PS-2020a / part16

DICOM PS3.16 2020a - Content Mapping Resource​

Page 451​

Radiopharmaceutical

Radiopharmaceutical

Observer Context

TID 10023

Organ Dose

TID 1020

Person Participant

Type:​

Extensible​

Order:​

Significant​

Root:​

Yes​

Type:​

Extensible​

Order:​

Significant​

Page 453​

NL​

Rel with​

VT​

Concept Name​

VM​

Req​ Condition​

Value Set Constraint​

Parent​

Type​

16​

>​

CONTAINS​

NUM​

EV (113509, DCM,​

1​

U​

UNITS = EV (MBq,​

"Post-Administration​

UCUM, "MBq")​

Measured Activity")​

17​

>>​

HAS OBS​

CODE​

EV (113540, DCM, "Activity​

1​

U​

DCID 10041 “Source of​

CONTEXT​

Measurement Device")​

Radioisotope Activity​

Information”​

18​

>>​

HAS OBS​

INCLUDE​

DTID 1002 “Observer​

1-n​

U​

CONTEXT​

Context”​

19​

>​

CONTAINS​

INCLUDE​

DTID 10023 “Organ Dose”​

1-n​

U​

20​

>​

CONTAINS​

CODE​

EV(410675002,SCT,"Route​ 1​

M​

BCID 11 “Route of​

of administration")​

Administration”​

21​

>>​

HAS​

CODE​

EV (272737002, SCT, "Site​

1​

MC​IF Row 20​

DCID 3746​

PROPERTIES​

of")​

equals​

“Percutaneous Entry​

(47625008,​

Site”​

SCT,​

"Intravenous​

route") or​

(78421000,​

SCT,​

"Intramuscular​

route")​

22​

>>>​ HAS​

CODE​

EV (272741003, SCT,​

1​

MC​IF Row 21 has​DCID 244 “Laterality”​

CONCEPT​

"Laterality")​

laterality​

MOD​

23​

>​

CONTAINS​

INCLUDE​

DTID 1020 “Person​

1-n​

M​

$PersonProcedureRole​

Participant”​

= EV (113851, DCM,​

"Irradiation​

Administering")​

24​

>​

CONTAINS​

CODE​

EV (121147, DCM, "Billing​

1-n​

U​

Code(s) ")​

25​

>​

CONTAINS​

CODE​

EV (113510, DCM, "Drug​

1-n​

U​

Product Identifier")​

26​

>​

CONTAINS​

TEXT​

EV (111529, DCM, "Brand​

1​

U​

Name")​

27​

>​

CONTAINS​

TEXT​

EV (113511, DCM,​

1​

U​

"Radiopharmaceutical​

Dispense Unit Identifier")​

28​

>>​

CONTAINS​

TEXT​

EV (113512, DCM,​

1-n​

U​

"Radiopharmaceutical Lot​

Identifier")​

29​

>>​

CONTAINS​

TEXT​

EV(113513,DCM,"Reagent​1-n​

U​

Vial Identifier")​

30​

>>​

CONTAINS​

TEXT​

EV (113514, DCM,​

1-n​

U​

"Radionuclide Identifier")​

31​

>​

CONTAINS​

TEXT​

EV (113516, DCM,​

1​

U​

"Prescription Identifier")​

32​

>​

CONTAINS​

TEXT​

EV (121106, DCM,​

1​

U​

"Comment")​

Page 454​

DICOM PS3.16 2020a - Content Mapping Resource​

Row 4​

The value of Half-life that was used for computing the decay of the administered radiopharmaceutical. It​

Row 5​

Activity per unit mass of the radiopharmaceutical at Radiopharmaceutical Start Time​

Row 6​

Row 8​

The estimated percentage of administered activity lost at the injection site. The estimation includes​

Row 9​

The time the radiopharmaceutical was administered to the patient for imaging purposes.​

Row 11​

TotalamountofradioactivityadministeredtothepatientatRadiopharmaceuticalStartTime.Itisacomputed​

field from the TID 10022 Pre-Administration Measured Activity Row 13, TID 10022 Post-Administration​

Measured Activity Row 17, Radionuclide Half Life Row 4 and Radiopharmaceutical Start Time Row 9.​

Does not include estimated extravasation activity.​

Rows 13, 16​

Observation DateTime (0040,A032) shall be used to record when the measurement was taken.​

Row 23​

Identifies the person administering the product.​

Row 24​

The billing codes for the preparation and administration of the radiopharmaceutical. It does not include​

performance and interpretation of the imaging.​

Row 25​

Registered drug establishment code for the product. A coding scheme example is NDC, WHO-DDE or​

Row 27​

The human readable identification of the specific radiopharmaceutical quantity (dose) administered to the​

patient.​

Row 28​

Identifies the vial, batch or lot number from which the individual radiopharmaceutical quantity (dose) was​

produced. Row 27 the Radiopharmaceutical Identifier records the identification for each individual dose.​

Row 29​

Identifies the lot or unit serial number for the reagent component for the radiopharmaceutical identified in​

row 27.​

Row 30​

Identifiesthelotorunitserialnumberfortheradionuclidecomponentfortheradiopharmaceuticalidentified​

in row 27.​

TID 10023 Organ Dose​

This Template conveys the information about the dose to a single organ.​

Type:​

Extensible​

Order:​

Significant​

Root:​

No​

Table TID 10023. Organ Dose​

NL​

Rel with Parent​

VT​

Concept Name​

VM​

Req​ Condition​Value Set Constraint​

Type​

1​

CONTAINER​EV (113517, DCM, "Organ​

1​

M​

Dose Information")​

2​

>​

HAS CONCEPT​ CODE​

EV (363698007, SCT,​

1​

M​

DCID 10044​

MOD​

"Finding Site")​

“Radiosensitive​

Organs”​

3​

>​

HAS CONCEPT​ CODE​

EV (272741003, SCT,​

1​

MC​ IFF​

DCID 244 “Laterality”​

MOD​

"Laterality")​

anatomy​

has​

laterality​

4​

>​

CONTAINS​

NUM​

EV (118538004, SCT,​

1​

U​

UNITS = EV (g,​

"Mass")​

UCUM, "grams")​

5​

>>​

HAS CONCEPT​ TEXT​

EV (370129005, SCT,​

1​

M​

MOD​

"Measurement Method")​

DICOM PS3.16 2020a - Content Mapping Resource​

Page 455​

NL​

Rel with Parent​

VT​

Concept Name​

VM​

Req​

Condition​Value Set Constraint​

Type​

6​

>​

CONTAINS​

NUM​

EV (113518, DCM, "Organ​

1​

M​

UNITS = EV (mGy,​

Dose")​

UCUM, "mGy")​

7​

>>​

HAS​

CODE​

EV (121406, DCM,​

1​

MC​ XORRow8​BCID 10040​

PROPERTIES​

"Reference Authority")​

“Radiopharmaceutical​

OrganDoseReference​

Authority”​

8​

>>​

HAS​

TEXT​

EV (121406, DCM,​

1​

MC​ XORRow7​

PROPERTIES​

"Reference Authority")​

Content Item Descriptions​

Row 3​

For paired organs, use (51440002, SCT, "Bilateral") to report the estimated absorbed dose for both​

organs.​

Row 4​

The estimated mass of organ in grams used when calculating the organ dose.​

Row 5​

Method used to obtain the estimate. This could include a method that does not involve performing a​

measurement (e.g., Standard Organ Mass Tables).​

Row 6​

Organ dose (in units of mGy). Organ is specified by row 2.​

Type:​

Extensible​

Order:​

Significant​

Root:​

No​

NL​ Rel with Parent​ VT​

Concept Name​

VM​

Req​Condition​ Value Set Constraint​

Type​

1​

CONTAINER​EV (121118, DCM, "Patient​

Characteristics")​

2​

>​

CONTAINS​

CODE​

EV (109054, DCM, "Patient​ 1-n​

U​

DCID 10045​

state")​

“Radiopharmaceutical​

Patient State”​

DCID 64 “Imaging Agent​

Administration Patient​

State”​

3​

>​

CONTAINS​

NUM​

EV (121033, DCM, "Subject​ 1​

U​

UNITS = DCID 7456 “Units​

Age")​

of Measure for Age”​

4​

>​

CONTAINS​

CODE​

EV (121032, DCM, "Subject​ 1​

U​

DCID 7455 “Sex”​

Sex")​

5​

>​

CONTAINS​

NUM​

EV (8302-2, LN, "Patient​

1​

U​

UNITS = EV (cm, UCUM,​

Height")​

"cm")​

6​

>​

CONTAINS​

NUM​

EV (29463-7, LN, "Patient​

1​

U​

UNITS = EV (kg, UCUM,​

Weight")​

"kg").​

7​

>​

CONTAINS​

NUM​

EV (8277-6, LN, "Body​

1​

U​

UNITS = EV (m2, UCUM,​

Surface Area")​

"m^2")​

Page 456​

DICOM PS3.16 2020a - Content Mapping Resource​

NL​ Rel with Parent​ VT​

Concept Name​

VM​

Req​Condition​ Value Set Constraint​

Type​

8​

>>​

INFERRED​

CODE​

EV (8278-4, LN, "Body​

1​

U​

BCID 3663 “Body Surface​

FROM​

Surface Area Formula")​

Area Equations”​

9​

>​

CONTAINS​

NUM​

EV (60621009, SCT, "Body​

1​

U​

UNITS = EV (kg/m2,​

Mass Index")​

UCUM, "kg/m^2")​

10​

>>​

INFERRED​

CODE​

EV (121420, DCM,​

1​

U​

DT (122265, DCM, "BMI =​

FROM​

"Equation")​

Wt/Ht^2")​

11​

>​

CONTAINS​

NUM​

EV(14749-6,LN,"Glucose")​

1​

U​

UNITS = EV (mmol/l,​

UCUM, "mmol/l")​

12​

>​

CONTAINS​

NUM​

EV(113550, DCM, "Fasting​

1​

U​

UNITS = DT (h, UCUM,​

Duration")​

"hours")​

13​

>​

CONTAINS​

NUM​

EV(113551, DCM,​

1​

U​

UNITS = DT (ml, UCUM,​

"Hydration Volume")​

"ml")​

14​

>​

CONTAINS​

TEXT​

EV (113552, DCM, "Recent​

1​

U​

Physical Activity")​

15​

>​

CONTAINS​

NUM​

EV (2160-0, LN, "Serum​

1​

U​

UNITS=DT(mg/dl,UCUM,​

Creatinine")​

"mg/dl")​

16​

>​

CONTAINS​

NUM​

EV (80274001, SCT,​

1-n​

U​

UNITS = DT​

"GlomerularFiltrationRate")​

(ml/min{1.73_m2}, UCUM,​

"ml/min/1.73m2")​

17​

>>​

HAS CONCEPT​CODE​

EV (370129005, SCT,​

1​

U​

DCID 10047 “GFR​

MOD​

"Measurement Method")​

Measurement Methods”​

18​

>>​

HAS CONCEPT​CODE​

EV (121050, DCM,​

1​

M​

DCID 10046 “GFR​

MOD​

"Equivalent meaning of​

Measurements”​

concept name")​

Content Item Descriptions​

Row 3​

Row 5​

Patient height may differ from Patient's Size (0010,1020). Row 4 is the height value used for any height​

based protocols.​

Observation DateTime (0040,A032) may be used to record when the measurement was taken.​

Row 6​

Patient weight may differ from Patient's Weight (0010,1030). Row 5 is the weight value used for any weight​

based protocols.​

Observation DateTime (0040,A032) shall be used to record when the measurement was taken.​

Row 11​

Patient's Blood Glucose level.​

Observation DateTime (0040,A032) shall be used to record when the measurement was taken.​

Row 15​

Serum Creatinine level.​

Observation DateTime (0040,A032) shall be used to record when the measurement was taken.​

Row 16​

GlomerularFiltrationRateObservationDateTime(0040,A032)shallbeusedtorecordwhenthemeasurement​

was taken.​

DICOM PS3.16 2020a - Content Mapping Resource​

Page 457​

Patient Radiation

Observer

Dose

Context

TID 1204

Language of

Content Item and

Descendants

TID 10031

TID 10033

TID 10034

Radiation

Radiation

Radiation

Dose Estimate

Dose Estimate

Dose Estimate

Methodology

Parameters

TID 10032

Radiation

Dose Estimate

Representation

NL​

Rel with Parent​

VT​

Concept Name​

VM​ Req Type​Condition​Value Set​

Constraint​

1​

CONTAINER​ EV (128401, DCM, "Patient​

1​

M​

Root Node​

Radiation Dose Report")​

2​

>​

HAS CONCEPT​

INCLUDE​

DTID1204“LanguageofContent​

1​

M​

MOD​

Item and Descendants”​

3​

>​

HAS OBS​

INCLUDE​

DTID 1002 “Observer Context”​

1-n​

M​

CONTEXT​

4​

>​

CONTAINS​

INCLUDE​

DTID 10031 “Radiation Dose​

1​

M​

Estimate”​

5​

>​

CONTAINS​

TEXT​

EV (121106, DCM, "Comment")​

1​

U​

Page 458​

DICOM PS3.16 2020a - Content Mapping Resource​

NL​

Rel with Parent​ VT​

Concept Name​

VM​

Req​ Condition​ Value Set​

Type​

Constraint​

2​

>​

HAS CONCEPT​ TEXT​

EV (128403, DCM, "Radiation​

1​

M​

MOD​

Dose Estimate Name")​

3​

>​

CONTAINS​

TEXT​

EV (121106, DCM, "Comment")​

1​

U​

4​

>​

CONTAINS​

INCLUDE​

DTID 10033 “Radiation Dose​

1​

M​

Estimate Methodology”​

5​

>​

CONTAINS​

INCLUDE​

DTID 10032 “Radiation Dose​

1-n​

U​

Estimate Representation”​

6​

>​

CONTAINS​

CONTAINER​EV (113517, DCM, "Organ​

1-n​

M​

Radiation Dose Information")​

7​

>>​

CONTAINS​

CODE​

EV (113343008, SCT, "Organ")​

1​

M​

DCID 10060​

“Organs for​

Radiation Dose​

Estimates”​

8​

>>>​

HAS CONCEPT​ CODE​

EV (272741003, SCT,​

1​

MC​ IF Row 7​DCID 244​

MOD​

"Laterality")​

has​

Laterality​

laterality​

9​

>>​

CONTAINS​

TEXT​

EV (121106, DCM, "Comment")​

1​

U​

10​

>>​

CONTAINS​

NUM​

DCID 10061 “Absorbed​

1​

M​

UNITS = EV​

Radiation Dose Types”​

(mGy, UCUM,​

"mGy")​

11​

>>>​

HAS​

NUM​

DCID 225 “Measurement​

1-n​

U​

UNITS = EV​

PROPERTIES​

Uncertainty Concepts”​

(mGy, UCUM,​

"mGy")​

12​

>>>>​

HAS​

TEXT​

EV (128511, DCM, "Reference​

1​

U​

PROPERTIES​

to Uncertainty Determination​

Method")​

13​

>>​

CONTAINS​

NUM​

DCID 10062 “Equivalent​

1​

U​

UNITS = EV​

Radiation Dose Types”​

(mSv, UCUM,​

"mSv")​

14​

>>>​

HAS​

NUM​

DCID 225 “Measurement​

1-n​

U​

UNITS = EV​

PROPERTIES​

Uncertainty Concepts”​

(mSv, UCUM,​

"mSv")​

15​

>>>>​

HAS​

TEXT​

EV (128511, DCM, "Reference​

1​

U​

PROPERTIES​

to Uncertainty Determination​

Method")​

Content Item Descriptions​

Row 13​

Type:​

Extensible​

Order:​

Non-Significant​

Root:​

No​

NL​ RelwithParent​ VT​

Concept Name​

VM​

Req​

Condition​ Value Set​

Type​

Constraint​

1​

CONTAINER​EV (128412, DCM, "Radiation​

1​

M​

Dose Estimate​

Representation")​

2​

>​

CONTAINS​

CODE​

EV(128413,DCM,"Distribution​

1​

M​

DCID 10063​

Representation")​

“Radiation Dose​

EstimateDistribution​

Representation”​

3​

>​

CONTAINS​

IMAGE​

EV (128414, DCM, "Radiation​

1​

MC​

XOR Row 4​

Dose Representation Data")​

4​

>​

CONTAINS​

COMPOSITE​EV (128414, DCM, "Radiation​

1​

MC​

XOR Row 3​

Dose Representation Data")​

5​

>​

CONTAINS​

CODE​

EV(113343008,SCT,"Organ")​ 1-n​

M​

DCID10060“Organs​

for Radiation Dose​

Estimates”​

6​

>>​

HASCONCEPT​CODE​

EV (272741003, SCT,​

1​

MC​

IF Row 5​ DCID244“Laterality”​

MOD​

"Laterality")​

has​

laterality​

7​

>​

CONTAINS​

TEXT​

EV(121106,DCM,"Comment")​

1​

U​

Roww 3 and 4​

Reference to an Instance that contains the dose representation, e.g., surface segmentation, mesh,​

parametric map, RT dose, Secondary Capture, etc.​

Row 5​

The organs in the representation. The organs in this Row shall be present in Row 7 of TID 10031​

“Radiation Dose Estimate”.​

NL​

Rel with​

VT​

Concept Name​

VM​

Req​ Condition​

Value Set​

Parent​

Type​

Constraint​

1​

CONTAINER​EV (128415, DCM, "Radiation​

1​

M​

Dose Estimate Methodology")​

2​

>​

CONTAINS​

COMPOSITE​EV (128416, DCM, "SR​

1-n​

M​

Instance Used")​

3​

>>​

HAS OBS​

COMPOSITE​EV (128447, DCM, "Spatial​

1-n​

U​

CONTEXT​

Fiducials")​

4​

>>​

HAS​

UIDREF​

EV(128429,DCM,"EventUID​1-n​

MC​ IFF some Events​

PROPERTIES​

Used")​

in the Structured​

Report were not​

usedincalculating​

the dose.​

Page 460​

NL​

Rel with​

VT​

Concept Name​

VM​

Req​ Condition​

Value Set​

Parent​

Type​

Constraint​

5​

>​

CONTAINS​

CONTAINER​EV (128500, DCM, "Patient​

1​

M​

Radiation Dose Model")​

6​

>>​

CONTAINS​

CODE​

EV (128417, DCM, "Patient​

1​

M​

DCID 10064​

Model Type")​

“Patient Model​

Type”​

7​

>>​

CONTAINS​

CODE​

EV (128420, DCM, "Radiation​

1​

M​

DCID 10065​

Transport Model Type")​

“Radiation​

TransportModel​

Type”​

8​

>>​

CONTAINS​

IMAGE​

EV (128425, DCM, "Patient​

1​

UC​ XOR Row 9, 10​

Radiation Dose Model Data")​

9​

>>​

CONTAINS​

COMPOSITE​EV (128425, DCM, "Patient​

1​

UC​ XOR Row 8, 10​

Radiation Dose Model Data")​

10​

>>​

CONTAINS​

UIDREF​

EV (128425, DCM, "Patient​

1​

UC​ XOR Row 8, 9​

Radiation Dose Model Data")​

11​

>>​

CONTAINS​

TEXT​

EV (128426, DCM, "Patient​

1​

U​

Radiation Dose Model​

Reference")​

12​

>>​

CONTAINS​

TEXT​

EV (121106, DCM,​

1​

U​

"Comment")​

13​

>>​

CONTAINS​

CONTAINER​EV (128427, DCM, "Patient​

1​

M​

Model Demographics")​

14​

>>>​

CONTAINS​

NUM​

EV (128428, DCM, "Model​

1​

MC​ IF model requires​DCID 7456​

Minimum Age")​

minimum age to​ “Units of​

be defined​

Measure for​

Age”​

15​

>>>​

CONTAINS​

NUM​

EV (128430, DCM, "Model​

1​

MC​ IF model requires​DCID 7456​

Maximum Age")​

maximum age to​“Units of​

be defined​

Measure for​

Age”​

16​

>>>​

CONTAINS​

CODE​

EV (128437, DCM, "Model​

1​

MC​ IF model requires​DCID 7455​

Patient Sex")​

sex to be defined.​“Sex”​

17​

>>>​

CONTAINS​

NUM​

EV (128438, DCM, "Model​

1​

MC​ IF model requires​UNITS = EV​

Minimum Weight")​

minimumweightto​(kg, UCUM,​

be defined​

"kg")​

18​

>>>​

CONTAINS​

NUM​

EV (128441, DCM, "Model​

1​

MC​ IF model requires​UNITS = EV​

Maximum Weight")​

maximum weight​(kg, UCUM,​

to be defined​

"kg")​

19​

>>>​

CONTAINS​

NUM​

EV (128439, DCM, "Model​

1​

MC​ IF model requires​UNITS = EV​

Minimum Height")​

minimumheightto​(cm, UCUM,​

be defined​

"cm")​

20​

>>>​

CONTAINS​

NUM​

EV (128442, DCM, "Model​

1​

MC​ IF model requires​UNITS = EV​

Maximum Height")​

maximum height​(cm, UCUM,​

to be defined​

"cm")​

21​

>>​

CONTAINS​

CONTAINER​EV (128456, DCM, "Patient​

1-n​

UC​ IF spatial​

Model Registration")​

information used​

from Radiation​

Dose SR or​