DICOM® SR to FHIR Resource Mapping IG
1.0.0 - STU1 Ballot International flag

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 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/dicom-sr/ and changes regularly. See the Directory of published versions

Resource Profile: BodyStructureTrackingIdentifiers - Mappings

Active as of 2024-09-23

Mappings for the dicom-sr-tracking-identifiers resource profile.

Mappings for DICOM SR Observation Tracking Identifiers for EV(125007, DCM, Measurement Group) (https://dicom.nema.org/medical/dicom/current/output/chtml/part16/chapter_A.html#sect_TID_1500)

BodyStructureTrackingIdentifiers
BodyStructureEV(125007, DCM, Measurement Group)
   identifier (trackingIdentifier)DT (112039, DCM, Tracking Identifier)
   identifier (trackingUid)EV (112040, DCM, Tracking Unique Identifier)
   includedStructure
      structure
         textDT (112039, DCM, Tracking Identifier) > EV (112040, DCM, Tracking Unique Identifier)
   patienttag(0010,0020) [Patient ID]

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

BodyStructureTrackingIdentifiers
BodyStructureclinical.diagnostics
   identifierFiveWs.identifier
   identifier (trackingIdentifier)FiveWs.identifier
   identifier (trackingUid)FiveWs.identifier
   activeFiveWs.status
   morphologyFiveWs.what[x]
   includedStructure
      structureFiveWs.what[x]
      lateralityFiveWs.what[x]
      bodyLandmarkOrientation
         landmarkDescriptionFiveWs.what[x]
         clockFacePositionFiveWs.what[x]
         distanceFromLandmark
            deviceFiveWs.what[x]
         surfaceOrientationFiveWs.what[x]
      spatialReferenceFiveWs.where[x]
      qualifierFiveWs.what[x]
   descriptionFiveWs.what[x]
   imageFiveWs.what[x]
   patientFiveWs.subject[x]

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

BodyStructureTrackingIdentifiers
BodyStructureEntity, Role, or Act,Act
   textAct.text?
   containedN/A
   extensionN/A
   modifierExtensionN/A
   identifier.id
   identifier (trackingIdentifier).id
      idn/a
      extensionn/a
      useRole.code or implied by context
      typeRole.code or implied by context
      systemII.root or Role.id.root
      valueII.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)
      periodRole.effectiveTime or implied by context
      assignerII.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper
   identifier (trackingUid).id
      idn/a
      extensionn/a
      useRole.code or implied by context
      typeRole.code or implied by context
      systemII.root or Role.id.root
      valueII.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)
      periodRole.effectiveTime or implied by context
      assignerII.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper
   activestatusCode
   includedStructure
      idn/a
      extensionn/a
      modifierExtensionN/A
      structure.targetSiteCode
         idn/a
         extensionn/a
         codingunion(., ./translation)
         text./originalText[mediaType/code="text/plain"]/data
      laterality.targetSiteCode
      bodyLandmarkOrientation
         idn/a
         extensionn/a
         modifierExtensionN/A
         distanceFromLandmark
            idn/a
            extensionn/a
            modifierExtensionN/A
      qualifier.targetSiteCode
   description.text
   imageoutboundRelationship[typeCode=COMP].target
   patient.scoper or .scoper.playsRole

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

BodyStructureTrackingIdentifiers
BodyStructureArchetype 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.
   identifierSpecific location Cluster Optional (0..1) Cardinality: Mandatory, repeating, unordered (1..*)
   identifier (trackingIdentifier)Specific location Cluster Optional (0..1) Cardinality: Mandatory, repeating, unordered (1..*)
   identifier (trackingUid)Specific location Cluster Optional (0..1) Cardinality: Mandatory, repeating, unordered (1..*)
   includedStructure
      structureName of location
      lateralityCombines Side, Numerical identifier, Anatomical plane,and Aspect
      qualifierCombines Side, Numerical identifier, Anatomical plane,and Aspect
   descriptionDescription of anatomical location/Visual markings/orientation
   imageImage

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

BodyStructureTrackingIdentifiers
BodyStructure
   identifier
   identifier (trackingIdentifier)
      useN/A
      typeCX.5
      systemCX.4 / EI-2-4
      valueCX.1 / EI.1
      periodCX.7 + CX.8
      assignerCX.4 / (CX.4,CX.9,CX.10)
   identifier (trackingUid)
      useN/A
      typeCX.5
      systemCX.4 / EI-2-4
      valueCX.1 / EI.1
      periodCX.7 + CX.8
      assignerCX.4 / (CX.4,CX.9,CX.10)
   morphologySPM-4/SPM-5
   includedStructure
      structureOBX-20/SPM-8/SPM-10
         codingC*E.1-8, C*E.10-22
         textC*E.9. But note many systems use C*E.2 for this
      lateralityNo 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
      qualifierNo 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
   descriptionNTE
   imageOBX
   patientPID-3