SCT Code for Neoplasm Malignant Primary (Tumor) possibly outdated

[LennyN95]

We currently use the code 86049000 for the segmentation of primary malignant neoplasms.
According to the SCT browser, this code is marked as "OUTDATED".

@fedorov this is the code we use in IDC:

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I'd like to start the discussion on how we best proceed w.r.t. MHub:

• What does "OUTDATED" actually mean for SCT codes?
• What are the consequences of using an outdated code?
• Do we keep using the code to maintain consistency with the segmentations in IDC?
• Do we need to switch to an updated code?
• Which code would be an appropriate candidate?

[dclunie]

SNOMED has notified DICOM about the recent (JULY 2023 INT release) inactivation of:

86049000 | Neoplasm, malignant (primary)

I have discussed this with them and will probably end up replacing it in DICOM with:

372087000 | Primary malignant neoplasm (disorder)

in a forthcoming CP, which will become available in November (I will link it here when ready).

[LennyN95]

which will become available in November

Checking back if we have any update here :)?

[dclunie]

The DICOM CP 2358 to fix this is currently out for ballot, which means that it will be final text later this month. I don't expect there will be any opposition to using 372087000 as the CP proposes.