Imaging Agent Administration SR IOD Templates

Imaging Agent Administration SR IOD Templates (Current)
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TID 11001 Planned Imaging Agent Administration

This template describes single administration plan.

This template defines a container (the root) with subsidiary content items, each of which corresponds to a single Imaging Agent Administration that is planned.

Note

If a planned SR is a modification of a previous planned SR, it can reference the previous plan using the Predecessor Documents Sequence (0040,A360).

Type:: Extensible
Order:: Non-Significant
Root:: Yes

Table TID 11001. Planned Imaging Agent Administration

	NL	Rel with Parent	VT	Concept Name	VM	Req Type	Value Set Constraint
1			CONTAINER	EV (130226, DCM, "Planned Imaging Agent Administration")	1	M
2	>	HAS CONCEPT MOD	INCLUDE	DTID 1204 “Language of Content Item and Descendants”	1	U
3	>	HAS OBS CONTEXT	INCLUDE	DTID 1002 “Observer Context”	1-n	M
4	>	HAS OBS CONTEXT	INCLUDE	DTID 1005 “Procedure Context”	1	M
5	>	CONTAINS	INCLUDE	DTID 8131 “Medications and Mixture Medications”	1-n	U	$DrugAdministered = DCID 65 “Pre-medication For Imaging Agent Administration”
6	>	CONTAINS	INCLUDE	DTID 10024 “Imaging Agent Administration Patient Characteristics”	1	U
7	>	CONTAINS	INCLUDE	DTID 11002 “Imaging Agent Information”	1-n	M
8	>	CONTAINS	TEXT	EV (121106, DCM, "Comment")	1	U
9	>	CONTAINS	INCLUDE	DTID 11005 “Imaging Agent Administration Consumable”	1-n	U
10	>	CONTAINS	INCLUDE	DTID 11006 “Imaging Agent Administration Steps”	1	M

Content Item Descriptions

Row 3	Author of the plan.
Row 5	Describes medications administered prior to the procedure. E.g., for contrast reaction prophylaxis. Not intended for pharmaceutical stress agents.
Row 8	General comments about the planned Imaging Agent administration. It is intended for such things as a summary of the content of the plan, additional instructions related to administration of the plan, and concepts that cannot be expressed by structured features of the plan.
Row 9	The consumables that would be needed to execute the plan. e.g., a catheter of a particular size.

TID 11002 Imaging Agent Information

This template describes an Imaging Agent which may be a single component or a mix of multiple components used in a single administration.

Type:: Extensible
Order:: Non-Significant
Root:: No

Table TID 11002. Imaging Agent Information

	NL	Rel with Parent	VT	Concept Name	VM	Req Type	Condition	Value Set Constraint
1			CONTAINER	EV (130183, DCM, "Imaging Agent Information")	1	M
2	>	CONTAINS	TEXT	EV (130254, DCM, "Imaging Agent Identifier")	1	M
3	>	CONTAINS	CODE	EV (130187, DCM, "Imaging Agent Warmed")	1	M		DCID 230 “Yes-No”
4	>	CONTAINS	CONTAINER	EV (130191, DCM, "Imaging Agent Component Usage")	1-n	M
5	>>	CONTAINS	INCLUDE	DTID 11004 “Imaging Agent Component”	1	M
6	>>	CONTAINS	NUM	EV (130239, DCM, "Component Volume")	1	MC	IF 2 or more items of Row 4 are present	UNITS (ml, UCUM, "ml")
7	>	CONTAINS	NUM	EV (130228, DCM, "Contrast Volume Limit")	1	UC	IFF root Concept Name Code Sequence (130226, DCM, "Planned Imaging Agent Administration")	UNITS EV (ml, UCUM, "ml")

Content Item Descriptions

Row 2

Uniquely, within the scope of the root container, identifies the Imaging Agent contained in a syringe or pump.

Row 4

A single Imaging Agent component, or a mixture of multiple Imaging Agent components, used to build a custom mixture of contrast agent, filled in a single syringe or pump.

For Imaging Agents that are not a mixture, a single instance of this row defines the Imaging Agent component.

Row 6

Estimated volume of the Imaging Agent component.

TID 11003 Imaging Agent Administration Activity

This template describes a single activity as part of the single imaging administration phase. A phase activity is the lowest level of the Imaging Agent delivery model.

Type:: Extensible
Order:: Non-Significant
Root:: No

Table TID 11003. Imaging Agent Administration Activity

	NL	Rel with Parent	VT	Concept Name	VM	Req Type	Condition	Value Set Constraint
1			CONTAINER	EV (130237, DCM, "Imaging Agent Administration Activity")	1	M
2	>	CONTAINS	TEXT	EV (130255, DCM, "Referenced Imaging Agent Identifier")	1	M		Shall be a value of Row 2 in TID 11002.
3	>	CONTAINS	NUM	EV (122091, DCM, "Volume Administered")	1	M		UNITS = EV (ml, UCUM, "ml")
4	>	CONTAINS	NUM	EV (130208, DCM, "Starting Flow Rate of Administration")	1	MC	IF TID 11007 Row 4 = (130173, DCM, "Automated Administration")	UNITS = EV (ml/s, UCUM "ml/s")
5	>	CONTAINS	NUM	EV (130209, DCM, "Ending Flow Rate of administration")	1	MC	IF Row 7 = (130253, DCM, "Linear Curve")	UNITS = EV (ml/s, UCUM "ml/s")
6	>	CONTAINS	NUM	EV (130207, DCM, "Rise Time")	1	UC	IF root Concept Name Code Sequence = (130227, DCM, "Performed Imaging Agent Administration")	UNITS = EV (s, UCUM, "s")
7	>	CONTAINS	CODE	EV (130210, DCM, "Bolus Shaping Curve")	1	U		DCID 73 “Bolus Shaping Curves”
8	>>	HAS PROPERTIES	TEXT	EV (111002, DCM, "Algorithm Parameters")	1-n	U
9	>	CONTAINS	NUM	EV (130244, DCM, "Peak Flow Rate in Phase Activity")	1	MC	IF TID 11007 Row 4 = (130173, DCM, "Automated Administration") AND IFF root Concept Name Code Sequence = (130227, DCM, "Performed Imaging Agent Administration")	UNITS = EV (ml/s, UCUM "ml/s")
10	>	CONTAINS	NUM	EV (130245, DCM, "Peak Pressure in Phase Activity")	1	MC	IF Row 4 = (130173, DCM, "Automated Administration") AND IFF root Concept Name Code Sequence = (130227, DCM, "Performed Imaging Agent Administration")	UNITS = EV (kPa, UCUM "kPa")
11	>	CONTAINS	NUM	EV (130205, DCM, "Initial Volume of Imaging Agent in Container")	1	UC	IFF root Concept Name Code Sequence = (130227, DCM, "Performed Imaging Agent Administration")	UNITS = EV (ml, UCUM, "ml")
12	>	CONTAINS	NUM	EV (130206, DCM, "Residual Volume of Imaging Agent in Container")	1	UC	IFF root Concept Name Code Sequence = (130227, DCM, "Performed Imaging Agent Administration")	UNITS = EV (ml, UCUM, "ml")
13	>	CONTAINS	DATETIME	EV (111526, DCM, "DateTime Started"	1	MC	IFF root Concept Name Code Sequence = (130227, DCM, "Performed Imaging Agent Administration")
14	>	CONTAINS	NUM	EV (C0449238, UMLS, "Duration")	1	MC	IF root Concept Name Code Sequence = (130227, DCM, "Performed Imaging Agent Administration")	UNITS = EV (s, UCUM, "s")

Content Item Descriptions

Row 3	Volume administered by this activity.
Row 7	Shape of the flow rate from the beginning rate to the end rate of the administration. This will typically be a vendor specific code. The code meaning of the concept name should describe the type and intent of the curve.
Row 8	Any parameters used to generate the curve defined in Row 7.
Row 9	Peak value of the flow rate of this syringe or pump activity.
Row 10	Peak value of the pressure of this syringe or pump activity.
Row 13	Datetime this individual activity actually started.
Row 14	Duration of this individual activity.

TID 11004 Imaging Agent Component

This template describes the Imaging Agent component. The brand and packaging information can be referenced under Section TID 11005 Imaging Agent Administration Consumable.

Type:: Extensible
Order:: Non-Significant
Root:: No

Table TID 11004. Imaging Agent Component

	NL	Rel with Parent	VT	Concept Name	VM	Req Type	Condition	Value Set Constraint
1			CONTAINER	EV (130238, DCM, "Imaging Agent Component")	1	M
2	>	CONTAINS	CODE	EV (122083, DCM, "Drug administered")	1	M		DCID 12 “Radiographic Contrast Agent” DCID 3204 “Stress Agents” DCID 70 “Flush” DCID 66 “Medication For Imaging Agent Administration”
3	>	CONTAINS	CODE	EV (127489000, SCT, "Active Ingredient")	1	U		DCID 13 “Radiographic Contrast Agent Ingredient”
4	>	CONTAINS	CODE	EV (113510, DCM, "Drug Product Identifier")	1	U
5	>	CONTAINS	NUM	EV (122093, "DCM", "Concentration")	1	U
6	>	CONTAINS	NUM	EV (282258000, SCT, "Molarity")	1	U		UNITS = EV (mmol/l, UCUM, "mmol/l")
7	>	CONTAINS	CODE	EV (56953008, SCT, "Osmolality")	1	U		DCID 75 “Low-high-equal”
8	>	CONTAINS	NUM	EV (126380, DCM, "Contrast Longitudinal Relaxivity")	1	U		UNITS = EV (l/mmol/s, UCUM, "l/mmol/s")
9	>	CONTAINS	NUM	EV (130188, DCM, "Contrast Transverse Relaxivity")	1	U		UNITS = EV (l/mmol/s, UCUM, "l/mmol/s")
10	>	CONTAINS	NUM	EV (130184, DCM, "Osmolality at 37C")	1	U		UNITS = EV (mosm/kg, UCUM, "mosm/kg")
11	>	CONTAINS	NUM	EV (130185, DCM, "Osmolarity at 37C")	1	U		UNITS = EV (mmol/l UCUM, "mmol/l")
12	>	CONTAINS	NUM	EV (130186, DCM, "Viscosity at 37C")	1	U
13	>	CONTAINS	CODE	EV (130189, DCM, "Is Ionic")	1	U		DCID 231 “Yes-No Only”
14	>	CONTAINS	NUM	EV (130190, DCM, "Dosing Factor")	1	U
15	>	CONTAINS	CODE	EV (732935002, SCT, "Unit of Presentation")	1	U		DCID 68 “Imaging Agent Administration Pharmaceutical Unit of Presentation”
16	>	CONTAINS	NUM	EV (130221, DCM, "Imaging Agent Volume Per Unit of Presentation")	1	U		UNITS = EV (ml, UCUM, "ml")
17	>	CONTAINS	TEXT	EV (121147, DCM, "Billing Code")	1	U
18	>	CONTAINS	TEXT	EV (121145, DCM, "Description of Material")	1	U
19	>	CONTAINS	DATE	EV (C70854, NCIt, "Medical Product Expiration Date")	1	U
20	>	CONTAINS	TEXT	EV (C0947322, UMLS, "Manufacturer Name")	1	U
21	>	CONTAINS	TEXT	EV (111529, DCM, "Brand Name")	1	U
22	>	CONTAINS	TEXT	EV (130231, DCM, "Barcode Value")	1-n	UC	IFF root Concept Name Code Sequence = (130226, DCM, "Planned Imaging Agent Administration")
23	>	CONTAINS	TEXT	EV (130231, DCM, "Barcode Value")	1	UC	IFF root Concept Name Code Sequence = (130227, DCM, "Performed Imaging Agent Administration")
24	>	CONTAINS	TEXT	EV (121148, DCM, "Unit Serial Identifier")	1	U
25	>	CONTAINS	TEXT	EV (121149, DCM, "Lot Identifier")	1	U
26	>	CONTAINS	CODE	EV (128739, DCM, "UDI")	1	U

Content Item Descriptions

Row 3	The drug administered includes contrast agents, stress agents, flush and medication agents.
Row 5	Concentration of the active ingredient (Row 3). The units are not constrained but shall be represented as usual using UCUM.
Row 7	Osmolality relative to blood.
Row 8	Relaxivity at 37°C at B0 field strength.
Row 9	Relaxivity at 37°C at B0 field strength.
Row 12	The units are not constrained but shall be represented using UCUM.
Row 17	The billing codes for material used for Imaging Agent administration procedure. It does not include performance and interpretation of the imaging.
Row 20	Name of the manufacturer of the pharmaceutical.
Row 22, 23	The number from the barcode associated with the unit of presentation e.g., the individual bottle. Some examples for type of codes are UPC, EAN, GTIN, PZN, PPN. Multiple items are permitted for planned Imaging Agent administration since multiple container sizes may be allowed.

TID 11005 Imaging Agent Administration Consumable

This template describes a material or supply used in the course of an Imaging Agent administration procedure, other than the Imaging Agents themselves and the unit of presentation of the Imaging Agents if pre-filled. This includes such supplies as needles, tubing, cannulas, catheters, empty syringes. This template may describe reusable or disposable materials.

For the planned administration, these are the expected consumables. For the performed administration, this template describes what was actually used.

Type:: Extensible
Order:: Non-Significant
Root:: No

Table TID 11005. Imaging Agent Administration Consumable

	NL	Rel with Parent	VT	Concept Name	VM	Req Type	Condition	Value Set Constraint
1			CONTAINER	EV (130222, DCM, "Imaging Agent Administration Consumable")	1	M
2	>	CONTAINS	CODE	EV (130223, DCM, "Imaging Agent Administration Consumable Type")	1	M		DCID 69 “Imaging Agent Administration Consumables”
3	>	CONTAINS	NUM	EV (121146, DCM, "Quantity of Material")	1	U
4	>>	HAS PROPERTIES	CODE	EV (130224, DCM, "Consumable is New")	1	M		DCID 231 “Yes-No Only”
5	>	CONTAINS	TEXT	EV (121147, DCM, "Billing Code")	1	U
6	>	CONTAINS	TEXT	EV (121145, DCM, "Description of Material")	1	U
7	>	CONTAINS	DATE	EV (C70854, NCIt, "Medical Product Expiration Date")	1	U
8	>	CONTAINS	NUM	EV (111467, DCM, "Needle Length")	1	U	IF Row 2 = (19923001, SCT, "Catheter")	UNITS = EV (mm, UCUM, "mm")
9	>	CONTAINS	NUM	EV (122319, DCM, "Catheter Size")	1	MC	IF Row 2 = (19923001, SCT, "Catheter") AND If Row 10 = (82449006, SCT, "Peripheral intravenous catheter")	UNITS = DCID 3510 “Catheter Size Units”
10	>	CONTAINS	CODE	EV (130257, DCM, "Consumable Catheter Type")	1	MC	IF Row 2 = (19923001, SCT, "Catheter")	DCID 74 “Imaging Agent Administration Consumable Catheter Type”
11	>	CONTAINS	TEXT	EV (C0947322, UMLS, "Manufacturer Name")	1	U
12	>	CONTAINS	TEXT	EV (111529, DCM, "Brand Name")	1	U
13	>	CONTAINS	TEXT	EV (130231, DCM, "Barcode Value")	1-n	UC	IFF root Concept Name Code Sequence = (130226, DCM, "Planned Imaging Agent Administration")
14	>	CONTAINS	TEXT	EV (130231, DCM, "Barcode Value")	1	UC	IFF root Concept Name Code Sequence = (130227, DCM, "Performed Imaging Agent Administration")
15	>	CONTAINS	TEXT	EV (121148, DCM, "Unit Serial Identifier")	1	U
16	>	CONTAINS	TEXT	EV (121149, DCM, "Lot Identifier")	1	U
17	>	CONTAINS	CODE	EV (128739, DCM, "UDI")	1	U

Content Item Descriptions

Row 3	Quantity of the Imaging Agent consumed or quantity of accessories or other consumables used.
Row 4	When included in TID 11020 (Performed Imaging Agent Administration), this value indicates whether the consumable was changed (i.e., newly installed) during preparation for this administration. When included in TID 11001 (Planned Imaging Agent Administration), this value indicates whether the consumable must be changed during preparation for this administration or whether it need not be.
Row 5	The billing codes for material used for Imaging Agent administration procedure. It does not include performance and interpretation of the imaging.
Row 11	Name of the manufacturer of the consumable.
Row 13,14	The number from the barcode associated with the unit of presentation e.g., the individual blister package. Some examples for type of codes are UPC, EAN, GTIN. Multiple items are permitted for planned Imaging Agent administration since multiple container sizes may be allowed.

TID 11006 Imaging Agent Administration Steps

This template provides detailed information on Imaging Agent Administration Steps. It consists of multiple administration steps; a step in turn consists of multiple administration phases.

Type:: Extensible
Order:: Non-Significant
Root:: No

Table TID 11006. Imaging Agent Administration Steps

	NL	Rel with Parent	VT	Concept Name	VM	Req Type
1			CONTAINER	EV (130192, DCM, "Imaging Agent Administration Steps")	1	M
2	>	CONTAINS	TEXT	EV (130200, DCM, "Imaging Agent Administration Steps Name")	1	M
3	>	CONTAINS	TEXT	EV (130199, DCM, "Imaging Agent Administration Steps Description")	1	U
4	>	CONTAINS	INCLUDE	DTID 11007 “Imaging Agent Administration Step”	1-n	U

TID 11007 Imaging Agent Administration Step

This template provides detailed information on an Imaging Agent Administration step. A step is part of a plan. Steps are usually distinguished from other steps because an operator's intervention is required between steps. Steps are also distinguished when they have different routes of administration. A step may consist of multiple phases.

Type:: Extensible
Order:: Non-Significant
Root:: No

Table TID 11007. Imaging Agent Administration Step

	NL	Rel with Parent	VT	Concept Name	VM	Req Type	Condition	Value Set Constraint
1			CONTAINER	EV (130195, DCM, "Imaging Agent Administration Step")	1	M
2	>	CONTAINS	TEXT	EV (130196, DCM, "Imaging Agent Administration Step Identifier")	1	M
3	>	CONTAINS	UIDREF	EV (130246, DCM, "Imaging Agent Administration Performed Step UID")	1	MC	IFF root Concept Name Code Sequence = (130227, DCM, "Performed Imaging Agent Administration")
4	>	CONTAINS	CODE	EV (130181, DCM, "Administration Mode")	1	M		DCID 63 “Imaging Agent Administration Mode”
5	>	CONTAINS	CODE	EV (113874, DCM, "Person Role in Organization")	1-n	MC	IF Row 4 = (130174, DCM, "Manual Administration"	DCID 7450 “Person Roles”
6	>	CONTAINS	CODE	EV (130250, DCM, "Administration Step Type")	1	M		DCID 72 “Imaging Agent Administration Step Type”
7	>	CONTAINS	NUM	EV (130197, DCM, "Administration Delay")	1	U		UNITS = EV (s, UCUM, "s")
8	>	CONTAINS	NUM	EV (130198, DCM, "Scan Delay")	1	U		UNITS = EV (s, UCUM, "s")
9	>	CONTAINS	NUM	EV (130193, DCM, "Pressure Limit")	1	UC	IFF Row 4 = (130173, DCM, "Automated Administration")	UNITS = EV (kPa, UCUM, "kPa")
10	>	CONTAINS	CODE	EV (410675002, SCT, "Route of Administration")	1	M		DCID 11 “Route of Administration”
11	>>	HAS PROPERTIES	CODE	EV (272737002, SCT, "Site of")	1	MC	IF Row 10 equals(47625008, SCT, "Intravenous route") OR (12130007, SCT, "Intra-articular route")	DCID 3746 “Percutaneous Entry Site”
12	>>>	HAS CONCEPT MOD	CODE	EV (272741003, SCT, "Laterality")	1	MC	IF Row 11 has laterality	DCID 244 “Laterality”
13	>	CONTAINS	INCLUDE	DTID 11008 “Imaging Agent Administration Phase”	1-n	M
14	>	CONTAINS	INCLUDE	DTID 11023 “Imaging Agent Administration Graph”	1-n	UC	IFF root Concept Name Code Sequence = (130227, DCM, "Performed Imaging Agent Administration")
15	>	CONTAINS	NUM	EV (130219, DCM, "Number of Injector Heads")	1	U
16	>	CONTAINS	CODE	EV (130218, DCM, "Programmable Device")	1	U		DCID 231 “Yes-No Only”
17	>	CONTAINS	CONTAINER	EV (130172, DCM, "Manually triggered injection information")	1	UC	IF Row 4 = (130173, DCM, "Automated Administration") AND IFF root Concept Name Code Sequence = (130227, DCM, "Performed Imaging Agent Administration")
18	>>	CONTAINS	NUM	EV (130241, DCM, "Total Step Volume Administered")	1	M		UNITS = EV (ml, UCUM, "ml")
19	>>	CONTAINS	NUM	EV (130242, DCM, "Total number of manually triggered injections")	1	M

Content Item Descriptions

Row 14

For a multi-syringe/pump injector there will be one graph per syringe/pump system. This is only included in the performed administration because it is descriptive not prescriptive.

TID 11008 Imaging Agent Administration Phase

This template provides detailed information on Imaging Agent Administration Phase. A phase is part of the administration step and is not interrupted except under abnormal conditions.

Type:: Extensible
Order:: Non-Significant
Root:: No

Table TID 11008. Imaging Agent Administration Phase

	NL	Rel with Parent	VT	Concept Name	VM	Req Type	Condition	Value Set Constraint
1			CONTAINER	EV (130202, DCM, "Imaging Agent Administration Phase")	1	M
2	>	CONTAINS	TEXT	EV (130203, DCM, "Imaging Agent Administration Phase Identifier")	1	M
3	>	CONTAINS	UIDREF	EV (130261, DCM, "Imaging Agent Administration Performed Phase UID")	1	MC	IFF root Concept Name Code Sequence = (130227, DCM, "Performed Imaging Agent Administration")
4	>	CONTAINS	CODE	EV (130204, DCM, "Imaging Agent Administration Phase Type")	1	MC	IF TID 11007 Row 4 = (130173, DCM, "Automated Administration")	DCID 62 “Imaging Agent Administration Phase Type”
5	>	CONTAINS	INCLUDE	DTID 11003 “Imaging Agent Administration Activity”	1-n	MC	IF TID 11007 Row 4 = (130173, DCM, "Automated Administration")
6	>	CONTAINS	NUM	EV (130240, DCM, "Total Phase Volume Administered")	1	M		UNITS = EV (ml, UCUM, "ml")
7	>	CONTAINS	DATETIME	EV (111526, DCM, "DateTime Started"	1	MC	IFF root Concept Name Code Sequence = (130227, DCM, "Performed Imaging Agent Administration")
8	>	CONTAINS	NUM	EV (C0449238, UMLS, "Duration")	1	MC	IF root Concept Name Code Sequence = (130227, DCM, "Performed Imaging Agent Administration")	UNITS = EV (s, UCUM, "s")

Content Item Descriptions

Row 2	Imaging Agent Administration Phase Identifier is specified as numeric text string, and shall be treated as the ordinal of the recorded administration phase within an administration step (i.e., "1" for the first phase, "2" for the second, etc.).
Row 5	There will be one item for each activity that is administering an agent during this phase.
Row 7	Datetime that the earliest syringe/pump starts administering.
Row 8	Total duration of this phase starting from where the earliest syringe/pump starts administering until the last syringe/pump ends administering.

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