| # | Name | Location | Type | Details | Index | Description |
|---|---|---|---|---|---|---|
| .01 | radiopharmaceutical | 0;1 | POINTER | 50 | B | A radiopharmaceutical associated with this examination should be entered here. Radiopharm entry is mandatory for printing dosage tickets. |
| 2 | prescribed dose by md override | 0;2 | NUMERIC | This is the dosage (in mCi) of this radiopharmaceutical as prescribed by an MD. It must be a value between .0001 and 99999.9999. This field is mandatory to print dosage tickets, or if an MD prescribed this dosage because it is outside the usual dosage range. | ||
| 3 | prescribing physician | 0;3 | POINTER | 200 | The physician who prescribed the radiopharmaceutical can be entered here. | |
| 4 | activity drawn (in mci) | 0;4 | NUMERIC | This is the radiopharmaceutical activity drawn to be administered to the patient. The unit of measure is mCi. | ||
| 5 | date/time drawn | 0;5 | DATE-TIME | The date and time the radiopharmaceutical was drawn can be entered here. If the facility is configured for printing dosage tickets, date/time drawn is mandatory. Date/time drawn can precede the exam date/time by as much as seven days. | ||
| 6 | person who measured dose | 0;6 | POINTER | 200 | The clinician who measured the amount of radiopharmaceutical drawn can be entered here. This person must have a Rad/Nuc Med Personnel Classification other than "clerk". If the facility is configured for printing dosage tickets, entering the person who measured the dose is mandatory. | |
| 7 | dose administered | 0;7 | NUMERIC | The radiopharmaceutical dosage actually administered to the patient. | ||
| 8 | date/time dose administered | 0;8 | DATE-TIME | This is the date/time the radiopharamceutical was administered to the patient. The date/time administered must not precede the exam date/time by more than seven days. | ||
| 9 | person who administered dose | 0;9 | POINTER | 200 | This is the individual who administered the dose. This individual must have Rad/Nuc Med Classification. | |
| 10 | witness to dose administration | 0;10 | POINTER | 200 | A person, if any, who witnessed the radiopharm dosage administration can be entered here. | |
| 11 | route of administration | 0;11 | POINTER | 71.6 | This is the route of administration for this radiopharmaceutical. | |
| 12 | site of administration | 0;12 | POINTER | 71.7 | This is the site of administration for this radiopharmaceutical. | |
| 12.5 | site of admin text | SITX;1 | FREE TEXT | |||
| 13 | lot no. | 0;13 | POINTER | 71.9 | This field identifies the lot number for this radiopharmaceutical. The 'Lot number' can be the number of the batch, vial, syringe, or kit. Lot number is mandatory for printing dosage tickets. | |
| 14 | volume (in ml or caplets) | 0;14 | FREE TEXT | This field indicates the volume of the radiopharmaceutical administered. The units of measure will either be 'c' for caplets or 'm' for milliliters. The number must be in the range of: 1-99999.99 | ||
| 15 | form | 0;15 | SET OF CODES | L:Liquid G:Gas A:Aerosol P:Solid (pill) S:Solid (other) | This field indicates the form in which the radiopharmaceutical was administered. Liquid (ex: all injections) Gas (ex: xenon, krypton) Aerosol (ex: DTPA aerosol) Solid (pill) (ex: I-123 or I-131 pill, schilling test) Solid (other) (ex: radioactive egg for gastric emptying time) |
Error: Invalid Global File Type: 70.21