DICOM PS3.20 2019b - Imaging Reports using HL7 Clinical Document Architecture

10.2 Procedural Medication

Template ID

1.2.840.10008.9.13

Name

Procedural Medication

Effective Date

2015/03/24

Version Label

DICOM-20150324

Status

Active

Description

Procedural medication describes a substance administration that has actually occurred prior to or during a procedure (e.g., imaging contrast/agents, anti-histamines, anti-anxiety, beta blockers to control heart rate during procedure, etc.).

Classification

CDA Entry Level

Relationships

Included in 9.3 Imaging Procedure Description

Context

parent node

Open/Closed

Open

Revision History

DICOM-20150324: Initial version

Business Name

Nest Level

Element/​Attribute

Card

Elem/Attr Conf

Data Type

Value Conf

Value

Subsidiary Template

Procedural​Medication[*] or Contrast[*]

substance​Administration

1..1

SHALL

@

@classCode

1..1

SHALL

CS

SHALL

SBADM

@

@moodCode

1..1

SHALL

CS

SHALL

EVN

>

template​Id

1..1

SHALL

II

>@

@root

1..1

SHALL

UID

SHALL

1.2.840.10008.9.13

>

id

1..1

SHALL

II

>

text

0..1

SHOULD

ED

Ref

>>

reference

0..1

SHOULD

URL (XML IDREF)

#contentRef

>

status​Code

1..1

SHALL

CS

SHALL

COMPLETED

Route

>

route​Code

0..1

MAY

CE

SHOULD CWE

ValueSet CID 11 “Route of Administration”

Dose

>

dose​Quantity

0..1

SHOULD

PQ

Dose​Unit

>@

@unit

0..1

SHOULD

SHALL CNE

ValueSet CID 82 “Units of Measurement”

Rate

>

rate​Quantity

0..1

MAY

PQ

Rate​Unit

>@

@unit

1..1

SHALL

CS

SHALL CNE

ValueSet CID 82 “Units of Measurement”

>

consumable

1..1

SHALL

>>

manufactured​Product

1..1

SHALL

>>@

@classCode

1..1

SHALL

CS

SHALL

MANU

>>>

manufactured​Material

1..1

SHALL

Coded​Product​Name

>>>>

code

1..1

SHALL

CE

Concept​Domain

Med​Contrast​Name

Free​Text​Product​Name

>>>>>

original Text

0..1

SHOULD

ED

10.2.1 Business Name Alias

This template defines a primary scoping business name "ProceduralMedication" and an alias "Contrast". This allows production logic to use either term, although the structure is identical.

Example 10.2-1. Procedural Medication activity example

<substanceAdministration classCode="SBADM" moodCode="EVN">
    <templateId root="1.2.840.10008.9.13"/>
    <id root="cdbd33f0-6cde-11db-9fe1-0800200c9a66"/>
    <text>
        <reference value="#med1"/>
    </text>
    <statusCode code="completed"/>
    <routeCode code="47625008" codeSystem="2.16.840.1.113883.6.96"
        codeSystemName="SNOMED CT" displayName="intravenous route"/>
    <doseQuantity value="100" unit="ml"/>
    <consumable>
        <manufacturedProduct classCode="MANU">
            <templateId root="2.16.840.1.113883.10.20.22.4.23"/>
            <id/>
            <manufacturedMaterial>
                <code code="412372002"
                        codeSystem="2.16.840.1.113883.6.96"
                        codeSystemName="SNOMED CT"
                        displayName="Meglumine Diatrizoate">
                    <originalText>
                        <reference value="#manmat1"/>
                    </originalText>
                    <translation code="3320"
                        codeSystem="2.16.840.1.113883.6.88" codeSystemName="RxNorm"
                        displayName="Diatrizoate Meglumine"/>
                </code>
            </manufacturedMaterial>
        </manufacturedProduct>
    </consumable>
</substanceAdministration>

DICOM PS3.20 2019b - Imaging Reports using HL7 Clinical Document Architecture