DICOM SR to FHIR Resource Mapping IG, published by HL7 International / Imaging Integration. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/dicom-sr/ and changes regularly. See the Directory of published versions

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Resource Profile: DICOMSRFindingSiteBodyStructureProfile - Mappings

Draft as of 2024-04-02

Mappings for the dicom-sr-finding-site resource profile.

Mappings for DICOM SR Finding Site (https://dicom.nema.org/medical/dicom/current/output/chtml/part16/chapter_A.html#sect_TID_300)

The FindingSiteBodyStructure can be extracted from TID 300 EV(363698007, SCT, Finding Site) and EV (272741003, SCT, Laterality).

DICOMSRFindingSiteBodyStructureProfile
BodyStructure	TID300(FindingSite)
includedStructure
structure
coding	TID300.EV(363698007, SCT, Finding Site)
laterality	TID300.EV(272741003, SCT, Laterality)

Mappings for FiveWs Pattern Mapping (http://hl7.org/fhir/fivews)

DICOMSRFindingSiteBodyStructureProfile
BodyStructure	clinical.diagnostics
identifier	FiveWs.identifier
active	FiveWs.status
morphology	FiveWs.what[x]
includedStructure
structure	FiveWs.what[x]
laterality	FiveWs.what[x]
bodyLandmarkOrientation
landmarkDescription	FiveWs.what[x]
clockFacePosition	FiveWs.what[x]
distanceFromLandmark
device	FiveWs.what[x]
surfaceOrientation	FiveWs.what[x]
spatialReference	FiveWs.where[x]
qualifier	FiveWs.what[x]
description	FiveWs.what[x]
image	FiveWs.what[x]
patient	FiveWs.subject[x]

Mappings for RIM Mapping (http://hl7.org/v3)

DICOMSRFindingSiteBodyStructureProfile
BodyStructure	Entity, Role, or Act,Act
text	Act.text?
contained	N/A
extension	N/A
modifierExtension	N/A
identifier	.id
active	statusCode
includedStructure
id	n/a
extension	n/a
modifierExtension	N/A
structure	.targetSiteCode
id	n/a
extension	n/a
coding	union(., ./translation)
text	./originalText[mediaType/code="text/plain"]/data
laterality	.targetSiteCode
bodyLandmarkOrientation
id	n/a
extension	n/a
modifierExtension	N/A
distanceFromLandmark
id	n/a
extension	n/a
modifierExtension	N/A
qualifier	.targetSiteCode
description	.text
image	outboundRelationship[typeCode=COMP].target
patient	.scoper or .scoper.playsRole

Mappings for Open EHR Archetype Mapping (http://openehr.org)

DICOMSRFindingSiteBodyStructureProfile
BodyStructure	Archetype ID openEHR-EHR-CLUSTER.anatomical_location.v1 Concept name Anatomical Location Concept description Record details about an anatomical location. Keywords location, site, anatomical Copyright © openEHR Foundation Purpose To record details about anatomical location. Misuse Not for specifiying unilateral/bilateral occurrence - this is related to an evaluation which perhaps includes multiple locations. Author Author name: Heather Leslie Organization: Ocean Informatics Email: heather.leslie@oceaninformatics.com Date of Origination: 2008-11-10 Translator Norwegian Bokmål: Lars Bitsch-Larsen, Haukeland University Hospital of Bergen, Norway, MD, DEAA, MBA, spec in anesthesia, spec in tropical medicine. Arabic (Syria): Mona Saleh Other contributors Heather Leslie, Ocean Informatics, Australia (Editor) Ian McNicoll, freshEHR Clinical Informatics, United Kingdom (Editor) Dunmail Hodkinson, Black Pear Software Ltd, UK References Use cases: - 5LICS, midclavicular line - L forearm, 2cm anterior to the cubital fossa - Right iliac fossa - 5 cm below L tibial tuberosity - 2 cm medial to R nipple - 4 cm below R costal margin in midclavicular line - R femur - midline nose - medial aspect of R great toe nail.
identifier	Specific location Cluster Optional (0..1) Cardinality: Mandatory, repeating, unordered (1..*)
includedStructure
structure	Name of location
laterality	Combines Side, Numerical identifier, Anatomical plane,and Aspect
qualifier	Combines Side, Numerical identifier, Anatomical plane,and Aspect
description	Description of anatomical location/Visual markings/orientation
image	Image

Mappings for HL7 V2 Mapping (http://hl7.org/v2)

DICOMSRFindingSiteBodyStructureProfile
BodyStructure
morphology	SPM-4/SPM-5
includedStructure
structure	OBX-20/SPM-8/SPM-10
coding	C*E.1-8, C*E.10-22
text	C*E.9. But note many systems use C*E.2 for this
laterality	No distinct element defined in V2.x. The IHE Radiology Technical Framework directs the use of OBR-15-specimen source to contain laterality for imaging studies./SPM-9
qualifier	No distinct element defined in V2.x. The IHE Radiology Technical Framework directs the use of OBR-15-specimen source to contain laterality for imaging studies./SPM-9
description	NTE
image	OBX
patient	PID-3