DICOM PS3.17 2019c - Explanatory Information

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 | (DCM, M, "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")
1.13.7 | Equation | (122265, DCM, "BMI=Wt/Ht^2") | TID 10024
1.13.8 | Serum Creatinine | 2.7 | TID 10024 UNITS=DT (mg/dl, UCUM, "mg/dl")
1.13.9 | Glomerular Filtration Rate | 38 | TID 10024 UNITS=DT (ml/min{1.73_m2}, UCUM, "ml/min/1.73m2")
1.13.9.1 | Measurement Method | (113570, DCM, "Cockroft-Gault Formula estimation of GFR") | TID 10024 CID 10047
1.13.9.2 | Equivalent meaning of concept name | (LN,33914-3, "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 | (373067005, SCT, "No") | 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 Syringe/Pump Phase 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 | Starting Flow Rate of administration | 0.37 | TID 11003 UNITS = EV (ml/s, UCUM "ml/s") Calculated value: 1000ml /2700s
1.21.3.8.3.4 | DateTime Started | 20181012101531 | TID 11003 Since root Concept Name is "Performed Imaging Agent Administration"
1.21.3.8.3.5 | 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 Syringe/Pump Phase 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 Syringe/Pump Phase 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 Syringe/Pump Phase 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 Syringe/Pump Phase 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 Syringe/Pump Phase 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 Syringe/Pump Phase 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 | 201810121958 | 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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DICOM PS3.17 2019c - Explanatory Information