DICOM PS3.20 2020b - Imaging Reports using HL7 Clinical Document Architecture

10.2 Procedural Medication (Current)
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## 10.2 Procedural Medication

Template ID | 1.2.840.10008.9.13
Name | Procedural Medication
Effective Date | 2015/03/24
Version Label | DICOM-20150324
Status | Active
Description | Procedural medication describes a substance administration that has actually occurred prior to or during a procedure (e.g., imaging contrast/agents, anti-histamines, anti-anxiety, beta blockers to control heart rate during procedure, etc.).
Classification | CDA Entry Level
Relationships | Included in 9.3 Imaging Procedure Description
Context | parent node
Open/Closed | Open
Revision History | DICOM-20150324: Initial version

Business Name | Nest Level | Element/​Attribute | Card | Elem/Attr Conf | Data Type | Value Conf | Value | Subsidiary Template
--- | --- | --- | --- | --- | --- | --- | --- | ---
Procedural​Medication[*] or Contrast[*] |  | substance​Administration | 1..1 | SHALL |  |  |  |
| @ | @classCode | 1..1 | SHALL | CS | SHALL | SBADM |
| @ | @moodCode | 1..1 | SHALL | CS | SHALL | EVN |
| > | template​Id | 1..1 | SHALL | II |  |  |
| >@ | @root | 1..1 | SHALL | UID | SHALL | 1.2.840.10008.9.13 |
| > | id | 1..1 | SHALL | II |  |  |
| > | text | 0..1 | SHOULD | ED |  |  |
Ref | >> | reference | 0..1 | SHOULD | URL (XML IDREF) |  | #contentRef |
| > | status​Code | 1..1 | SHALL | CS | SHALL | COMPLETED |
Route | > | route​Code | 0..1 | MAY | CE | SHOULD CWE | ValueSet CID 11 “Route of Administration” |
Dose | > | dose​Quantity | 0..1 | SHOULD | PQ |  |  |
Dose​Unit | >@ | @unit | 0..1 | SHOULD |  | SHALL CNE | ValueSet CID 82 “Units of Measurement” |
Rate | > | rate​Quantity | 0..1 | MAY | PQ |  |  |
Rate​Unit | >@ | @unit | 1..1 | SHALL | CS | SHALL CNE | ValueSet CID 82 “Units of Measurement” |
| > | consumable | 1..1 | SHALL |  |  |  |
| >> | manufactured​Product | 1..1 | SHALL |  |  |  |
| >>@ | @classCode | 1..1 | SHALL | CS | SHALL | MANU |
| >>> | manufactured​Material | 1..1 | SHALL |  |  |  |
Coded​Product​Name | >>>> | code | 1..1 | SHALL | CE |  | Concept​Domain Med​Contrast​Name |
Free​Text​Product​Name | >>>>> | original Text | 0..1 | SHOULD | ED |  |  |

### 10.2.1 Business Name Alias

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

Example 10.2-1. Procedural Medication activity example

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

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DICOM PS3.20 2020b - Imaging Reports using HL7 Clinical Document Architecture