DICOM PS3.17 2021e - Explanatory Information

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")

DICOM PS3.17 2021e - Explanatory Information