MMMM Performed Imaging Agent Administration Structured Report (Informative) (Current)
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MMMM Performed Imaging Agent Administration Structured Report (Informative)

This Annex describes the use of Imaging Agent Administration Structured Report objects.

MMMM.1 Performed Imaging Agent Administration Structured Report

This Section contains examples for use cases involving contrast imaging of a single patient in CT system.

In the basic use case:

Patient was scheduled by RIS system with a study UID and accession number.
An Injection procedure for the study was described by an IAASR plan object.
Patient suffers from insufficient renal function, so intravenous (i.v.) contrast agents were dissolved to achieve necessary volumes.
Before i.v. contrast was administered a 10 mg Prednisone injection was given to the patient.
After connecting the patient to the injection system, a patency test injection was done. (The injection system does not record detailed graph information of this.)
"Keep vein open" was activated at a rate of 1 ml per minute.
The Requested Procedure was a CT abdominal study with both i.v. and oral contrast administration.
- Oral contrast media OralContrastofin was diluted to 25:1000 as given in the drug usage description. 1000 ml of oral contrast media was given 2 hours in advance of the procedure. (Preparation of 1000 ml solution uses 24.4 ml contrast and 975.6 ml water)
- Test bolus and Imaging injection phase was done at 3 ml/s and were followed by a 30 ml flush at the same flow rate.
- Before the diagnostic injection, a test bolus of 10 ml undiluted ContrastStuff 370 contrast was given, in order to determine scan delay time for the diagnostic injection.
- Finally 88 ml i.v. contrast media ContrastStuff 370 (corresponding to 0.5 g iodine / kg body weight for a 65 kg person) was given during imaging. Due to the high viscosity of the contrast and renal insufficiency of the patient, ContrastStuff 370 was diluted 1:1 with 88 ml flush on the fly during injection.

The Content Tree structure would resemble:

Node	Code Meaning of Concept Name	Code Meaning or Example Value	Reference to TID/ CID/ Comments
1	Performed Imaging Agent Administration		TID 11020
1.1	Language of Content Item and Descendants	English	TID 11020 TID 1204
1.1.1	Country of Language	United States	TID 1204
1.2	Observer Type	Person	TID 1002 CID 270
1.3	Person Observer Name	Doe^Jane	TID 1003
1.4	Observer Type	Device	TID 1002 Since Observer Type is Device
1.5	Device Observer UID	1.2.3.4.47110815.1	TID 1004
1.6	Device Observer Manufacturer	Injector Corporation	TID 1004
1.7	Device Observer Model Name	XYZ INJECTOR	TID 1004
1.8	Device Observer Serial Number	1234567890	TID 1004
1.9	Station AE Title	XYZINJAET	TID 1004
1.10	Procedure Study Instance UID	1.2.3.4.47110815.2	TID 1005 Defaults to Study Instance UID (0020,000D) of General Study Module
1.11	Accession Number	123456789	TID 1005 Defaults to (0008,0050)
1.12	Medication given		TID 8131
1.12.1	Route of administration	(47625008, SCT, "Intravenous route")	TID 8131 CID 11
1.12.2	Mixture		TID 8131
1.12.2.1	Drug administered	Prednisone	TID 8131 row 7
1.12.2..2	Medication Type	(130259, DCM, "Contrast Reaction Prophylactic Agent")	TID 8131 CID 76
1.12.2.3	Dosage	2 ml	TID 8131 CID 82 (Units)
1.12.2.4	Concentration	5 mg/ml	TID 8131 CID 82 (Units)
1.13	Patient Characteristics		TID 10024
1.13.1	Patient State	(414417004, SCT, "History of renal failure")	TID 10024 CID 64
1.13.2	Subject Age	25	TID 10024 CID 7456 UNITS=EV (a, UCUM, "year")
1.13.3	Subject Sex	(M, DCM, "Male")	TID 10024 CID 7455
1.13.4	Patient Height	175	TID 10024 UNITS=EV (cm, UCUM, "cm")
1.13.5	Patient Weight	65	TID 10024 UNITS=EV (kg, UCUM, "kg")
1.13.6	Body Mass Index	21.23	TID 10024 UNITS=EV (kg/m2, UCUM, "kg/m2")
1.13.6.1	Equation	(122265, DCM, "BMI=Wt/Ht^2")	TID 10024
1.13.7	Serum Creatinine	2.7	TID 10024 UNITS=DT (mg/dl, UCUM, "mg/dl")
1.13.8	Glomerular Filtration Rate	38	TID 10024 UNITS=DT (ml/min{1.73_m2}, UCUM, "ml/min/1.73m2")
1.13.8.1	Measurement Method	(113570, DCM, "Cockroft-Gault Formula estimation of GFR")	TID 10024 CID 10047
1.13.8.2	Equivalent meaning of concept name	(33914-3, LN, "Glomerular Filtration Rate (MDRD)")	TID 10024 CID 10046
1.14	Imaging Agent Information		TID 11002
1.14.1	Imaging Agent Identifier	INJECTOR_CONTRAST_AGENT	TID 11002
1.14.2	Imaging Agent Warmed	(373066001, SCT, "Yes")	TID 11002 CID 231
1.14.3	Imaging Agent Component Usage		TID 11002
1.14.3.1	Imaging Agent Component		TID 11004
1.14.3.1.1	Drug administered	(353903006, SCT, "Iopromide")	TID 11004 CID 12
1.14.3.1.2	Active Ingredient	(44588005, SCT, "Iodine")	TID 11004 CID 13
1.14.3.1.3	Concentration	370	TID 11004 UNITS = EV (mg/ml, "UCUM", "mg/ml")
1.14.3.1.4	Osmolality at 37C	770	TID 11004 UNITS=EV (mosm/kg, UCUM, "mosm/kg")
1.14.3.1.5	Viscosity at 37C	10	TID 11004 UNITS = EV (cP, "UCUM", "centi Poise")
1.14.3.1.6	Unit of Presentation	(68276009, SCT, "Bottle")	TID 11004 CID 68
1.14.3.1.7	Imaging Agent Volume Per Unit of Presentation	500	TID 11004 UNITS=EV (ml, UCUM, "ml")
1.14.3.1.8	Medical Product Expiration Date	20190301	TID 11004
1.14.3.1.9	Manufacturer Name	ContrastMed Corp	TID 11004
1.14.3.1.10	Brand Name	ContrastStuff 370	TID 11004
1.14.3.1.11	Barcode Value	-07363935	TID 11004 PZN number
1.14.3.1.12	Lot Identifier	4B17010	TID 11004
1.14.3.2	Component Volume	97.84	TID 11002 UNITS=EV (ml, UCUM, "ml")
1.15	Imaging Agent Information		TID 11002
1.15.1	Imaging Agent Identifier	INJECTOR_FLUSH_AGENT	TID 11002
1.15.2	Imaging Agent Warmed	(373066001, SCT, "Yes")	TID 11002 CID 231
1.15.3	Imaging Agent Component Usage		TID 11002
1.15.3.1	Imaging Agent Component		TID 11004
1.15.3.1.1	Drug administered	(262003004, SCT, "Saline")	TID 11004 CID 70
1.15.3.1.2	Unit of Presentation	(68276009, SCT, "Bottle")	TID 11004 CID 68
1.15.3.1.3	Imaging Agent Volume Per Unit of Presentation	500	TID 11004 UNITS=EV (ml, UCUM, "ml")
1.15.3.1.4	Manufacturer Name	Saline Water Corp	TID 11004
1.15.3.1.5	Brand Name	Isotonic Natriumchloride Solution	TID 11004
1.15.3.1.6	Barcode Value	-00854309	TID 11004 PZN number
1.15.3.1.7	Lot Identifier	13CQ4857	TID 11004
1.15.3.2	Component Volume	200	TID 11002 UNITS=EV (ml, UCUM, "ml")
1.16	Imaging Agent Information		TID 11002
1.16.1	Imaging Agent Identifier	ORAL_CONTRAST_AGENT	TID 11002
1.16.2	Imaging Agent Warmed	(373067005, SCT, "No")	TID 11002 CID 231
1.16.3	Imaging Agent Component Usage		TID 11002
1.16.3.1	Imaging Agent Component		TID 11004
1.16.3.1.1	Drug administered	(47192000, SCT, "Meglumine diatrizoate")	TID 11004 CID 12
1.16.3.1.2	Active Ingredient	(44588005, SCT, "Iodine")	TID 11004 CID 13
1.16.3.1.3	Concentration	370	TID 11004 UNITS = EV (mg/ml, "UCUM", "mg/ml")
1.16.3.1.4	Viscosity at 37C	8.9	TID 11004 UNITS = EV (cP, "UCUM", "centiPoise")
1.16.3.1.5	Unit of Presentation	(68276009, SCT, "Bottle")	TID 11004 CID 68
1.16.3.1.6	Imaging Agent Volume Per Unit of Presentation	100	TID 11004 UNITS=EV (ml, UCUM, "ml")
1.16.3.1.7	Manufacturer Name	ContrastMed Corp	TID 11004
1.16.3.1.8	Brand Name	OralContrastofin	TID 11004
1.16.3.1.9	Barcode Value	-00408497	TID 11004 PZN number
1.16.3.1.10	Lot Identifier	6X14325	TID 11004
1.16.3.2	Component Volume	24.4	TID 11002 UNITS=EV (ml, UCUM, "ml")
1.16.4	Imaging Agent Component Usage		TID 11002
1.16.4.1	Imaging Agent Component		TID 11002 TID 11004
1.16.4.1.1	Drug administered	(11713004, SCT, "Water")	TID 11004 CID 12
1.16.4.1.2	Unit of Presentation	(68276009, SCT, "Bottle")	TID 11004 CID 68
1.16.4.1.3	Imaging Agent Volume Per Unit of Presentation	1000	TID 11004 UNITS=EV (ml, UCUM, "ml")
1.16.4.1.4	Manufacturer Name	Fresh Water Corp	TID 11004
1.16.4.1.5	Brand Name	BestWaterEver	TID 11004
1.16.4.1.6	Barcode Value	-4801694	TID 11004 PZN number
1.16.4.2	Component Volume	975.6	TID 11002 UNITS=EV (ml, UCUM, "ml")
1.17	Summary	Administered 1000 ml of Oral Contrastofin via oral route and 88ml of ContrastStuff 370 via intravenous route in Left Arm Vein.	TID 11020
1.18	Imaging Agent Administration Consumable		TID 11005
1.18.1	Imaging Agent Administration Consumable Type	(467354001, SCT, "Contrast medium injection system manifold kit")	TID 11005 CID 69
1.18.2	Quantity of Material	1	TID 11005
1.18.2.1	Consumable is New	(373066001, SCT, "Yes")	TID 11005 CID 231
1.18.3	Billing Code	317627C	TID 11005
1.18.4	Medical Product Expiration Date	20221031	TID 11005
1.18.5	Manufacturer Name	Injector Corp	TID 11005
1.18.6	Barcode Value	(01) 14250299676272(19)13111501(17)181000	TID 11005
1.18.7	Lot Identifier	13111501	TID 11005
1.19	Imaging Agent Administration Consumable		TID 11005
1.19.1	Imaging Agent Administration Consumable Type	(79068005, SCT, "Needle")	TID 11005 CID 69
1.19.2	Quantity of Material	1	TID 11005
1.19.2.1	Consumable is New	(373066001, SCT, "Yes")	TID 11005 CID 231
1.19.3	Billing Code	206342	TID 11005
1.19.4	Medical Product Expiration Date	20181130	TID 11005
1.19.5	Manufacturer Name	Dr. Poke Inc.	TID 11005
1.19.6	Brand Name	Sterile Standard, Green	TID 11005
1.20	Imaging Agent Administration Consumable		TID 11005
1.20.1	Imaging Agent Administration Consumable Type	(68276009, SCT, "Bottle")	TID 11005 CID 69
1.20.2	Quantity of Material	1	TID 11005
1.20.2.1	Consumable is New	(373066001, SCT, "Yes")	TID 11005 CID 231
1.20.3	Billing Code	47110815	TID 11005
1.20.4	Medical Product Expiration Date	20191001	TID 11005
1.21	Imaging Agent Administration Steps		TID 11006
1.21.1	Imaging Agent Administration Steps Name	Abdomen intestinal and vessel contrast processing	TID 11006
1.21.2	Imaging Agent Administration Steps Description	This contrast processing is given by an oral administration of first 2 hours in advance of the procedure. I.v. administration is done with a pre-inject to determine scan delay time. Patent test injection applies as a default procedure.	TID 11006
1.21.3	Imaging Agent Administration Step		TID 11007
1.21.3.1.	Imaging Agent Administration Step Identifier	ORAL_STEP_1	TID 11007
1.21.3.2	Imaging Agent Administration Performed Step UID	1.2.3.4.47110815.3	TID 11007 Since "Root Concept Name Code Sequence" is "Performed Imaging Agent Administration"
1.21.3.3	Administration Mode	(130174, DCM, "Manual Administration")	TID 11007 CID 63
1.21.3.4	Person Role in Organization	(121025, DCM, "Patient")	TID 11007 CID 7450 Since "Administration Mode" is "Manual Administration", condition holds (self-administration)
1.21.3.5	Administration Step Type	(130249, DCM, "Diagnostic Administration")	TID 11007 CID 72
1.21.3.6	Scan Delay	7200	TID 11007 UNITS = EV (s, UCUM, "s")
1.21.3.7	Route of Administration	(26643006, SCT, "Oral route")	TID 11007 CID 11
1.21.3.8	Imaging Agent Administration Phase		TID 11008
1.21.3.8.1	Imaging Agent Administration Phase Identifier	ORAL_PHASE	TID 11008
1.21.3.8.2	Imaging Agent Administration Performed Phase UID	1.2.3.4.47110815.4	TID 11008 Since "Root Concept Name Code Sequence" is "Performed Imaging Agent Administration"
1.21.3.8.3	Imaging Agent Administration Activity		TID 11003
1.21.3.8.3.1	Referenced Imaging Agent Identifier	ORAL_CONTRAST_AGENT	TID 11003 Value of 1.16.1
1.21.3.8.3.2	Volume Administered	1000	TID 11003 UNITS = EV (ml, UCUM, "ml") Same value as 1.21.3.8.4
1.21.3.8.3.3	DateTime Started	20181012101531	TID 11003 Since root Concept Name is "Performed Imaging Agent Administration"
1.21.3.8.3.4	Duration	2700	TID 11003 UNITS = EV (s, UCUM, "s") Since root Concept Name is "Performed Imaging Agent Administration"
1.21.3.8.4	Total Phase Volume Administered	1000	TID 11008 UNITS = EV (ml, UCUM, "ml") Same value as 1.21.3.8.3.2
1.21.3.8.5	DateTime Started	20181012101531	TID 11008 Since "Root Concept Name Code Sequence" is "Performed Imaging Agent Administration"
1.21.3.8.6	Duration	2700	TID 11008 UNITS = EV (s, UCUM, "s") Since "Root Concept Name Code Sequence" is "Performed Imaging Agent Administration"
1.21.4	Imaging Agent Administration Step		TID 11007
1.21.4.1	Imaging Agent Administration Step Identifier	EXTRAVASATION_TEST_STEP_2	TID 11007
1.21.4.2	Imaging Agent Administration Performed Step UID	1.2.3.4.47110815.5	TID 11007 Since "Root Concept Name Code Sequence" is "Performed Imaging Agent Administration"
1.21.4.3	Administration Mode	(130173, DCM, "Automated Administration")	TID 11007 CID 63
1.21.4.4	Administration Step Type	(130247, DCM, "Patency Test Injection")	TID 11007 CID 72
1.21.4.5	Route of Administration	(47625008, SCT, "Intravenous route")	TID 11007 CID 11
1.21.4.5.1	Site of	(261459001, SCT, "Via arm vein")	TID 11007 CID 3746 Since "Route of Administration" is "Intravenous route"
1.21.4.5.1.1	Laterality	(7771000, SCT, "Left")	TID 11007 CID 244 Since "Site of" is "Via arm vein"
1.21.4.6	Imaging Agent Administration Phase		TID 11008
1.21.4.6.1	Imaging Agent Administration Phase Identifier	EXTRAVASATION_TEST_PHASE	TID 11008
1.21.4.6.2	Imaging Agent Administration Performed Phase UID	1.2.3.4.47110815.6	TID 11008 Since "Root Concept Name Code Sequence" is "Performed Imaging Agent Administration"
1.21.4.6.3	Imaging Agent Administration Phase Type	(130171, DCM, "Automatic with Manual Inject Phase")	TID 11008 CID 62 Since 1.21.4.3 (Administration Mode) is "Automated Administration"
1.21.4.6.4	Imaging Agent Administration Activity		TID 11003
1.21.4.6.4.1	Referenced Imaging Agent Identifier	INJECTOR_FLUSH_AGENT	TID 11003 Value of 1.15.1
1.21.4.6.4.2	Volume Administered	30	TID 11003 UNITS = EV (ml, UCUM, "ml") Same value as 1.21.4.6.5 and 1.21.4.9.1
1.21.4.6.4.3	Starting Flow Rate of administration	3	TID 11003 UNITS = EV (ml/s, UCUM "ml/s")
1.21.4.6.4.4	Peak Flow Rate in Phase Activity	3	TID 11003 UNITS = EV (ml/s, UCUM "ml/s") Since 1.21.4.3 (Administration Mode) is "Automated Administration" and "Root Concept Name Code Sequence" is "Performed Imaging Agent Administration"
1.21.4.6.4.5	Peak Pressure in Phase Activity	2.5	TID 11003 UNITS = EV (kPa, UCUM "kPa") Since 1.21.4.3 (Administration Mode) is "Automated Administration" and "Root Concept Name Code Sequence" is "Performed Imaging Agent Administration"
1.21.4.6.4.6	Initial Volume of Imaging Agent in Container	197	TID 11003 UNITS = EV (ml, UCUM, "ml") Since "Root Concept Name Code Sequence" is "Performed Imaging Agent Administration"
1.21.4.6.4.7	Residual Volume of Imaging Agent in Container	167	TID 11003 UNITS = EV (ml, UCUM, "ml") Since "Root Concept Name Code Sequence" is "Performed Imaging Agent Administration"
1.21.4.6.4.8	DateTime Started	20181012121537	TID 11003 Since root Concept Name is "Performed Imaging Agent Administration"
1.21.4.6.4.9	Duration	10	TID 11003 UNITS = EV (s, UCUM, "s") Since root Concept Name is "Performed Imaging Agent Administration"
1.21.4.6.5	Total Phase Volume Administered	30	TID 11008 UNITS = EV (ml, UCUM, "ml") In this case the same value as 1.21.4.6.4.2 and 1.21.4.9.1
1.21.4.6.6	DateTime Started	20181012121537	TID 11008 Since root Concept Name Code Sequence is "Performed Imaging Agent Administration"
1.21.4.6.7	Duration	10	TID 11008 UNITS = EV (s, UCUM, "s") Since root Concept Name Code Sequence is "Performed Imaging Agent Administration")
1.21.4.7	Number of Injector Heads	2	TID 11007
1.21.4.8	Programmable Device	(373066001, SCT, "Yes")	TID 11007 CID 231
1.21.4.9	Manually triggered injection information		TID 11007 Since 1.21.4.3 (Administration Mode) is "Automated Administration" and root Concept Name Code Sequence is "Performed Imaging Agent Administration"
1.21.4.9.1	Total Step Volume Administered	30	TID 11007 UNITS = EV (ml, UCUM, "ml") In this case the same value as 1.21.4.6.4.2 and 1.21.4.6.5
1.21.4.9.2	Total number of manually triggered injections	1	TID 11007
1.21.5	Imaging Agent Administration Step		TID 11007
1.21.5.1	Imaging Agent Administration Step Identifier	DELAY_ESTIMATE_STEP_3	TID 11007
1.21.5.2	Imaging Agent Administration Performed Step UID	1.2.3.4.47110815.7	TID 11007 Since "Root Concept Name Code Sequence" is "Performed Imaging Agent Administration"
1.21.5.3	Administration Mode	(130173, DCM, "Automated Administration")	TID 11007 CID 63
1.21.5.4	Administration Step Type	(130248, DCM, "Transit Time Test Injection")	TID 11007 CID 72
1.21.5.5	Pressure Limit	15	TID 11007 UNITS = EV (kPa, UCUM "kPa") Since 1.21.5.3 is "Automated Administration"
1.21.5.6	Route of Administration	(47625008, SCT, "Intravenous route")	TID 11007 CID 11
1.21.5.6.1	Site of	(261459001, SCT, "Via arm vein")	TID 11007 CID 3746 Since "Route of Administration" is "Intravenous route"
1.21.5.6.1.1	Laterality	(7771000, SCT, "Left")	TID 11007 CID 244 Since "Site of" is "Via arm vein"
1.21.5.7	Imaging Agent Administration Phase		TID 11008
1.21.5.7.1	Imaging Agent Administration Phase Identifier	DELAY_ESTIMATE_PHASE_1	TID 11008
1.21.5.7.2	Imaging Agent Administration Performed Phase UID	1.2.3.4.47110815.8	TID 11008 Since "Root Concept Name Code Sequence" is "Performed Imaging Agent Administration"
1.21.5.7.3	Imaging Agent Administration Phase Type	(130168, DCM, "Automatic Administration Phase")	TID 11008 CID 62 Since 1.21.5.3 is "Automated Administration"
1.21.5.7.4	Imaging Agent Administration Activity		TID 11003
1.21.5.7.4.1	Referenced Imaging Agent Identifier	INJECTOR_CONTRAST_AGENT	TID 11003 Value of 1.14.1
1.21.5.7.4.2	Volume Administered	10	TID 11003 UNITS = EV (ml, UCUM, "ml") Same value as 1.21.5.7.5
1.21.5.7.4.3	Starting Flow Rate of administration	3	TID 11003 UNITS = EV (ml/s, UCUM "ml/s")
1.21.5.7.4.4	Peak Flow Rate in Phase Activity	3	TID 11003 UNITS = EV (ml/s, UCUM "ml/s") Since 1.21.5.3 is "Automated Administration" and "Root Concept Name Code Sequence" is "Performed Imaging Agent Administration"
1.21.5.7.4.5	Peak Pressure in Phase Activity	2	TID 11003 UNITS = EV (kPa, UCUM "kPa") Since 1.21.5.3 is "Automated Administration" and "Root Concept Name Code Sequence" is "Performed Imaging Agent Administration"
1.21.5.7.4.6	Initial Volume of Imaging Agent in Container	195	TID 11003 UNITS = EV (ml, UCUM, "ml") Since "Root Concept Name Code Sequence" is "Performed Imaging Agent Administration"
1.21.5.7.4.7	Residual Volume of Imaging Agent in Container	185	TID 11003 UNITS = EV (ml, UCUM, "ml") Since "Root Concept Name Code Sequence" is "Performed Imaging Agent Administration"
1.21.5.7.4.8	DateTime Started	20181012121637	TID 11003 Since root Concept Name is "Performed Imaging Agent Administration"
1.21.5.7.4.9	Duration	3.3	TID 11003 UNITS = EV (s, UCUM, "s") Since root Concept Name is "Performed Imaging Agent Administration"
1.21.5.7.5	Total Phase Volume Administered	10	TID 11008 UNITS = EV (ml, UCUM, "ml") Same value as 1.21.5.7.4.2
1.21.5.7.6	DateTime Started	20181012121637	TID 11008 Since root Concept Name Code Sequence is "Performed Imaging Agent Administration"
1.21.5.7.7	Duration	3.3	TID 11008 UNITS = EV (s, UCUM, "s") Since root Concept Name Code Sequence is "Performed Imaging Agent Administration")
1.21.5.8	Imaging Agent Administration Phase		TID 11008
1.21.5.8.1	Imaging Agent Administration Phase Identifier	DELAY_ESTIMATE_PHASE_2	TID 11008
1.21.5.8.2	Imaging Agent Administration Performed Phase UID	1.2.3.4.47110815.9	TID 11008 Since "Root Concept Name Code Sequence" is "Performed Imaging Agent Administration"
1.21.5.8.3	Imaging Agent Administration Phase Type	(130168, DCM, "Automatic Administration Phase")	TID 11008 CID 62 Since 1.21.5.3 is "Automated Administration"
1.21.5.8.4	Imaging Agent Administration Activity		TID 11003
1.21.5.8.4.1	Referenced Imaging Agent Identifier	INJECTOR_FLUSH_AGENT	TID 11003 Value of 1.15.1
1.21.5.8.4.2	Volume Administered	30	TID 11003 UNITS = EV (ml, UCUM, "ml") Same value as 1.21.5.9.5
1.21.5.8.4.3	Starting Flow Rate of administration	3	TID 11003 UNITS = EV (ml/s, UCUM "ml/s")
1.21.5.8.4.4	Peak Flow Rate in Phase Activity	3	TID 11003 UNITS = EV (ml/s, UCUM "ml/s") Since 1.21.5.3 is "Automated Administration" and "Root Concept Name Code Sequence" is "Performed Imaging Agent Administration"
1.21.5.8.4.5	Peak Pressure in Phase Activity	5	TID 11003 UNITS = EV (kPa, UCUM "kPa") Since 1.21.5.3 is "Automated Administration" and "Root Concept Name Code Sequence" is "Performed Imaging Agent Administration"
1.21.5.8.4.6	Initial Volume of Imaging Agent in Container	166	TID 11003 UNITS = EV (ml, UCUM, "ml") Since "Root Concept Name Code Sequence" is "Performed Imaging Agent Administration"
1.21.5.8.4.7	Residual Volume of Imaging Agent in Container	136	TID 11003 UNITS = EV (ml, UCUM, "ml") Since "Root Concept Name Code Sequence" is "Performed Imaging Agent Administration"
1.21.5.8.4.8	DateTime Started	20181012121640.3	TID 11003 Since root Concept Name is "Performed Imaging Agent Administration"
1.21.5.8.4.9	Duration	10	TID 11003 UNITS = EV (s, UCUM, "s") Since root Concept Name is "Performed Imaging Agent Administration"
1.21.5.8.5	Total Phase Volume Administered	30	TID 11008 UNITS = EV (ml, UCUM, "ml") Same value as 1.21.5.9.4.2
1.21.5.8.6	DateTime Started	20181012121640.3	TID 11008 Since root Concept Name Code Sequence is "Performed Imaging Agent Administration"
1.21.5.8.7	Duration	10	TID 11008 UNITS = EV (s, UCUM, "s") Since root Concept Name Code Sequence is "Performed Imaging Agent Administration")
1.21.5.9	Imaging Agent Administration Graph		TID 11023
1.21.5.9.1	Referenced Imaging Agent Identifier	INJECTOR_CONTRAST_AGENT	TID 11023
1.21.5.9.2	Flow Rate vs time		TID 3990 Concept name is parameter $MeasurmentGraph
1.21.5.9.2.1	X-Concept	(130194, DCM, "Time after the start of injection")	TID 3990 Parameter $X-Concept
1.21.5.9.2.2	Y-Concept	(122094, DCM, "Rate of administration")	TID 3990 Parameter $Y-Concept
1.21.5.9.2.3	Flow Rate vs time	IMAGE = 1.2.3.4.5.6.7.8.9.10	TID 3990
1.21.5.9.3	Pressure vs time		TID 3990 Concept name is parameter $MeasurementGraph of TID 3990
1.21.5.9.3.1	X-Concept	(130194, DCM, "Time after the start of injection")	Parameter $X-Concept of TID 3990
1.21.5.9.3.2	Y-Concept	(279046003, SCT, "Pressure")	Parameter $Y-Concept of TID 3990
1.21.5.9.3.3	Pressure vs time	IMAGE = 1.2.3.4.5.6.7.8.9.10	TID 3990 All graphs are in the same image in this example.
1.21.5.10	Imaging Agent Administration Graph		TID 11023
1.21.5.10.1	Referenced Imaging Agent Identifier	INJECTOR_FLUSH_AGENT	TID 11023
1.21.5.10.2	Flow Rate vs time		TID 3990 Concept name is parameter $MeasurementGraph of TID 3990
1.21.5.10.2.1	X-Concept	(130194, DCM, "Time after the start of injection")	TID 3990 Parameter $X-Concept
1.21.5.10.2.2	Y-Concept	(122094, DCM, "Rate of administration")	TID 3990 Parameter $Y-Concept
1.21.5.10.2.3	Flow Rate vs time	IMAGE = 1.2.3.4.5.6.7.8.9.10	TID 3990
1.21.5.10.3	Pressure vs time		TID 3990 Concept name is parameter $MeasurementGraph of TID 3990
1.21.5.10.3.1	X-Concept	(130194, DCM, "Time after the start of injection")	Parameter $X-Concept of TID 3990
1.21.5.10.3.2	Y-Concept	(279046003, SCT, "Pressure")	Parameter $Y-Concept of TID 3990
1.21.5.10.3.3	Pressure vs time	IMAGE = 1.2.3.4.5.6.7.8.9.10	TID 3990
1.21.5.11	Number of Injector Heads	2	TID 11007
1.21.5.12	Programmable Device	(373066001, SCT, "Yes")	TID 11007 CID 231
1.21.6	Imaging Agent Administration Step		TID 11007
1.21.6.1	Imaging Agent Administration Step Identifier	DIAGNOSTIC_STEP_4	TID 11007
1.21.6.2	Imaging Agent Administration Performed Step UID	1.2.3.4.47110815.10	TID 11007 Since "Root Concept Name Code Sequence" is "Performed Imaging Agent Administration"
1.21.6.3	Administration Mode	(130173, DCM, "Automated Administration")	TID 11007 CID 63
1.21.6.4	Administration Step Type	(130249, DCM, "Diagnostic Administration")	TID 11007 CID 72
1.21.6.5	Scan Delay	12	TID 11007 UNITS = EV (s, UCUM, "s")
1.21.6.6	Pressure Limit	15	TID 11007 UNITS = EV (kPa, UCUM "kPa") Since 1.21.6.3 is "Automated Administration"
1.21.6.7	Route of Administration	(47625008, SCT, "Intravenous route")	TID 11007 CID 11
1.21.6.7.1	Site of	(261459001, SCT, "Via arm vein")	TID 11007 CID 3746 Since "Route of Administration" is "Intravenous route"
1.21.6.7.1.1	Laterality	(7771000, SCT, "Left")	TID 11007 CID 244 Since "Site of" is "Via arm vein"
1.21.6.8	Imaging Agent Administration Phase		TID 11008
1.21.6.8.1	Imaging Agent Administration Phase Identifier	DIAGNOSTIC_INJECTION_PHASE_1	TID 11008
1.21.6.8.2	Imaging Agent Administration Performed Phase UID	1.2.3.4.47110815.11	TID 11008 Since "Root Concept Name Code Sequence" is "Performed Imaging Agent Administration"
1.21.6.8.3	Imaging Agent Administration Phase Type	(130168, DCM, "Automatic Administration Phase")	TID 11008 CID 62 Since 1.21.6.3 is "Automated Administration"
1.21.6.8.4	Imaging Agent Administration Activity		TID 11003
1.21.6.8.4.1	Referenced Imaging Agent Identifier	INJECTOR_CONTRAST_AGENT	TID 11003 Value of 1.14.1
1.21.6.8.4.2	Volume Administered	88	TID 11003 UNITS = EV (ml, UCUM, "ml") See 1.21.6.8.6 (Phase Volume) also
1.21.6.8.4.3	Starting Flow Rate of administration	1.5	TID 11003 UNITS = EV (ml/s, UCUM "ml/s")
1.21.6.8.4.4	Peak Flow Rate in Phase Activity	1.5	TID 11003 UNITS = EV (ml/s, UCUM "ml/s") Since 1.21.6.3 is "Automated Administration" and "Root Concept Name Code Sequence" is "Performed Imaging Agent Administration"
1.21.6.8.4.5	Peak Pressure in Phase Activity	5	TID 11003 UNITS = EV (kPa, UCUM "kPa") Since 1.21.6.3 is "Automated Administration" and "Root Concept Name Code Sequence" is "Performed Imaging Agent Administration"
1.21.6.8.4.6	Initial Volume of Imaging Agent in Container	185	TID 11003 UNITS = EV (ml, UCUM, "ml") Since "Root Concept Name Code Sequence" is "Performed Imaging Agent Administration"
1.21.6.8.4.7	Residual Volume of Imaging Agent in Container	97	TID 11003 UNITS = EV (ml, UCUM, "ml") Since "Root Concept Name Code Sequence" is "Performed Imaging Agent Administration"
1.21.6.8.4.8	DateTime Started	20181012121900	TID 11003 Since root Concept Name is "Performed Imaging Agent Administration"
1.21.6.8.4.9	Duration	58.6	TID 11003 UNITS = EV (s, UCUM, "s") Since root Concept Name is "Performed Imaging Agent Administration"
1.21.6.8.5	Imaging Agent Administration Activity		TID 11003
1.21.6.8.5.1	Referenced Imaging Agent Identifier	INJECTOR_FLUSH_AGENT	TID 11003 Value of 1.15.1
1.21.6.8.5.2	Volume Administered	88	TID 11003 UNITS = EV (ml, UCUM, "ml") See 1.21.6.8.6 (Phase Volume) also
1.21.6.8.5.3	Starting Flow Rate of administration	1.5	TID 11003 UNITS = EV (ml/s, UCUM "ml/s")
1.21.6.8.5.4	Peak Flow Rate in Phase Activity	1.5	TID 11003 UNITS = EV (ml/s, UCUM "ml/s") Since 1.21.6.3 is "Automated Administration" and "Root Concept Name Code Sequence" is "Performed Imaging Agent Administration"
1.21.6.8.5.5	Peak Pressure in Phase Activity	5	TID 11003 UNITS = EV (kPa, UCUM "kPa") Since 1.21.6.3 is "Automated Administration" and "Root Concept Name Code Sequence" is "Performed Imaging Agent Administration"
1.21.6.8.5.6	Initial Volume of Imaging Agent in Container	134	TID 11003 UNITS = EV (ml, UCUM, "ml") Value results from 136ml - 2ml KVO within 1 min 10 sec until now Since "Root Concept Name Code Sequence" is "Performed Imaging Agent Administration"
1.21.6.8.5.7	Residual Volume of Imaging Agent in Container	46	TID 11003 UNITS = EV (ml, UCUM, "ml") Since "Root Concept Name Code Sequence" is "Performed Imaging Agent Administration"
1.21.6.8.5.8	DateTime Started	20181012121900	TID 11003 Since root Concept Name is "Performed Imaging Agent Administration"
1.21.6.8.5.9	Duration	58.6	TID 11003 UNITS = EV (s, UCUM, "s") Since root Concept Name is "Performed Imaging Agent Administration"
1.21.6.8.6	Total Phase Volume Administered	176	TID 11008 UNITS = EV (ml, UCUM, "ml") Sum of 1.21.6.8.4.2 and 1.21.6.8.5.2
1.21.6.8.7	DateTime Started	20181012121900	TID 11008 Since root Concept Name Code Sequence is "Performed Imaging Agent Administration"
1.21.6.8.8	Duration	58.56	TID 11008 UNITS = EV (s, UCUM, "s") Since root Concept Name Code Sequence is "Performed Imaging Agent Administration")
1.21.6.9	Imaging Agent Administration Phase		TID 11008
1.21.6.9.1	Imaging Agent Administration Phase Identifier	DIAGNOSTIC_INJECTION_PHASE_2	TID 11008
1.21.6.9.2	Imaging Agent Administration Performed Phase UID	1.2.3.4.47110815.12	TID 11008 Since "Root Concept Name Code Sequence" is "Performed Imaging Agent Administration"
1.21.6.9.3	Imaging Agent Administration Phase Type	(130168, DCM, "Automatic Administration Phase")	TID 11008 CID 62 Since 1.21.6.3 is "Automated Administration"
1.21.6.9.4	Imaging Agent Administration Activity		TID 11003
1.21.6.9.4.1	Referenced Imaging Agent Identifier	INJECTOR_FLUSH_AGENT	TID 11003 Value of 1.15.1
1.21.6.9.4.2	Volume Administered	30	TID 11003 UNITS = EV (ml, UCUM, "ml") Same value as 1.21.6.9.5
1.21.6.9.4.3	Starting Flow Rate of administration	3	TID 11003 UNITS = EV (ml/s, UCUM "ml/s")
1.21.6.9.4.4	Peak Flow Rate in Phase Activity	3	TID 11003 UNITS = EV (ml/s, UCUM "ml/s") Since 1.21.6.3 is "Automated Administration" and "Root Concept Name Code Sequence" is "Performed Imaging Agent Administration"
1.21.6.9.4.5	Peak Pressure in Phase Activity	5	TID 11003 UNITS = EV (kPa, UCUM "kPa") Since 1.21.6.3 is "Automated Administration" and "Root Concept Name Code Sequence" is "Performed Imaging Agent Administration"
1.21.6.9.4.6	Initial Volume of Imaging Agent in Container	46	TID 11003 UNITS = EV (ml, UCUM, "ml") Since "Root Concept Name Code Sequence" is "Performed Imaging Agent Administration"
1.21.6.9.4.7	Residual Volume of Imaging Agent in Container	16	TID 11003 UNITS = EV (ml, UCUM, "ml") Since "Root Concept Name Code Sequence" is "Performed Imaging Agent Administration"
1.21.6.9.4.8	DateTime Started	20181012121958.56	TID 11003 Since root Concept Name is "Performed Imaging Agent Administration"
1.21.6.9.4.9	Duration	10	TID 11003 UNITS = EV (s, UCUM, "s") Since root Concept Name is "Performed Imaging Agent Administration"
1.21.6.9.5	Total Phase Volume Administered	30	TID 11008 UNITS = EV (ml, UCUM, "ml") Same value as 1.21.6.9.4.2
1.21.6.9.6	DateTime Started	20181012121958.56	TID 11008 Since root Concept Name Code Sequence is "Performed Imaging Agent Administration"
1.21.6.9.7	Duration	10	TID 11008 UNITS = EV (s, UCUM, "s") Since root Concept Name Code Sequence is "Performed Imaging Agent Administration")
1.21.6.10	Imaging Agent Administration Graph		TID 11023
1.21.6.10.1	Referenced Imaging Agent Identifier	INJECTOR_CONTRAST_AGENT	TID 11023
1.21.6.10.2	Flow Rate vs time		TID 3990 Concept name is parameter $MeasurementGraph
1.21.6.10.2.1	X-Concept	(130194, DCM, "Time after the start of injection")	TID 3990 Parameter $X-Concept
1.21.6.10.2.2	Y-Concept	(122094, DCM, "Rate of administration")	TID 3990 Parameter $Y-Concept
1.21.6.10.2.3	Flow Rate vs time	IMAGE = 1.2.3.4.5.6.7.8.9.11	TID 3990
1.21.6.10.3	Pressure vs time		TID 3990 Named by parameter $MeasurementGraph
1.21.6.10.3.1	X-Concept	(130194, DCM, "Time after the start of injection")	TID 3990 Parameter $X-Concept
1.21.6.10.3.2	Y-Concept	(279046003, SCT, "Pressure")	TID 3990 Parameter $Y-Concept
1.21.6.10.3.3	Pressure vs time	IMAGE = 1.2.3.4.5.6.7.8.9.11	TID 3990
1.21.6.11	Imaging Agent Administration Graph		TID 11023
1.21.6.11.1	Referenced Imaging Agent Identifier	INJECTOR_FLUSH_AGENT	TID 11023
1.21.6.11.2	Flow Rate vs time		TID 3990 Concept name is parameter $MeasurementGraph
1.21.6.11.2.1	X-Concept	(130194, DCM, "Time after the start of injection")	TID 3990 Parameter
1.21.6.11.2.2	Y-Concept	(122094, DCM, "Rate of administration")	TID 3990 Parameter $Y-Concept
1.21.6.11.2.3	Flow Rate vs time	IMAGE = 1.2.3.4.5.6.7.8.9.11	TID 3990
1.21.6.11.3	Pressure vs time		TID 3990 Named by parameter $MeasurementGraph
1.21.6.11.3.1	X-Concept	(130194, DCM, "Time after the start of injection")	TID 3990 Parameter $X-Concept
1.21.6.11.3.2	Y-Concept	(279046003, SCT, "Pressure")	TID 3990 Parameter $Y-Concept
1.21.6.11.3.3	Pressure vs time	IMAGE = 1.2.3.4.5.6.7.8.9.11	TID 3990
1.21.6.12	Number of Injector Heads	2	TID 11007
1.21.6.13	Programmable Device	(373066001, SCT, "Yes")	TID 11007 CID 231
1.22	Planned Imaging Agent Administration SOP Instance	1.2.3.4.47110815.13	TID 11020 SInce this administration was based on a Imaging Administration Plan
1.23	Imaging Agent Administration Completion Status	(255594003, SCT, "Complete")	TID 11020 CID 67
1.24	Imaging Agent Administration Adverse Events		TID 11021
1.24.1	Administration discontinued	(373067005, SCT, "No")	TID 11021 CID 231
1.24.2	Adverse Event	(415690000, SCT, "Sweating")	TID 11021 CID 60
1.24.2.1	Severity	(255604002, SCT, "Mild")	TID 11021 CID 3716
1.24.2.2	Relative Time	(307153007, SCT, "Before Procedure")	TID 11021 CID 61
1.24.2.3	Adverse Event Detection DateTime	20181012121500	TID 11021
1.24.2.4	Referenced Imaging Agent Administration Step UID	1.2.3.4.47110815.5	TID 11021 Same value as 1.21.4.2
1.24.2.5	Referenced Imaging Agent Administration Phase UID	1.2.3.4.47110815.6	TID 11021 Same value as 1.21.4.6.2
1.24.2.6	Comment	Patient was afraid of procedure	TID 11021
1.24.3	Adverse Event	(95384003, SCT, "Injection Site Extravasation")	TID 11021 CID 60
1.24.3.1	Relative Time	(303110006, SCT, "After Procedure")	TID 11021 CID 61
1.24.3.2	Adverse Event Detection DateTime	20181012122100	TID 11021
1.24.3.3	Estimated Extravasation Volume	2	TID 11021 UNITS = EV (ml, UCUM, "ml") Since 1.17.3 is "Injection Site Extravasation"
1.24.3.4	Referenced Imaging Agent Administration Step UID	1.2.3.4.47110815.10	TID 11021 Same value as 1.21.6.2
1.24.3.5	Referenced Imaging Agent Administration Phase UID	1.2.3.4.47110815.12	TID 11021 Same value as 1.21.6.9.2
1.24.3.6	Comment	Detected extravasation when removing needle	TID 11021
1.25	Imaging Agent Administration Injector Events		TID 11022
1.25.1	Administration discontinued	(373067005, SCT, "No")	TID 11022 CID 231
1.25.2	Imaging Agent Administration Injector Event Type	(130161, DCM, "Keep vein open started")	TID 11022 CID 71
1.25.2.1	Injector Event Detection DateTime	20181012121628	TID 11022
1.25.2.2	Referenced Imaging Agent Identifier	INJECTOR_FLUSH_AGENT	TID 11022
1.25.3	Imaging Agent Administration Injector Event Type	(130162, DCM, "Keep vein open ended")	TID 11022 CID 71
1.25.3.1	Injector Event Detection DateTime	20181012121958	TID 11022
1.25.3.2	Referenced Imaging Agent Identifier	INJECTOR_FLUSH_AGENT	TID 11022
1.26	Total Keep Vein Open Volume Administered	3	TID 11020 UNITS = EV (ml, UCUM, "ml")

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