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The descriptions for all procedure concepts that use contrast must explicitly state ‘with contrast.’  All procedures that use contrast, including 420040002 |Fluoroscopic angiography with contrast (procedure)| and all subtypes, must include the attribute 424361007 |Using substance (attribute)| and a value of 385420005 |Contrast media (substance)| or a subtype in the role group. 

Where the value for the method imaging action is 278110001 |Radiographic imaging - action (qualifier value)| or a subtype, the value for 424361007 |Using substance (attribute)| must be 419098001 |Radiographic imaging contrast media (substance)| or a subtype to denote the radio-opaque nature of the substance.

  • Exception:  procedures which specify negative contrast which is non-radio-opaque
Info

This guidance should be applied to new content, the process of updating existing content will be carried out as time and resources permit.

It is unnecessary to add the word media to contrast.

It is agreed that the linking word to associate the contrast use with the procedure is with - not for, or, etc.

Note
titleContrast

There is a suggestion that additional Additional concept detail is required when it is necessary to know the more precise nature of contrast (e.g. iodinated with various osmolalities, barium, or gas).

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    • Concept
      t566341000119106 |Computed tomography of ankle without contrast (procedure)|
      • FSN: Computed tomography of ankle without contrast (procedure)
      • PT: CT of ankle without contrast
      • SYN: Computed tomography of ankle without contrast

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      • contrast

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There is a case for explicitly adding a concept qualification when naming procedures that are explicitly performed without contrast.

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Unacceptable concept qualification

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