DICOM PS3.20 2021c - Imaging Reports using HL7 Clinical Document Architecture

9.8.5 Radiation Exposure and Protection Information (Current)
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### 9.8.5 Radiation Exposure and Protection Information

Template ID | 1.2.840.10008.9.8
Name | Radiation Exposure and Protection Information
Effective Date | 2015/03/24
Version Label | DICOM-20150324
Status | Active
Description | Contains information related to the radiation exposure and protection of the patient, as may be required by national or local legal requirements or standards.
Classification | CDA Section and 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
--- | --- | --- | --- | --- | --- | --- | --- | ---
Radiation​Exposure |  | section | 1..1 | SHALL |  |  |  |
| > | template​Id | 1..1 | SHALL | II |  |  |
| >>@ | @root | 1..1 | SHALL | UID | SHALL | 1.2.840.10008.9.8 |
| > | code | 1..1 | SHALL | CD | SHALL | (73569-6, LOINC, "Radiation exposure and protection information") |
| > | id | 1..1 | SHALL | II |  |  |
Title | > | title | 1..1 | SHALL | ST |  |  |
Text | > | text | 1..1 | SHALL | ED |  |  | 9.1.1 Section Text 1.2.840.10008.9.19
| > | entry | 0..1 | COND |  |  |  |
| >> | procedure | 1..1 | SHALL |  |  |  |
| >>@ | @classCode | 1..1 | SHALL | CS | SHALL | PROC |
| >>@ | @moodCode | 1..1 | SHALL | CS | SHALL | EVN |
| >>> | code | 1..1 | SHALL | CD | SHALL | (121290, DCM, "Patient exposure to ionizing radiation") |
| >>> | participant | 1..1 | SHALL |  |  |  |
| >>@ | @typeCode | 1..1 | SHALL | CS | SHALL | RESP |
| >>> | participant​Role | 1..1 | SHALL |  |  |  |
Irradiation​Authorizing​ID | >>>> | id | 1..1 | SHALL | II |  |  |
| >>>> | function​Code | 1..1 | SHALL | CE | SHALL | (113850, DCM, "Irradiation Authorizing") |
| >>>> | playing​Entity | 1..1 | SHALL |  |  |  |
Irradiation​Authorizing​Name | >>>>> | name | 1..1 | SHALL | PN |  |  |
| > | entry | 0..* | MAY |  |  |  |
SOPInstance[*] | >> | observation | 1..1 | SHALL |  |  |  | 10.8 SOP Instance Observation 1.2.840.10008.9.18
| > | entry | 1..1 | COND |  |  |  |
Coded​Observation​[pregnancy] | >> | observation | 1..1 | SHALL |  |  | [See 9.8.5.4 entry/observation Pregnancy] | 10.1 Coded Observation 2.16.840.1.113883.​10.20.6.2.13
| > | entry | 0..1 | MAY |  |  |  |
Coded​Observation​[indication] | >> | observation | 1..1 | SHALL |  |  | [See 9.8.5.5 entry/observation Indication] | 10.1 Coded Observation 2.16.840.1.113883.​10.20.6.2.13
| > | entry | 0..* | MAY |  |  |  |
Quantity​Measurement[*] | >> | observation | 1..1 |  |  |  | [See 9.8.5.6 entry/observation Dose Measurements] | 10.5 Quantity Measurement 2.16.840.1.113883.​10.20.6.2.14
| > | entry | 0..1 | MAY |  |  |  |
| >> | substance​Administration |  |  |  |  |  |
| >>@ | @classCode | 1..1 | SHALL |  | SHALL | SBADM |
| >>@ | @moodCode | 1..1 | SHALL |  | SHALL | EVN |
| >>> | code | 1..1 |  |  | SHALL | (440252007, SNOMED, "Administration of radiopharmaceutical") |
Radioactivity​Dose | >>> | dose​Quantity | 0..1 | SHOULD | PQ |  |  |
| >>> | consumable | 1..1 | SHALL |  |  |  |
| >>>> | manufactured​Product | 1..1 | SHALL |  |  |  |
| >>>>> | material | 1..1 | SHALL |  |  |  |
Radio​pharmaceutical | >>>>>> | code | 1..1 | SHALL | CE | SHOULD CWE | ValueSet CID 25 “Radiopharmaceuticals”, or CID 4021 “PET Radiopharmaceutical” |
Free​Text​Radio​pharmaceutical | >>>>>>> | original Text | 0..1 | SHOULD | ED |  |  |

#### 9.8.5.1 text

The section text SHALL contain information related to the radiation exposure and protection of the patient, as is required by state/national legal requirements or standards, for example:

- information on the indications for the procedure

- the name of the "Irradiation Authorizing" person who is the clinician responsible for determining that the irradiating procedure was appropriate for the indications.

- summary information on radiation exposure if ionizing is applied in the context of the current procedure (detailed specification of exposure is out of the scope of this textual summary).

- information on the radioactive substance administered if radioactive substance is administered in the context of the current procedure.

### Note

Compare to TID 2008 “Radiation Exposure and Protection Information”.

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DICOM PS3.20 2021c - Imaging Reports using HL7 Clinical Document Architecture