management Profiles

E.3.4 Clean Structured Content Option (Current)
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### E.3.4 Clean Structured Content Option

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

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

### Note

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

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

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

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

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

Code Meaning | Code Value | Coding Scheme Designator | Value Type | Retd. (from PS3.16) | In Std. Tpl. (from PS3.16) | Basic Prof. | Rtn. UIDs Opt. | Rtn. Dev. Id. Opt. | Rtn. Inst. Id. Opt. | Rtn. Pat. Chars. Opt. | Rtn. Long. Full Dates Opt. | Rtn. Long. Modif. Dates Opt. | Clean Desc. Opt.
--- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | ---
Accession Number | 121022 | DCM | TEXT | N | Y | X |  |  |  |  |  |  |
Acquired Image | 113795 | DCM | IMAGE | N | Y | D | K |  |  |  |  |  |
Acquisition Date | 126201 | DCM | DATE | N | Y | X |  |  |  |  | K | C |
Acquisition Protocol | 125203 | DCM | TEXT | N | Y | X |  |  |  |  |  |  | C
Acquisition Time | 126202 | DCM | TIME | N | Y | X |  |  |  |  | K | C |
Activity Session | C67447 | NCIt | TEXT | N | Y | X |  |  |  |  |  |  | C
Administration of radiopharmaceutical | 440252007 | SCT | TEXT | N | Y | D |  |  |  |  |  |  | C
Admission DateTime | 15 | NCDR [2.0b] | DATETIME | N | Y | X |  |  |  |  | K | C |
Anatomic Identifier | 112050 | DCM | TEXT | N | Y | X |  |  |  |  |  |  | C
Anesthesia Finish Time | 398164008 | SCT | DATETIME | N | Y | X |  |  |  |  | K | C |
Anesthesia Start Time | 398325003 | SCT | DATETIME | N | Y | X |  |  |  |  | K | C |
Best illustration of finding | 121080 | DCM | IMAGE | N | Y | X | K |  |  |  |  |  |
Best illustration of finding | 121080 | DCM | WAVEFORM | N | Y | X | K |  |  |  |  |  |
Calibration DateTime | 113723 | DCM | DATETIME | N | Y | D |  |  |  |  | K | C |
Calibration Protocol | 113720 | DCM | TEXT | N | Y | X |  |  |  |  |  |  | C
Calibration Responsible Party | 113724 | DCM | TEXT | N | Y | D |  |  |  |  |  |  | C
Catheterization Operator | 76 | NCDR [2.0b] | PNAME | N | Y | D |  |  |  |  |  |  |
Cath Lab Procedure Log | 121120 | DCM | COMPOSITE | N | Y | X | K |  |  |  |  |  |
Clinical Report | 371524004 | SCT | COMPOSITE | N | Y | X | K |  |  |  |  |  |
Clinical Report | 371524004 | SCT | TEXT | N | Y | X |  |  |  |  |  |  | C
Comment | 121106 | DCM | TEXT | N | Y | X |  |  |  |  |  |  | C
Complication of Procedure | 116224001 | SCT | TEXT | N | Y | X |  |  |  |  |  |  | C
Component ID | 112347 | DCM | TEXT | N | Y | D |  |  |  |  |  |  |
Conclusion | 121077 | DCM | TEXT | N | Y | X |  |  |  |  |  |  | C
Content Date | 111018 | DCM | DATE | N | Y | X/D |  |  |  |  | K | C |
Content Time | 111019 | DCM | TIME | N | Y | X/D |  |  |  |  | K | C |
Current procedure evidence | 122073 | DCM | COMPOSITE | N | Y | X | K |  |  |  |  |  |
Date of last menstrual period | 11955-2 | LN | DATE | N | Y | X |  |  |  |  | K | C |
DateTime Concern Noted | 121431 | DCM | DATETIME | N | Y | X |  |  |  |  | K | C |
DateTime Concern Resolved | 121432 | DCM | DATETIME | N | Y | X |  |  |  |  | K | C |
DateTime Ended | 111527 | DCM | DATETIME | N | Y | X |  |  |  |  | K | C |
DateTime of Death | 122165 | DCM | DATETIME | N | Y | X |  |  |  |  | K | C |
DateTime of Intervention | 122105 | DCM | DATETIME | N | Y | X |  |  |  |  | K | C |
DateTime of last evaluation | 111536 | DCM | DATETIME | N | Y | X |  |  |  |  | K | C |
DateTime of processing | 111702 | DCM | DATETIME | N | Y | X |  |  |  |  | K | C |
DateTime of Recording of Log Entry | 121125 | DCM | DATETIME | N | Y | X |  |  |  |  | K | C |
DateTime problem observed | 111535 | DCM | DATETIME | N | Y | X |  |  |  |  | K | C |
DateTime Problem Resolved | 121433 | DCM | DATETIME | N | Y | X |  |  |  |  | K | C |
DateTime Started | 111526 | DCM | DATETIME | N | Y | X/D |  |  |  |  | K | C |
Degree of Freedom ID | 112363 | DCM | TEXT | N | Y | D |  |  |  |  |  |  |
Derived Fiducial | 112357 | DCM | UIDREF | N | Y | D | K |  |  |  |  |  |
Derived Planning Data | 112373 | DCM | COMPOSITE | N | Y | X | K |  |  |  |  |  |
Derived Planning Images | 112372 | DCM | COMPOSITE | N | Y | X | K |  |  |  |  |  |
Description of Change | 111021 | DCM | TEXT | N | Y | X |  |  |  |  |  |  | C
Description of Material | 121145 | DCM | TEXT | N | Y | X |  |  |  |  |  |  | C
Device Description | 120999 | DCM | TEXT | N | Y | X |  | K |  |  |  |  |
Device Name | 113877 | DCM | TEXT | N | Y | X |  | K |  |  |  |  |
Device Observer Name | 121013 | DCM | TEXT | N | Y | X |  | K |  |  |  |  |
Device Observer Physical Location During Observation | 121017 | DCM | TEXT | N | Y | X |  |  | K |  |  |  |
Device Observer Serial Number | 121016 | DCM | TEXT | N | Y | X |  | K |  |  |  |  |
Device Observer UID | 121012 | DCM | UIDREF | N | Y | X/D | K | K |  |  |  |  |
Device Serial Number | 113880 | DCM | TEXT | N | Y | X/D |  | K |  |  |  |  |
Device Subject Name | 121193 | DCM | TEXT | N | Y | D |  | K |  |  |  |  |
Device Subject Physical Location during observation | 121197 | DCM | TEXT | N | Y | X |  |  | K |  |  |  |
Device Subject Serial Number | 121196 | DCM | TEXT | N | Y | X |  | K |  |  |  |  |
Device Subject UID | 121198 | DCM | UIDREF | N | Y | X | K | K |  |  |  |  |
Discharge DateTime | 122163 | DCM | DATETIME | N | Y | X |  |  |  |  | K | C |
Dose Image | 121342 | DCM | IMAGE | N | Y | X | K |  |  |  |  |  |
Drug administered | 122083 | DCM | TEXT | N | Y | X/D |  |  |  |  |  |  | C
Drug end | 122082 | DCM | DATETIME | N | Y | X |  |  |  |  | K | C |
Drug start | 122081 | DCM | DATETIME | N | Y | X |  |  |  |  | K | C |
ECG Finding | 271921002 | SCT | TEXT | N | Y | X/D |  |  |  |  |  |  | C
EDD | 11778-8 | LN | DATE | N | Y | X |  |  |  |  | K | C |
End of X-Ray Irradiation | 113810 | DCM | DATETIME | N | Y | D |  |  |  |  | K | C |
Equipment Identification | 121122 | DCM | TEXT | N | Y | X |  | K |  |  |  |  | C
Event UID Used | 128429 | DCM | UIDREF | N | Y | D | K |  |  |  |  |  |
Fellow | 121088 | DCM | PNAME | N | Y | X |  |  |  |  |  |  |
Fetus ID | 11951-1 | LN | TEXT | N | Y | D |  |  |  |  |  |  |
Filler Number | 121021 | DCM | TEXT | N | Y | X |  |  |  |  |  |  |
Finding | 121071 | DCM | TEXT | N | Y | X/D |  |  |  |  |  |  | C
Finding Site | 363698007 | SCT | TEXT | N | Y | D |  |  |  |  |  |  | C
Frame of Reference UID | 112227 | DCM | UIDREF | N | Y | X/D | K |  |  |  |  |  |
Glucose Measurement Date | 127857 | DCM | DATE | N | Y | D |  |  |  |  | K | C |
Glucose Measurement Time | 127858 | DCM | TIME | N | Y | D |  |  |  |  | K | C |
History | 11329-0 | LN | TEXT | N | Y | X |  |  |  |  |  |  | C
Identification of the X-Ray Source | 113832 | DCM | TEXT | N | Y | D |  | K |  |  |  |  |
Identifier | 125010 | DCM | TEXT | N | Y | X |  |  |  |  |  |  |
Identifier within Person Observer's Role | 128775 | DCM | TEXT | N | Y | X |  |  |  |  |  |  |
Identifying Segment | 112229 | DCM | IMAGE | N | Y | D | K |  |  |  |  |  |
Illustration of Finding | 125201 | DCM | IMAGE | N | Y | X | K |  |  |  |  |  |
Illustration of ROI | 121200 | DCM | IMAGE | N | Y | X | K |  |  |  |  |  |
Image Acquired | 121138 | DCM | IMAGE | N | Y | D | K |  |  |  |  |  |
Imaging Start DateTime | 122712 | DCM | DATETIME | N | Y | D |  |  |  |  | K | C |
Implant Assembly Template | 112366 | DCM | COMPOSITE | N | Y | X | K |  |  |  |  |  |
Impression Description | 111033 | DCM | TEXT | N | Y | D |  |  |  |  |  |  | C
Indications for Procedure | 18785-6 | LN | TEXT | N | Y | D |  |  |  |  |  |  | C
Intervention attempt identifier | 121154 | DCM | TEXT | N | Y | D |  |  |  |  |  |  |
Irradiation Authorizing | 113850 | DCM | PNAME | N | Y | D |  |  |  |  |  |  |
Irradiation Event Label | 113605 | DCM | TEXT | N | Y | X |  |  |  |  |  |  |
Irradiation Event UID | 113769 | DCM | UIDREF | N | Y | D | K |  |  |  |  |  |
Issuer of Identifier | 110190 | DCM | TEXT | N | Y | X |  |  |  |  |  |  |
Issuer of Parent Specimen Identifier | 111706 | DCM | TEXT | N | Y | X |  |  |  |  |  |  |
Issuer of Specimen Identifier | 111724 | DCM | TEXT | N | Y | X |  |  |  |  |  |  |
Key Object Description | 113012 | DCM | TEXT | N | Y | X |  |  |  |  |  |  | C
LV Wall Motion Segmental Findings | 18118-0 | LN | TEXT | N | Y | X |  |  |  |  |  |  | C
Manufacturer Implant Template | 112371 | DCM | COMPOSITE | N | Y | D | K |  |  |  |  |  |
Mating Feature ID | 112352 | DCM | TEXT | N | Y | D |  |  |  |  |  |  |
Mating Feature Set ID | 112351 | DCM | TEXT | N | Y | D |  |  |  |  |  |  |
Medication Type | 111516 | DCM | TEXT | N | Y | X |  |  |  |  |  |  | C
Mother of fetus | 121036 | DCM | PNAME | N | Y | X |  |  |  |  |  |  |
Organization Name | 113873 | DCM | TEXT | N | Y | X |  |  | K |  |  |  |
Original Source | 111040 | DCM | COMPOSITE | N | Y | D | K |  |  |  |  |  |
Parent Specimen Identifier | 111705 | DCM | TEXT | N | Y | D |  |  |  |  |  |  |
Patient Data Used During Planning | 112361 | DCM | COMPOSITE | N | Y | X | K |  |  |  |  |  |
Patient Image | 112354 | DCM | IMAGE | N | Y | X | K |  |  |  |  |  |
Patient Model | 113815 | DCM | TEXT | N | Y | D |  |  |  |  |  |  | C
Patient Presentation | 121110 | DCM | TEXT | N | Y | X |  |  |  |  |  |  | C
Patient Radiation Dose Model Data | 128425 | DCM | COMPOSITE | N | Y | X | K |  |  |  |  |  |
Patient Radiation Dose Model Data | 128425 | DCM | IMAGE | N | Y | X | K |  |  |  |  |  |
Patient Radiation Dose Model Data | 128425 | DCM | UIDREF | N | Y | X | K |  |  |  |  |  |
Patient Radiation Dose Model Reference | 128426 | DCM | TEXT | N | Y | X |  |  |  |  |  |  | C
Patient State | 109054 | DCM | TEXT | N | Y | X |  |  |  |  |  |  | C
Patient Transferred From | 122128 | DCM | TEXT | N | Y | X |  |  | K |  |  |  |
Performed Procedure Step SOP Instance UID | 121126 | DCM | UIDREF | N | Y | D | K |  |  |  |  |  |
Performing Physician | 121114 | DCM | PNAME | N | Y | D |  |  |  |  |  |  |
Person administering drug/contrast | 121152 | DCM | PNAME | N | Y | X |  |  |  |  |  |  |
Person ID | 113871 | DCM | TEXT | N | Y | X |  |  |  |  |  |  |
Person ID Issuer | 113872 | DCM | TEXT | N | Y | X |  |  |  |  |  |  |
Person Name | 113870 | DCM | PNAME | N | Y | D |  |  |  |  |  |  |
Person Observer's Login Name | 128774 | DCM | TEXT | N | Y | X |  |  |  |  |  |  |
Person Observer's Organization Name | 121009 | DCM | TEXT | N | Y | X |  |  | K |  |  |  |
Person Observer Name | 121008 | DCM | PNAME | N | Y | D |  |  |  |  |  |  |
Physician Note | 121173 | DCM | TEXT | N | Y | X |  |  |  |  |  |  | C
Placer Number | 121020 | DCM | TEXT | N | Y | X |  |  |  |  |  |  |
Prescription Identifier | 113516 | DCM | TEXT | N | Y | X |  |  |  |  |  |  |
Prior report for current patient | 122075 | DCM | COMPOSITE | N | Y | X | K |  |  |  |  |  |
Procedure Action ID | 121124 | DCM | TEXT | N | Y | X/D |  |  |  |  |  |  |
Procedure DateTime | 122146 | DCM | DATETIME | N | Y | X/D |  |  |  |  | K | C |
Procedure DateTime | 52 | NCDR [2.0b] | DATETIME | N | Y | D |  |  |  |  | K | C |
Procedure Description | 121065 | DCM | TEXT | N | Y | X/D |  |  |  |  |  |  | C
Procedure Number in this admission | 53 | NCDR [2.0b] | TEXT | N | Y | X |  |  |  |  |  |  |
Procedure Result | 122177 | DCM | TEXT | N | Y | X |  |  |  |  |  |  | C
Procedure Study Component UID | 121019 | DCM | UIDREF | N | Y | X | K |  |  |  |  |  |
Procedure Study Instance UID | 121018 | DCM | UIDREF | N | Y | X | K |  |  |  |  |  |
Procedure Time Base | 122701 | DCM | DATETIME | N | Y | X |  |  |  |  | K | C |
Processing step description | 111703 | DCM | TEXT | N | Y | X |  |  |  |  |  |  | C
Protocol Time Point Identifier | 126071 | DCM | TEXT | N | Y | X |  |  |  |  |  |  | C
Pulse Sequence Name | 128230 | DCM | TEXT | N | Y | X |  |  |  |  |  |  | C
Quoted Source | 121002 | DCM | COMPOSITE | N | Y | D | K |  |  |  |  |  |
Radiation Dose Composite Parameters | 128436 | DCM | COMPOSITE | N | Y | D | K |  |  |  |  |  |
Radiation Dose Estimate Name | 128403 | DCM | TEXT | N | Y | D |  |  |  |  |  |  | C
Radiation Dose Representation Data | 128414 | DCM | COMPOSITE | N | Y | D | K |  |  |  |  |  |
Radiation Dose Representation Data | 128414 | DCM | IMAGE | N | Y | D | K |  |  |  |  |  |
Radionuclide Identifier | 113514 | DCM | TEXT | N | Y | X |  |  |  |  |  |  |
Radiopharmaceutical Administration Event UID | 113503 | DCM | UIDREF | N | Y | D | K |  |  |  |  |  |
Radiopharmaceutical Dispense Unit Identifier | 113511 | DCM | TEXT | N | Y | X |  |  |  |  |  |  |
Radiopharmaceutical Lot Identifier | 113512 | DCM | TEXT | N | Y | X |  |  |  |  |  |  |
Radiopharmaceutical Start DateTime | 123003 | DCM | DATETIME | N | Y | X/D |  |  |  |  | K | C |
Radiopharmaceutical Stop DateTime | 123004 | DCM | DATETIME | N | Y | X |  |  |  |  | K | C |
Reagent Vial Identifier | 113513 | DCM | TEXT | N | Y | X |  |  |  |  |  |  |
Real World Value Map used for measurement | 126100 | DCM | COMPOSITE | N | Y | X | K |  |  |  |  |  |
Reason for Proceeding | 113907 | DCM | TEXT | N | Y | X |  |  |  |  |  |  | C
Recent Physical Activity | 113552 | DCM | TEXT | N | Y | X |  |  |  |  |  |  | C
Recommendation | 121075 | DCM | TEXT | N | Y | X |  |  |  |  |  |  | C
Recommended Follow-up Date | 111054 | DCM | DATE | N | Y | X/D |  |  |  |  | K | C |
Referenced Segment | 121191 | DCM | IMAGE | N | Y | X/D | K |  |  |  |  |  |
Referenced Segmentation Frame | 121214 | DCM | IMAGE | N | Y | D | K |  |  |  |  |  |
Related Patient Data Not Used During Planning | 112364 | DCM | COMPOSITE | N | Y | X | K |  |  |  |  |  |
Room Identification | 121121 | DCM | TEXT | N | Y | X |  |  |  |  |  |  |
Sampling DateTime | 111469 | DCM | DATETIME | N | Y | D |  |  |  |  | K | C |
Selected Region Description | 111058 | DCM | TEXT | N | Y | D |  |  |  |  |  |  | C
Series Instance UID | 112002 | DCM | UIDREF | N | Y | D | K |  |  |  |  |  |
Series or Instance used for Water Equivalent Diameter estimation | 113985 | DCM | UIDREF | N | Y | D | K |  |  |  |  |  |
Service Delivery Location | 121434 | DCM | TEXT | N | Y | X |  |  | K |  |  |  |
Service Performer | 121435 | DCM | PNAME | N | Y | X |  |  |  |  |  |  |
Service Performer | 121435 | DCM | TEXT | N | Y | X |  |  |  |  |  |  |
Social History | 160476009 | SCT | TEXT | N | Y | X |  |  |  |  |  |  | C
Source image for segmentation | 121233 | DCM | IMAGE | N | Y | D | K |  |  |  |  |  |
Source of Measurement | 121112 | DCM | IMAGE | N | Y | D | K |  |  |  |  |  |
Source of Measurement | 121112 | DCM | WAVEFORM | N | Y | X | K |  |  |  |  |  |
Source series for segmentation | 121232 | DCM | UIDREF | N | Y | D | K |  |  |  |  |  |
Spatial Fiducials | 128447 | DCM | COMPOSITE | N | Y | X | K |  |  |  |  |  |
Spatial Registration | 112353 | DCM | COMPOSITE | N | Y | X | K |  |  |  |  |  |
Spatial Registration Reference | 128444 | DCM | COMPOSITE | N | Y | D | K |  |  |  |  |  |
Specimen Container Identifier | 111700 | DCM | TEXT | N | Y | X |  |  |  |  |  |  |
Specimen Identifier | 121041 | DCM | TEXT | N | Y | X |  |  |  |  |  |  |
Specimen UID | 121039 | DCM | UIDREF | N | Y | X | K |  |  |  |  |  |
SR Instance Used | 128416 | DCM | COMPOSITE | N | Y | D | K |  |  |  |  |  |
Start DateTime | 398201009 | SCT | DATETIME | N | Y | D |  |  |  |  | K | C |
Start of X-Ray Irradiation | 113809 | DCM | DATETIME | N | Y | D |  |  |  |  | K | C |
Station AE Title | 110119 | DCM | TEXT | N | Y | X |  | K |  |  |  |  |
ST Elevation Onset DateTime | 122173 | DCM | DATETIME | N | Y | X |  |  |  |  | K | C |
Stop DateTime | 397898000 | SCT | DATETIME | N | Y | D |  |  |  |  | K | C |
Stress Protocol | 109056 | DCM | TEXT | N | Y | X |  |  |  |  |  |  | C
Study Date | 111060 | DCM | DATE | N | Y | X/D |  |  |  |  | K | C |
Study Instance UID | 110180 | DCM | UIDREF | N | Y | D | K |  |  |  |  |  |
Study Time | 111061 | DCM | TIME | N | Y | X/D |  |  |  |  | K | C |
Subject Age | 121033 | DCM | NUM | N | Y | X |  |  |  | K |  |  |
Subject Birth Date | 121031 | DCM | DATE | N | Y | X |  |  |  |  |  |  |
Subject ID | 121030 | DCM | TEXT | N | Y | X/D |  |  |  |  |  |  |
Subject Name | 121029 | DCM | PNAME | N | Y | D |  |  |  |  |  |  |
Subject Sex | 121032 | DCM | CODE | N | Y | X |  |  |  | K |  |  |
Subject Time Point Identifier | 126070 | DCM | TEXT | N | Y | X |  |  |  |  |  |  | C
Subject UID | 121028 | DCM | UIDREF | N | Y | X | K |  |  |  |  |  |
Summary | 121111 | DCM | TEXT | N | Y | X |  |  |  |  |  |  | C
Supporting Information | 112359 | DCM | COMPOSITE | N | Y | X | K |  |  |  |  |  |
Time Point | C2348792 | UMLS | TEXT | N | Y | X/D |  |  |  |  |  |  | C
Tracking Unique Identifier | 112040 | DCM | UIDREF | N | Y | D | K |  |  |  |  |  |
Unique Device Identifier | 74711-3 | LN | TEXT | N | Y | X |  | K |  |  |  |  |
Unique Device Identifiers | 121000 | DCM | CONTAINER | N | Y | X |  | K |  |  |  |  |
User Selected Fiducial | 112356 | DCM | UIDREF | N | Y | D | K |  |  |  |  |  |
Waveform Acquired | 121143 | DCM | WAVEFORM | N | Y | D | K |  |  |  |  |  |
X-Ray Attenuator Model Data | 128470 | DCM | COMPOSITE | N | Y | X | K |  |  |  |  |  |
X-Ray Attenuator Model Data | 128470 | DCM | IMAGE | N | Y | X | K |  |  |  |  |  |
X-Ray Attenuator Model Data | 128470 | DCM | UIDREF | N | Y | X | K |  |  |  |  |  |
X-Ray Radiation Dose Report | 113701 | DCM | COMPOSITE | N | Y | X | K |  |  |  |  |  |

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DICOM PS3.15 2020d - Security and System Management Profiles