Radiation Dose Summary for Diagnostic Procedures on FHIR
1.0.0 - STU 1

Radiation Dose Summary for Diagnostic Procedures on FHIR, published by HL7 International / Imaging Integration. This guide is not an authorized publication; it is the continuous build for version 1.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/fhir-radiation-dose-summary-ig/ and changes regularly. See the Directory of published versions

## ValueSet: Radiation Dose Summary component type

Official URL: http://hl7.org/fhir/uv/radiation-dose-summary/ValueSet/component-radiation-dose-summary-vs | Version: 1.0.0
Standards status: Trial-use | Maturity Level: 2 | Computable Name: ComponentRadiationDoseSummaryVS
Copyright/Legal: This value set includes content from SNOMED CT, which is copyright © 2002+ International Health Terminology Standards Development Organisation (IHTSDO), and distributed by agreement between IHTSDO and HL7. Implementer use of SNOMED CT is not covered by this agreement.

Value Set describing the list of minimal dose information related to Procedure and Administration level

References

- Radiation Dose Summary

### Logical Definition (CLD)

This value set includes codes based on the following rules:

- Include these codes as defined in `http://dicom.nema.org/resources/ontology/DCM` version `2025.2.20250411`

  Code | Display | Definition
  113813 | CT Dose Length Product Total | The total dose length product for the defined scope of accumulation.
  113725 | Dose (RP) Total | Total Dose related to Reference Point (RP). (in the scope of the including report).
  111637 | Accumulated Average Glandular Dose | Average Glandular Dose to a single breast accumulated over multiple images.
  113722 | Dose Area Product Total | Total calculated Dose Area Product (in the scope of the including report).
  113726 | Fluoro Dose Area Product Total | Total calculated Dose Area Product applied in Fluoroscopy Modes (in the scope of the including report).
  113727 | Acquisition Dose Area Product Total | Total calculated Dose Area Product applied in Acquisition Modes (in the scope of the including report).
  113730 | Total Fluoro Time | Total accumulated clock time of Fluoroscopy in the scope of the including report (i.e., the sum of the Irradiation Duration values for accumulated fluoroscopy irradiation events).
  113731 | Total Number of Radiographic Frames | Accumulated Count of exposure pulses (single or multi-frame encoded) created from irradiation events performed with high dose (acquisition).
  113507 | Administered activity | The calculated activity at the Radiopharmaceutical Start Time when the radiopharmaceutical is administered to the patient. The residual activity (i.e., radiopharmaceutical not administered) , if measured, is reflected in the calculated value. The estimated extravasation is not reflected in the calculated value.
  123005 | Radiopharmaceutical Volume | Volume of radiopharmaceutical administered to the patient.

- Include these codes as defined in `http://snomed.info/sct`

  Code | Display
  349358000 | Radiopharmaceuticals
  89457008 | Radioisotope
  410675002 | Route of administration

### Expansion

Expansion from tx.fhir.org based on:

- codesystem DICOM Controlled Terminology Definitions v2025.2.20250411 (CodeSystem)
- SNOMED CT International edition 01-Feb 2025

This value set contains 13 concepts

Code | System | Display | Inactive | Definition
113813 | http://dicom.nema.org/resources/ontology/DCM | CT Dose Length Product Total |  | The total dose length product for the defined scope of accumulation.
113725 | http://dicom.nema.org/resources/ontology/DCM | Dose (RP) Total |  | Total Dose related to Reference Point (RP). (in the scope of the including report).
111637 | http://dicom.nema.org/resources/ontology/DCM | Accumulated Average Glandular Dose |  | Average Glandular Dose to a single breast accumulated over multiple images.
113722 | http://dicom.nema.org/resources/ontology/DCM | Dose Area Product Total |  | Total calculated Dose Area Product (in the scope of the including report).
113726 | http://dicom.nema.org/resources/ontology/DCM | Fluoro Dose Area Product Total |  | Total calculated Dose Area Product applied in Fluoroscopy Modes (in the scope of the including report).
113727 | http://dicom.nema.org/resources/ontology/DCM | Acquisition Dose Area Product Total |  | Total calculated Dose Area Product applied in Acquisition Modes (in the scope of the including report).
113730 | http://dicom.nema.org/resources/ontology/DCM | Total Fluoro Time |  | Total accumulated clock time of Fluoroscopy in the scope of the including report (i.e., the sum of the Irradiation Duration values for accumulated fluoroscopy irradiation events).
113731 | http://dicom.nema.org/resources/ontology/DCM | Total Number of Radiographic Frames |  | Accumulated Count of exposure pulses (single or multi-frame encoded) created from irradiation events performed with high dose (acquisition).
113507 | http://dicom.nema.org/resources/ontology/DCM | Administered activity |  | The calculated activity at the Radiopharmaceutical Start Time when the radiopharmaceutical is administered to the patient. The residual activity (i.e., radiopharmaceutical not administered) , if measured, is reflected in the calculated value. The estimated extravasation is not reflected in the calculated value.
123005 | http://dicom.nema.org/resources/ontology/DCM | Radiopharmaceutical Volume |  | Volume of radiopharmaceutical administered to the patient.
349358000 | http://snomed.info/sct | Radiopharmaceuticals | inactive |
89457008 | http://snomed.info/sct | Radioactive isotope |  |
410675002 | http://snomed.info/sct | Route of administration (attribute) |  |

Explanation of the columns that may appear on this page:

Level | A few code lists that FHIR defines are hierarchical - each code is assigned a level. In this scheme, some codes are under other codes, and imply that the code they are under also applies
System | The source of the definition of the code (when the value set draws in codes defined elsewhere)
Code | The code (used as the code in the resource instance)
Display | The display (used in the display element of a Coding). If there is no display, implementers should not simply display the code, but map the concept into their application
Definition | An explanation of the meaning of the concept
Comments | Additional notes about how to use the code