DICOM PS3.16 2019b - Content Mapping Resource

Imaging Agent Administration SR IOD Templates 

Planned Imaging Agent Administration SR IOD Templates 

The templates that comprise the Planned Imaging Agent Administration are interconnected as in Figure A-19.

Planned Imaging Agent Administration SR IOD Template Structure

Figure A-19. Planned Imaging Agent Administration SR IOD Template Structure


TID 11001 Planned Imaging Agent Administration

This template describes single administration plan.

This template defines a container (the root) with subsidiary content items, each of which corresponds to a single Imaging Agent Administration that is planned.

Note

If a planned SR is a modification of a previous planned SR, it can reference the previous plan using the Predecessor Documents Sequence (0040,A360).

Type:

Extensible

Order:

Non-Significant

Root:

Yes

Table TID 11001. Planned Imaging Agent Administration

NL

Rel with Parent

VT

Concept Name

VM

Req Type

Condition

Value Set Constraint

1

CONTAINER

EV (130226, DCM, "Planned Imaging Agent Administration")

1

M

2

>

HAS CONCEPT MOD

INCLUDE

DTID 1204 “Language of Content Item and Descendants”

1

U

3

>

HAS OBS CONTEXT

INCLUDE

DTID 1002 “Observer Context”

1-n

M

4

>

HAS OBS CONTEXT

INCLUDE

DTID 1005 “Procedure Context”

1

M

5

>

CONTAINS

INCLUDE

DTID 8131 “Medications and Mixture Medications”

1-n

U

$DrugAdministered = DCID 65 “Pre-medication For Imaging Agent Administration”

6

>

CONTAINS

INCLUDE

DTID 10024 “Imaging Agent Administration Patient Characteristics”

1

U

7

>

CONTAINS

INCLUDE

DTID 11002 “Imaging Agent Information”

1-n

M

8

>

CONTAINS

TEXT

EV (121106, DCM, "Comment")

1

U

9

>

CONTAINS

INCLUDE

DTID 11005 “Imaging Agent Administration Consumable”

1-n

U

10

>

CONTAINS

INCLUDE

DTID 11006 “Imaging Agent Administration Steps”

1

M


Content Item Descriptions

Row 3

Author of the plan.

Row 5

Describes medications administered prior to the procedure. E.g., for contrast reaction prophylaxis.

Not intended for pharmaceutical stress agents.

Row 8

General comments about the planned Imaging Agent administration. It is intended for such things as a summary of the content of the plan, additional instructions related to administration of the plan, and concepts that cannot be expressed by structured features of the plan.

Row 9

The consumables that would be needed to execute the plan. e.g., a catheter of a particular size.

TID 11002 Imaging Agent Information

This template describes an Imaging Agent which may be a single component or a mix of multiple components used in a single syringe or pump.

Type:

Extensible

Order:

Non-Significant

Root:

No

Table TID 11002. Imaging Agent Information

NL

Rel with Parent

VT

Concept Name

VM

Req Type

Condition

Value Set Constraint

1

CONTAINER

EV (130183, DCM, "Imaging Agent Information")

1

M

2

>

CONTAINS

TEXT

EV (130254, DCM, "Imaging Agent Identifier")

1

M

3

>

CONTAINS

CODE

EV (130187, DCM, "Imaging Agent Warmed")

1

M

DCID 230 “Yes-No”

4

>

CONTAINS

CONTAINER

EV (130191, DCM, "Imaging Agent Component Usage")

1-n

M

5

>>

CONTAINS

INCLUDE

DTID 11004 “Imaging Agent Component”

1

M

6

>>

CONTAINS

NUM

EV (130239, DCM, "Component Volume")

1

MC

IF 2 or more items of Row 4 are present

UNITS (ml, UCUM, "ml")

7

>

CONTAINS

NUM

EV (130228, DCM, "Contrast Volume Limit")

1

UC

IFF root Concept Name Code Sequence (130226, DCM, "Planned Imaging Agent Administration")

UNITS EV (ml, UCUM, "ml")


Content Item Descriptions

Row 2

Uniquely, within the scope of the root container, identifies the Imaging Agent contained in a syringe or pump.

Row 4

A single Imaging Agent component, or a mixture of multiple Imaging Agent components, used to build a custom mixture of contrast agent, filled in a single syringe or pump.

For Imaging Agents that are not a mixture, a single instance of this row defines the Imaging Agent component.

Row 6

Estimated volume of the Imaging Agent component.

TID 11003 Imaging Agent Administration Syringe/Pump Phase Activity

This template describes a single Syringe/Pump activity as part of the single imaging administration phase. A phase activity is the lowest level of the Imaging Agent delivery model.

Type:

Extensible

Order:

Non-Significant

Root:

No

Table TID 11003. Imaging Agent Administration Syringe/Pump Phase Activity

NL

Rel with Parent

VT

Concept Name

VM

Req Type

Condition

Value Set Constraint

1

CONTAINER

EV (130237, DCM, "Imaging Agent Administration Syringe/Pump Phase Activity")

1

M

2

>

CONTAINS

TEXT

EV (130255, DCM, "Referenced Imaging Agent Identifier")

1

M

Shall be a value of Row 2 in TID 11002.

3

>

CONTAINS

NUM

EV (122091, DCM, "Volume Administered")

1

M

UNITS = EV (ml, UCUM, "ml")

4

>

CONTAINS

NUM

EV (130208, DCM, "Starting Flow Rate of Administration")

1

M

UNITS = EV (ml/s, UCUM "ml/s")

5

>

CONTAINS

NUM

EV (130209, DCM, "Ending Flow Rate of administration")

1

MC

IF Row 7 = (130253, DCM, "Linear Curve")

UNITS = EV (ml/s, UCUM "ml/s")

6

>

CONTAINS

NUM

EV (130207, DCM, "Rise Time")

1

UC

IF root Concept Name Code Sequence = (130227, DCM, "Performed Imaging Agent Administration")

UNITS = EV (s, UCUM, "s")

7

>

CONTAINS

CODE

EV (130210, DCM, "Bolus Shaping Curve")

1

U

DCID 73 “Bolus Shaping Curves”

8

>>

HAS PROPERTIES

TEXT

EV (111002, DCM, "Algorithm Parameters")

1-n

U

9

>

CONTAINS

NUM

EV (130244, DCM, "Peak Flow Rate in Phase Activity")

1

MC

IF TID 11007 Row 4 = (130173, DCM, "Automated Administration")

AND

IFF root Concept Name Code Sequence = (130227, DCM, "Performed Imaging Agent Administration")

UNITS = EV (ml/s, UCUM "ml/s")

10

>

CONTAINS

NUM

EV (130245, DCM, "Peak Pressure in Phase Activity")

1

MC

IF Row 4 = (130173, DCM, "Automated Administration")

AND

IFF root Concept Name Code Sequence = (130227, DCM, "Performed Imaging Agent Administration")

UNITS = EV (kPa, UCUM "kPa")

11

>

CONTAINS

NUM

EV (130205, DCM, "Initial Volume of Imaging Agent in Container")

1

UC

IFF root Concept Name Code Sequence = (130227, DCM, "Performed Imaging Agent Administration")

UNITS = EV (ml, UCUM, "ml")

12

>

CONTAINS

NUM

EV (130206, DCM, "Residual Volume of Imaging Agent in Container")

1

UC

IFF root Concept Name Code Sequence = (130227, DCM, "Performed Imaging Agent Administration")

UNITS = EV (ml, UCUM, "ml")

13

>

CONTAINS

DATETIME

EV (111526, DCM, "DateTime Started"

1

MC

IFF root Concept Name Code Sequence = (130227, DCM, "Performed Imaging Agent Administration")

14

>

CONTAINS

NUM

EV (C0449238, UMLS, "Duration")

1

MC

IF root Concept Name Code Sequence = (130227, DCM, "Performed Imaging Agent Administration")

UNITS = EV (s, UCUM, "s")


Content Item Descriptions

Row 3

Volume administered by this syringe or pump.

Row 7

Shape of the flow rate from the beginning rate to the end rate of the administration.

This will typically be a vendor specific code. The code meaning of the concept name should describe the type and intent of the curve.

Row 8

Any parameters used to generate the curve defined in Row 7.

Row 9

Peak value of the flow rate of this syringe or pump activity.

Row 10

Peak value of the pressure of this syringe or pump activity.

Row 13

Datetime this individual syringe or pump activity actually started.

Row 14

Duration of this individual syringe or pump activity.

TID 11004 Imaging Agent Component

This template describes the Imaging Agent component. The brand and packaging information can be referenced under Section TID 11005 Imaging Agent Administration Consumable.

Type:

Extensible

Order:

Non-Significant

Root:

No

Table TID 11004. Imaging Agent Component

NL

Rel with Parent

VT

Concept Name

VM

Req Type

Condition

Value Set Constraint

1

CONTAINER

EV (130238, DCM, "Imaging Agent Component")

1

M

2

>

CONTAINS

CODE

EV (122083, DCM, "Drug administered")

1

M

DCID 12 “Radiographic Contrast Agent”

DCID 3204 “Stress Agents”

DCID 70 “Flush”

DCID 66 “Medication For Imaging Agent Administration”

3

>

CONTAINS

CODE

EV (127489000, SCT, "Active Ingredient")

1

U

DCID 13 “Radiographic Contrast Agent Ingredient”

4

>

CONTAINS

CODE

EV (113510, DCM, "Drug Product Identifier")

1

U

5

>

CONTAINS

NUM

EV (122093, "DCM", "Concentration")

1

U

6

>

CONTAINS

NUM

EV (282258000, SCT, "Molarity")

1

U

UNITS = EV (mmol/l, UCUM, "mmol/l")

7

>

CONTAINS

CODE

EV (56953008, SCT, "Osmolality")

1

U

DCID 75 “Low-high-equal”

8

>

CONTAINS

NUM

EV (126380, DCM, "Contrast Longitudinal Relaxivity")

1

U

UNITS = EV (l/mmol/s, UCUM, "l/mmol/s")

9

>

CONTAINS

NUM

EV (130188, DCM, "Contrast Transverse Relaxivity")

1

U

UNITS = EV (l/mmol/s, UCUM, "l/mmol/s")

10

>

CONTAINS

NUM

EV (130184, DCM, "Osmolality at 37C")

1

U

UNITS = EV (mosm/kg, UCUM, "mosm/kg")

11

>

CONTAINS

NUM

EV (130185, DCM, "Osmolarity at 37C")

1

U

UNITS = EV (mmol/l UCUM, "mmol/l")

12

>

CONTAINS

NUM

EV (130186, DCM, "Viscosity at 37C")

1

U

13

>

CONTAINS

CODE

EV (130189, DCM, "Is Ionic")

1

U

DCID 231 “Yes-No Only”

14

>

CONTAINS

NUM

EV (130190, DCM, "Dosing Factor")

1

U

15

>

CONTAINS

CODE

EV (732935002, SCT, "Unit of Presentation")

1

M

DCID 68 “Imaging Agent Administration Pharmaceutical Unit of Presentation”

16

>

CONTAINS

NUM

EV (130221, DCM, "Imaging Agent Volume Per Unit of Presentation")

1

U

UNITS = EV (ml, UCUM, "ml")

17

>

CONTAINS

TEXT

EV (121147, DCM, "Billing Code")

1

U

18

>

CONTAINS

TEXT

EV (121145, DCM, "Description of Material")

1

U

19

>

CONTAINS

DATE

EV (C70854, NCIt, "Medical Product Expiration Date")

1

U

20

>

CONTAINS

TEXT

EV (C0947322, UMLS, "Manufacturer Name")

1

U

21

>

CONTAINS

TEXT

EV (111529, DCM, "Brand Name")

1

U

22

>

CONTAINS

TEXT

EV (130231, DCM, "Barcode Value")

1-n

UC

IFF root Concept Name Code Sequence = (130226, DCM, "Planned Imaging Agent Administration")

23

>

CONTAINS

TEXT

EV (130231, DCM, "Barcode Value")

1

UC

IFF root Concept Name Code Sequence = (130227, DCM, "Performed Imaging Agent Administration")

24

>

CONTAINS

TEXT

EV (121148, DCM, "Unit Serial Identifier")

1

U

25

>

CONTAINS

TEXT

EV (121149, DCM, "Lot Identifier")

1

U

26

>

CONTAINS

CODE

EV (128739, DCM, "UDI")

1

U


Content Item Descriptions

Row 3

The drug administered includes contrast agents, stress agents, flush and medication agents.

Row 5

Concentration of the active ingredient (Row 3). The units are not constrained but shall be represented as usual using UCUM.

Row 7

Osmolality relative to blood.

Row 8

Relaxivity at 37°C at B0 field strength.

Row 9

Relaxivity at 37°C at B0 field strength.

Row 12

The units are not constrained but shall be represented using UCUM.

Row 17

The billing codes for material used for Imaging Agent administration procedure. It does not include performance and interpretation of the imaging.

Row 20

Name of the manufacturer of the pharmaceutical.

Row 22, 23

The number from the barcode associated with the unit of presentation e.g., the individual bottle. Some examples for type of codes are UPC, EAN, GTIN, PZN, PPN. Multiple items are permitted for planned Imaging Agent administration since multiple container sizes may be allowed.

TID 11005 Imaging Agent Administration Consumable

This template describes a material or supply used in the course of an Imaging Agent administration procedure, other than the Imaging Agents themselves and the unit of presentation of the Imaging Agents if pre-filled. This includes such supplies as needles, tubing, cannulas, catheters, empty syringes. This template may describe reusable or disposable materials.

For the planned administration, these are the expected consumables. For the performed administration, this template describes what was actually used.

Type:

Extensible

Order:

Non-Significant

Root:

No

Table TID 11005. Imaging Agent Administration Consumable

NL

Rel with Parent

VT

Concept Name

VM

Req Type

Condition

Value Set Constraint

1

CONTAINER

EV (130222, DCM, "Imaging Agent Administration Consumable")

1

M

2

>

CONTAINS

CODE

EV (130223, DCM, "Imaging Agent Administration Consumable Type")

1

M

DCID 69 “Imaging Agent Administration Consumables”

3

>

CONTAINS

NUM

EV (121146, DCM, "Quantity of Material")

1

U

4

>>

CONTAINS

CODE

EV (130224, DCM, "Consumable is New"

1

M

DCID 230 “Yes-No”

5

>

CONTAINS

TEXT

EV (121147, DCM, "Billing Code")

1

U

6

>

CONTAINS

TEXT

EV (121145, DCM, "Description of Material")

1

U

7

>

CONTAINS

DATE

EV (C70854, NCIt, "Medical Product Expiration Date")

1

U

8

>

CONTAINS

NUM

EV (111467, DCM, "Needle Length")

1

U

IF Row 2 = (19923001, SCT, "Catheter")

UNITS = EV (mm, UCUM, "mm")

9

>

CONTAINS

NUM

EV (122319, DCM, "Catheter Size")

1

MC

IF Row 2 = (19923001, SCT, "Catheter")

AND

If Row 10 = (82449006, SCT, "Peripheral intravenous catheter")

UNITS = DCID 3510 “Catheter Size Units”

10

>

CONTAINS

CODE

EV (130257, DCM, "Consumable Catheter Type")

1

MC

IF Row 2 = (19923001, SCT, "Catheter")

DCID 74 “Imaging Agent Administration Consumable Catheter Type”

11

>

CONTAINS

TEXT

EV (C0947322, UMLS, "Manufacturer Name")

1

U

12

>

CONTAINS

TEXT

EV (111529, DCM, "Brand Name")

1

U

13

>

CONTAINS

TEXT

EV (130231, DCM, "Barcode Value")

1-n

UC

IFF root Concept Name Code Sequence = (130226, DCM, "Planned Imaging Agent Administration")

14

>

CONTAINS

TEXT

EV (130231, DCM, "Barcode Value")

1

UC

IFF root Concept Name Code Sequence = (130227, DCM, "Performed Imaging Agent Administration")

15

>

CONTAINS

TEXT

EV (121148, DCM, "Unit Serial Identifier")

1

U

16

>

CONTAINS

TEXT

EV (121149, DCM, "Lot Identifier")

1

U

17

>

CONTAINS

CODE

EV (128739, DCM, "UDI")

1

U


Content Item Descriptions

Row 3

Quantity of the Imaging Agent consumed or quantity of accessories or other consumables used.

Row 5

The billing codes for material used for Imaging Agent administration procedure. It does not include performance and interpretation of the imaging.

Row 11

Name of the manufacturer of the consumable.

Row 13,14

The number from the barcode associated with the unit of presentation e.g., the individual blister package. Some examples for type of codes are UPC, EAN, GTIN. Multiple items are permitted for planned Imaging Agent administration since multiple container sizes may be allowed.

TID 11006 Imaging Agent Administration Steps

This template provides detailed information on Imaging Agent Administration Steps. It consists of multiple administration steps; a step in turn consists of multiple administration phases.

Type:

Extensible

Order:

Non-Significant

Root:

No

Table TID 11006. Imaging Agent Administration Steps

NL

Rel with Parent

VT

Concept Name

VM

Req Type

Condition

Value Set Constraint

1

CONTAINER

EV (130192, DCM, "Imaging Agent Administration Steps")

1

M

2

>

CONTAINS

TEXT

EV (130200, DCM, "Imaging Agent Administration Steps Name")

1

M

3

>

CONTAINS

TEXT

EV (130199, DCM, "Imaging Agent Administration Steps Description")

1

U

4

>

CONTAINS

INCLUDE

DTID 11007 “Imaging Agent Administration Step”

1-n

U


TID 11007 Imaging Agent Administration Step

This template provides detailed information on an Imaging Agent Administration step. A step is part of a plan. Steps are usually distinguished from other steps because an operator's intervention is required between steps. Steps are also distinguished when they have different routes of administration. A step may consist of multiple phases.

Type:

Extensible

Order:

Non-Significant

Root:

No

Table TID 11007. Imaging Agent Administration Step

NL

Rel with Parent

VT

Concept Name

VM

Req Type

Condition

Value Set Constraint

1

CONTAINER

EV (130195, DCM, "Imaging Agent Administration Step")

1

M

2

>

CONTAINS

TEXT

EV (130196, DCM, "Imaging Agent Administration Step Identifier")

1

M

3

>

CONTAINS

UIDREF

EV (130246, DCM, "Imaging Agent Administration Performed Step UID")

1

MC

IFF root Concept Name Code Sequence = (130227, DCM, "Performed Imaging Agent Administration")

4

>

CONTAINS

CODE

EV (130181, DCM, "Administration Mode")

1

M

DCID 63 “Imaging Agent Administration Mode”

5

>

CONTAINS

CODE

EV (113874, DCM, "Person Role in Organization")

1-n

MC

IF Row 4 = (130174, DCM, "Manual Administration"

DCID 7450 “Person Roles”

6

>

CONTAINS

CODE

EV (130250, DCM, "Administration Step Type")

1

M

DCID 72 “Imaging Agent Administration Step Type”

7

>

CONTAINS

NUM

EV (130197, DCM, "Administration Delay")

1

U

UNITS = EV (s, UCUM, "s")

8

>

CONTAINS

NUM

EV (130198, DCM, "Scan Delay")

1

U

UNITS = EV (s, UCUM, "s")

9

>

CONTAINS

NUM

EV (130193, DCM, "Pressure Limit")

1

UC

IFF Row 4 = (130173, DCM, "Automated Administration")

UNITS = EV (kPa, UCUM, "kPa")

10

>

CONTAINS

CODE

EV (410675002, SCT, "Route of Administration")

1

M

DCID 11 “Route of Administration”

11

>>

HAS PROPERTIES

CODE

EV (272737002, SCT, "Site of")

1

MC

IF Row 10 equals(47625008, SCT, "Intravenous route")

OR

(12130007, SCT, "Intra-articular route")

DCID 3746 “Percutaneous Entry Site”

12

>>>

HAS CONCEPT MOD

CODE

EV (272741003, SCT, "Laterality")

1

MC

IF Row 11 has laterality

DCID 244 “Laterality”

13

>

CONTAINS

INCLUDE

DTID 11008 “Imaging Agent Administration Phase”

1-n

M

14

>

CONTAINS

INCLUDE

DTID 11023 “Imaging Agent Administration Graph”

1-n

UC

IFF root Concept Name Code Sequence = (130227, DCM, "Performed Imaging Agent Administration")

15

>

CONTAINS

NUM

EV (130219, DCM, "Number of Injector Heads")

1

U

16

>

CONTAINS

CODE

EV (130218, DCM, "Programmable Device")

1

U

DCID 231 “Yes-No Only”

17

>

CONTAINS

CONTAINER

EV (130172, DCM, "Manually triggered injection information")

1

UC

IF Row 4 = (130173, DCM, "Automated Administration")

AND

IFF root Concept Name Code Sequence = (130227, DCM, "Performed Imaging Agent Administration")

18

>>

CONTAINS

NUM

EV (130241, DCM, "Total Step Volume Administered")

1

M

UNITS = EV (ml, UCUM, "ml")

19

>>

CONTAINS

NUM

EV (130242, DCM, "Total number of manually triggered injections")

1

M


Content Item Descriptions

Row 14

For a multi- syringe/pump injector there will be one graph per syringe/pump system. This is only included in the performed administration because it is descriptive not prescriptive.

TID 11008 Imaging Agent Administration Phase

This template provides detailed information on Imaging Agent Administration Phase. A phase is part of the administration step and is not interrupted except under abnormal conditions.

Type:

Extensible

Order:

Non-Significant

Root:

No

Table TID 11008. Imaging Agent Administration Phase

NL

Rel with Parent

VT

Concept Name

VM

Req Type

Condition

Value Set Constraint

1

CONTAINER

EV (130202, DCM, "Imaging Agent Administration Phase")

1

M

2

>

CONTAINS

TEXT

EV (130203, DCM, "Imaging Agent Administration Phase Identifier")

1

M

3

>

CONTAINS

UIDREF

EV (130261, DCM, "Imaging Agent Administration Performed Phase UID")

1

MC

IFF root Concept Name Code Sequence = (130227, DCM, "Performed Imaging Agent Administration")

4

>

CONTAINS

CODE

EV (130204, DCM, "Imaging Agent Administration Phase Type")

1

MC

IF TID 11007 Row 4 = (130173, DCM, "Automated Administration")

DCID 62 “Imaging Agent Administration Phase Type”

5

>

CONTAINS

INCLUDE

DTID 11003 “Imaging Agent Administration Syringe/Pump Phase Activity”

1-n

MC

IF TID 11007 Row 4 = (130173, DCM, "Automated Administration")

6

>

CONTAINS

NUM

EV (130240, DCM, "Total Phase Volume Administered")

1

M

UNITS = EV (ml, UCUM, "ml")

7

>

CONTAINS

DATETIME

EV (111526, DCM, "DateTime Started"

1

MC

IFF root Concept Name Code Sequence = (130227, DCM, "Performed Imaging Agent Administration")

8

>

CONTAINS

NUM

EV (C0449238, UMLS, "Duration")

1

MC

IF root Concept Name Code Sequence = (130227, DCM, "Performed Imaging Agent Administration")

UNITS = EV (s, UCUM, "s")


Content Item Descriptions

Row 2

Imaging Agent Administration Phase Identifier is specified as numeric text string, and shall be treated as the ordinal of the recorded administration phase within an administration step (i.e., "1" for the first phase, "2" for the second, etc.).

Row 5

There will be one item for each syringe / pump activity that is administering an agent during this phase.

Row 7

Datetime that the earliest syringe/pump starts administering.

Row 8

Total duration of this phase starting from where the earliest syringe/pump starts administering until the last syringe/pump ends administering.

DICOM PS3.16 2019b - Content Mapping Resource