29 Q: Is the concept “Equivalent meaning of concept name” (EV (121050, DCM, “Equivalent meaning of concept name”)) under “TID xx03 Patient Risk-Factor Context related to Imaging Agents “, a comprehensive representation appropriate to convey GFR measurement and methods? A: Above concept and TID in question no longer proposed as a consequence of re-using TID 10024 instead. 30 Q: Should this supplement address Radiopharmaceutical? A: No. The activity details are recorded in R-RDSR and are sufficient, and if necessary can be augmented with injection details that can be extracted by an injector from an R-RDSR (future work item if sufficient interest). Closed. Changes to NEMA Standards Publication PS 3.2 Digital Imaging and Communications in Medicine (DICOM) Part 2: Conformance Item #01: Add new SOP Classes in Table A.1-2 Table A.1-2 UID VALUES UID Value UID NAME Category … 1.2.840.10008.5.1.4.1.1.88.X3 Planned Imaging Agent Administration SR Transfer 1.2.840.10008.5.1.4.1.1.88.X4 Performed Imaging Agent Administration SR Transfer …
Add TID xx08 as shown. TID xx08 Imaging Agent Administration Delivery Step Template This template provides detailed information on Imaging Agent Administration delivery plan. A plan consists of multiple steps of delivery; a step in turn consists of multiple phases. TID xx08 Imaging Agent Administration Delivery Step Template Type: Extensible Order: Non-Significant Root: No NL Rel with Parent VT Concept Name VM Req Type Condition Value Set Constraint 1 CONTAINER EV (newcode581, 99SUP164, “Imaging Agent Delivery Procedure Step”) 1 M 2 > CONTAINS TEXT EV (newcode582, 99SUP164, “Imaging Agent Delivery Step Identifier”) 1 M 3 > CONTAINS NUM EV (newcode583, 99SUP164, “Imaging Agent Administration Delay”) 1 U UNITS = EV (s, UCUM, “s”) 4 > CONTAINS NUM EV (newcode584, 99SUP164, "Scan Delay") 1 U UNITS = EV (s, UCUM, “s”) 5 > INCLUDE DTID (xx09) “Imaging Agent Delivery Phase Template” 1-n M Content Item Descriptions Row 2 Imaging Agent Delivery Step Identifier is specified as numeric text string, and shall be treated as the ordinal of the recorded delivery step within a delivery plan (i.e., “1” for the first step, “2” for the second, etc.). Row 3 Imaging agent administration delay is the time difference between start of the step and the start of administration of the imaging agent. Row 4 Scan delay is the time difference between the start of imaging agent administration and the commencement of the scan acquisition (CT, MR or XA). Add TID xx09 as shown. TID xx09 Imaging Agent Administration Delivery Phase Template This template provides detailed information on Imaging Agent Administration delivery plan. A plan may consist of multiple steps of delivery; a step in turn may consist of multiple phases.
Add TID xx10 as shown. TID xx10 Performed Imaging Agent Administration Type : Extensible Order : Non-Significant Root: Yes NL Rel with Parent VT Concept Name VM Req Type Condition Value Set Constraint 1 CONTAINER EV (newcode809, 99SUP164, “Performed Imaging Agent Administration”) 1 M 2 > HAS CONCEPT MOD INCLUDE DTID (1204) Language Of Content Item and Descendants 1 U 3 > CONTAINS INCLUDE DTID(xx02) Pre-Medication Context 1 U 4 > CONTAINS INCLUDE DTID (10024) Imaging Agent Administration Patient Characteristics 1 U 5 > HAS OBS CONTEXT INCLUDE DTID (1002) Observer Context 1-n M 6 > CONTAINS INCLUDE DTID (1005) Procedure Context 1 U 7 > CONTAINS TEXT EV(55112-7, LN, “Summary”) 1 U 8 > CONTAINS CODE EV (newcode712, 99SUP164, “Programmable Device”) 1 U DCID (230) Yes – No 9 > CONTAINS NUM EV (newcode713, 99SUP164, “Number of Injector Heads”) 1 U 10 > CONTAINS COMPOSITE EV(newcode1010, 99SUP164, “Planned Imaging Agent Administration SOP Instance”) 1 MC IF this delivery was based on a Planned Imaging Agent Administration SOP Instance. 11 > CONTAINS INCLUDE DTID (xx05) Imaging Agent Information 1-n M 12 > CONTAINS INCLUDE DTID (xx06) Imaging Agent Administration Consumables 1-n U 13 > CONTAINS INCLUDE DTID (xx07) Imaging Agent Administration Plan 1 MC IF delivery was programmed $PlanType = EV (newcode112, DCM, “Programmed”)
14 > CONTAINS INCLUDE DTID (xx07) Imaging Agent Administration Plan 1 M $PlanType = EV (newcode113, DCM, “Delivered”) 15 > INCLUDE DTID (xx11) Imaging Agent Administration Adverse Events 1 U 16 > INCLUDE DTID (xx19) Imaging Agent Administration Injector Events 1 U 17 > CONTAINS CODE EV(newcode603, 99SUP164, “Imaging Agent Administration Completion Status”) 1 M DCID (xx17) Imaging Agent Administration Completion Status Content Item Descriptions Row 4 Persons and devices responsible for administering the imaging agent. If an automated injector was used, it is recorded here. Row 7 e.g., “Administered 30ml of Ultravist using guage22 via LeftAC.” Row 11 Describes all imaging agents used. Row 13 Programmed plan, this is the instructions for the injector at the start of the administration. Row 14 Performed plan, this is the actual delivery of the injector recorded after the end of the administration. Add TID xx11 as shown. TID xx11 Imaging Agent Administration Adverse Events This template provides information on adverse events occurring to a patient as a result of administration of an imaging agent. TID xx11 Imaging Agent Administration Adverse Events Type : Extensible Order : Non-Significant Root : No NL Rel with Parent VT Concept Name VM Req Type Condition Value Set Constraint 1 CONTAINER EV (newcode701, 99SUP164, “Imaging Agent Administration Adverse Events”) 1 M 2 > HAS PROPERTIES CODE EV (newcode715, 99SUP164, “Administration discontinued”) 1 U DCID 230 “Yes-No” 3 > CONTAINS CODE EV (newcode703, DCM, “Adverse Event”) 1-n M DCID (xx1) Imaging Agent Administration Adverse Events
recommended Include CID 9301 “Modality PPS Discontinuation Reasons” Include CID 9302 “Media Import PPS Discontinuation Reasons” Include CID xx1 “Imaging Agent Administration Adverse Events” Add the following new context groups to Part 16 Annex B: CID xx1 Imaging Agent Administration Adverse Events The contrast reactions were obtained from ACR Manual of Contrast Media Context ID xx1 Imaging Agent Administration Adverse Events Type: Extensible Version: 201xxxxx Coding Scheme Designator (0008,0102) Code Value (0008,0100) Code Meaning (0008,0104) SRT F-0499A Drug induced Nausea and vomiting SRT F-5005E Taste and sense altered SRT F-400A9 Sweating SRT F-24100 Cough SRT F-A21A7 Itching SRT D0-71000 Drug Rash SRT F-03CCF Feels Warm SRT F-037AB Pallor (Pale Complexion) SRT F-24442 Nasal Congestion SRT F-A2700 Headache SRT D0-3002F Drug induced Flushing SRT F-017C0 Facial Swelling SRT DF-1147C Drug Induced Dizziness SRT F-03261 Chills and fever SRT F-0B320 Anxiety SRT F-A4600 Shaking SRT D3-31121 Tachycardia-bradycardia SRT F-20250 Bronchospasm SRT D3-02000 Hypertension SRT D2-04460 Laryngeal edema SRT D0-2202B Diffuse inflammatory erythema SRT D3-04006 Drug-induced hypotension
SRT F-201B3 Dyspnea SRT D2-04460 Laryngeal edema (severe or rapidly progressing) SRT DA-30000 Epileptic convulsions SRT D3-04003 Chronic hypotension SRT F-100EC No motor response to command SRT R-FAE6C Arrhythmias SRT D2-60262 Cardiopulmonary arrest SRT 110527 Resource inadequate SRT D0-B0330 Injection Site Extravasation DCM 110515 Patient condition prevented continuing DCM 110501 Equipment failure Include CID 10043 “Intravenous Extravasation Symptoms” CID xx2 Time Relative To Procedure Context ID xx2 Time Relative To Procedure Type: Extensible Version: 201xxxxx Coding Scheme Designator (0008,0102) Code Value (0008,0100) Code Meaning (0008,0104) SRT R-422A4 After Procedure SRT R-40FBA During Procedure SRT R-40FB9 Before Procedure CID xx3 Imaging Agent Administration Container Fill Type Context ID xx3 Imaging Agent Administration Container Fill Type Type: Extensible Version: 201xxxxx Coding Scheme Designator (0008,0102) Code Value (0008,0100) Code Meaning (0008,0104) DCM newcode051 Pre-filled Container DCM newcode052 Empty Container
CID xx4 Imaging Agent Administration Phase Type Context ID xx4 Imaging Agent Administration Phase Type Type: Extensible Version: 201xxxxx Coding Scheme Designator (0008,0102) Code Value (0008,0100) Code Meaning (0008,0104) DCM newcode061 Administration Phase DCM newcode062 Programmed Hold Phase DCM newcode063 Manual Pause Phase DCM newcode064 Manual Resume Phase CID xx8 Imaging Agent Administration Mode Context ID xx8 Imaging Agent Administration Mode Type: Extensible Version: 201xxxxx Coding Scheme Designator (0008,0102) Code Value (0008,0100) Code Meaning (0008,0104) DCM newcode081 Automated Injection DCM newcode082 Manual Injection DCM newcode083 Oral Administration DCM newcode090 Rectal Administration CID xx9 Imaging Agent Administration Patient State Context ID xx9 Imaging Agent Administration Patient State Type: Extensible Version: 201xxxxx Coding Scheme Designator (0008,0102) Code Value (0008,0100) Code Meaning (0008,0104) SRT F-70102 Abnormal Renal Function DCM 113560 Acute unilateral renal blockage DCM 113561 Low Thyroid Uptake DCM 113562 High Thyroid Uptake DCM 113563 Severely Jaundiced SRT R-102B6 History of renal failure SRT G-023F History of diabetes
newcode588 Injection Pressure Injection pressure of the injector device measured during the administration. newcode581 Imaging Agent Delivery Step A delivery step in an imaging agent administration plan. newcode582 Imaging Agent Delivery Step Identifier Identifies a step in an imaging agent administration plan. newcode583 Imaging Agent Administration Delay Time difference between the nominal start of the administration step and the actual start of imaging agent administration. newcode584 Scan Delay Time difference between the start of imaging agent administration and the start of image acquisition. newcode591 Imaging Agent Delivery Phase Information about delivery phase for administering imaging agent. newcode592 Imaging Agent Delivery Phase Identifier Identifies a phase in an imaging agent administration step. newcode593 Imaging Agent Delivery Phase Type Type of phase in an imaging agent administration step. newcode595 Initial Volume of Imaging Agent in Container Starting volume of the imaging agent in the imaging agent container before the administration. newcode596 Residual Volume of Imaging Agent in Container Remaining volume of the imaging agent in the imaging agent container post administration. newcode597 Rise time Time for the pressure of the injection to build up from zero to the set pressure. newcode598 Starting rate of administration Flow rate at the start of an administration phase. newcode599 Ending rate of administration Flow rate at the end of an administration phase. newcode600 Bolus Shaping Curve A vendor specific code indicating the shape of the flow rate within an administration phase. newcode603 Imaging Agent Administration Completion Status The status of the imaging agent administration procedure as reported by the automated injector or by the person observer administering in case
of manual administration. newcode604 Imaging Agent Mixture Percentage Percentage of volume of a specific contrast agent to the total volume administered within an imaging agent administration phase. newcode701 Imaging Agent Administration Adverse Events Information about adverse events occurring during the imaging agent. newcode703 Adverse Event An adverse event occurring in a patient. newcode704 Estimated Extravasation Volume The estimated volume lost at the injection site. The estimation includes extravasation, paravenous administration and leakage at the injection site. newcode706 Adverse Event Detection Date Time Date and Time when an adverse event was noticed by the observer. newcode707 Adverse Event Step Identifier Identifier of the imaging agent administration delivery step where the adverse event was observed. newcode708 Adverse Event Phase Identifier Identifier of the imaging agent administration delivery phase where the adverse event was observed. newcode712 Programmable Device Indicates if the injector device used to administer the imaging agent is capable of programming injection protocol. newcode713 Number of Injector Heads Number of injector heads (Single or dual or many) in an injector device. newcode715 Administration discontinued Whether the imaging agent administration was discontinued. newcode800 Imaging Agent Container Volume Volume of the container used for administering the imaging agent. newcode801 Imaging Agent Accessory or Consumable Type of imaging agent accessory or consumable used for performing the imaging agent administration. newcode803 Bag A bag that holds the imaging agent. newcode804 Bottle A bottle that holds the imaging agent. newcode805 Imaging Agent Administration Container Fill Type The initial fill state of an imaging agent container. newcode806 UPC Code Universal Product Code ID. newcode807 Planned Imaging Agent Administration Information about the imaging agent administration plan customized to a patient. newcode809 Performed Imaging Information about the imaging agent