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

: ConceptMap - DICOM Imaging Measurement to FHIR Mapping

Page standards status: Trial-use Maturity Level: 2

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<ConceptMap xmlns="http://hl7.org/fhir">
  <id value="dicom-imaging-measurement-to-fhir"/>
  <language value="en"/>
  <text>
    <status value="generated"/>
    <div xml:lang="en" xmlns="http://www.w3.org/1999/xhtml" lang="en"><p class="res-header-id"><b>Generated Narrative: ConceptMap dicom-imaging-measurement-to-fhir</b></p><a name="dicom-imaging-measurement-to-fhir"> </a><a name="hcdicom-imaging-measurement-to-fhir"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Language: en</p></div><p>Mapping from (not specified) to <a href="http://hl7.org/fhir/R5/valueset-resource-types.html">Resource Types</a></p><br/><p><b>Group 1 </b>Mapping from <code>unspecified code system</code> to <code>unspecified code system</code></p><table class="grid"><tr><td colspan="3"><b>Source Concept Details</b></td><td><b>Relationship</b></td><td colspan="2"><b>Target Concept Details</b></td></tr><tr><td colspan="2"><b>Codes</b> from </td><td><b>ValueType</b></td><td/><td colspan="2"><b>Codes</b> from </td></tr><tr><td style="border-right-width: 0px">$Measurement</td><td style="border-left-width: 0px">Measurement</td><td/><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">valueQuantity</td><td style="border-left-width: 0px">ImagingMeasurement.valueQuantity</td></tr></table><hr/><p><b>Group 2 </b>Mapping from <code>unspecified code system</code> to <code>unspecified code system</code></p><table class="grid"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td></tr><tr><td>370129005 (Measurement Method)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>method (ImagingMeasurement.method)</td></tr></table><hr/><p><b>Group 3 </b>Mapping from <code>unspecified code system</code> to <code>unspecified code system</code></p><table class="grid"><tr><td colspan="2"><b>Source Concept Details</b></td><td><b>Relationship</b></td><td colspan="2"><b>Target Concept Details</b></td><td><b>Comment</b></td></tr><tr><td colspan="2"><b>Codes</b> from </td><td/><td colspan="2"><b>Codes</b> from </td><td/></tr><tr><td style="border-right-width: 0px; border-bottom-style: none">363698007</td><td style="border-left-width: 0px; border-bottom-style: none">Finding Site</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#source-is-narrower-than-target" title="source-is-narrower-than-target">is narrower than</a></td><td style="border-right-width: 0px">BodyStructureFindingSite</td><td style="border-left-width: 0px">BodyStructureFindingSite</td><td>A BodyStructureFindingSite will be created if the Finding Site includes Laterality and / or Topographical Modifier.</td></tr><tr><td style="border-right-width: 0px; border-top-style: none"/><td style="border-top-style: none; border-left-width: 0px"/><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">findingSite</td><td style="border-left-width: 0px">ImagingMeasurement.findingSite</td><td>The findingSite element will be populated if the Finding Site does not include Laterality and / or Topographical Modifier.</td></tr><tr><td style="border-right-width: 0px">272741003</td><td style="border-left-width: 0px">Laterality</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#source-is-narrower-than-target" title="source-is-narrower-than-target">is narrower than</a></td><td style="border-right-width: 0px">BodyStructureFindingSite</td><td style="border-left-width: 0px">BodyStructureFindingSite</td><td/></tr><tr><td style="border-right-width: 0px">106233006</td><td style="border-left-width: 0px">Topographical modifier</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#source-is-narrower-than-target" title="source-is-narrower-than-target">is narrower than</a></td><td style="border-right-width: 0px">BodyStructureFindingSite</td><td style="border-left-width: 0px">BodyStructureFindingSite</td><td/></tr></table><hr/><p><b>Group 4 </b>Mapping from <code>unspecified code system</code> to <code>unspecified code system</code></p><table class="grid"><tr><td colspan="2"><b>Source Concept Details</b></td><td><b>Relationship</b></td><td colspan="2"><b>Target Concept Details</b></td><td><b>Comment</b></td></tr><tr><td colspan="2"><b>Codes</b> from </td><td/><td colspan="2"><b>Codes</b> from </td><td/></tr><tr><td style="border-right-width: 0px; border-bottom-style: none">TID4019</td><td style="border-left-width: 0px; border-bottom-style: none">Algorithm Identification</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">AlgrithmIdentification</td><td style="border-left-width: 0px">AlgorithmIdentification</td><td>Content from the Algorithm Identification template will be used to create a FHIR AlgorithmIdentification Device.</td></tr><tr><td style="border-right-width: 0px; border-top-style: none"/><td style="border-top-style: none; border-left-width: 0px"/><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">device</td><td style="border-left-width: 0px">ImagingMeasurement.device</td><td/></tr></table></div>
  </text>
  <extension
             url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
    <valueCode value="ii"/>
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  <extension
             url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
    <valueInteger value="2">
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom">
        <valueCanonical
                        value="http://hl7.org/fhir/uv/dicom-sr/ImplementationGuide/hl7.fhir.uv.dicom-sr"/>
      </extension>
    </valueInteger>
  </extension>
  <extension
             url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
    <valueCode value="trial-use">
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom">
        <valueCanonical
                        value="http://hl7.org/fhir/uv/dicom-sr/ImplementationGuide/hl7.fhir.uv.dicom-sr"/>
      </extension>
    </valueCode>
  </extension>
  <url
       value="http://hl7.org/fhir/uv/dicom-sr/ConceptMap/dicom-imaging-measurement-to-fhir"/>
  <identifier>
    <system value="urn:ietf:rfc:3986"/>
    <value value="urn:oid:2.16.840.1.113883.4.642.40.39.18.4"/>
  </identifier>
  <version value="1.0.0"/>
  <name value="DICOMImagingMeasurementToFHIRMapping"/>
  <title value="ConceptMap - DICOM Imaging Measurement to FHIR Mapping"/>
  <status value="active"/>
  <experimental value="false"/>
  <date value="2026-01-19T15:46:04+00:00"/>
  <publisher value="HL7 International / Imaging Integration"/>
  <contact>
    <telecom>
      <system value="url"/>
      <value value="http://www.hl7.org/Special/committees/imagemgt"/>
    </telecom>
  </contact>
  <contact>
    <name value="HL7 International / Imaging Integration"/>
    <telecom>
      <system value="url"/>
      <value value="http://www.hl7.org/Special/committees/imagemgt"/>
    </telecom>
  </contact>
  <contact>
    <name value="Jonathan Whitby"/>
    <telecom>
      <system value="email"/>
      <value value="jonathan.whitby@mi.medical.canon"/>
    </telecom>
    <telecom>
      <system value="url"/>
      <value value="http://www.hl7.org/Special/committees/imagemgt"/>
    </telecom>
  </contact>
  <contact>
    <name value="Christopher Lindop"/>
    <telecom>
      <system value="email"/>
      <value value="Christopher.Lindop@ge.com"/>
    </telecom>
    <telecom>
      <system value="url"/>
      <value value="http://www.hl7.org/Special/committees/imagemgt"/>
    </telecom>
  </contact>
  <description
               value="Mapping between DICOM® Imaging Measurement and FHIR Resources"/>
  <jurisdiction>
    <coding>
      <system value="http://unstats.un.org/unsd/methods/m49/m49.htm"/>
      <code value="001"/>
    </coding>
  </jurisdiction>
  <additionalAttribute>
    <code value="IdentifierType"/>
    <uri value="http://dicom.nema.org/resources/ontology/DCM"/>
    <description value="DICOM Controlled Terminology"/>
    <type value="Coding"/>
  </additionalAttribute>
  <additionalAttribute>
    <code value="ValueType"/>
    <uri value="http://hl7.org/fhir/uv/dicom-sr/CodeSystem/dicom-value-type"/>
    <description value="DICOM Value Type"/>
    <type value="Coding"/>
  </additionalAttribute>
  <targetScopeUri
                  value="http://hl7.org/fhir/ValueSet/resource-types#Observation"/>
  <group>
    <element>
      <code value="$Measurement"/>
      <display value="Measurement"/>
      <target>
        <code value="valueQuantity"/>
        <display value="ImagingMeasurement.valueQuantity"/>
        <relationship value="equivalent"/>
        <dependsOn>
          <attribute value="ValueType"/>
          <valueCoding>
            <system
                    value="http://hl7.org/fhir/uv/dicom-sr/CodeSystem/dicom-value-type"/>
            <code value="num"/>
          </valueCoding>
        </dependsOn>
      </target>
    </element>
  </group>
  <group>
    <element>
      <code value="370129005"/>
      <display value="Measurement Method"/>
      <target>
        <code value="method"/>
        <display value="ImagingMeasurement.method"/>
        <relationship value="equivalent"/>
      </target>
    </element>
  </group>
  <group>
    <element>
      <code value="363698007"/>
      <display value="Finding Site"/>
      <target>
        <code value="BodyStructureFindingSite"/>
        <display value="BodyStructureFindingSite"/>
        <relationship value="source-is-narrower-than-target"/>
        <comment
                 value="A BodyStructureFindingSite will be created if the Finding Site includes Laterality and / or Topographical Modifier."/>
      </target>
      <target>
        <code value="findingSite"/>
        <display value="ImagingMeasurement.findingSite"/>
        <relationship value="equivalent"/>
        <comment
                 value="The findingSite element will be populated if the Finding Site does not include Laterality and / or Topographical Modifier."/>
      </target>
    </element>
    <element>
      <code value="272741003"/>
      <display value="Laterality"/>
      <target>
        <code value="BodyStructureFindingSite"/>
        <display value="BodyStructureFindingSite"/>
        <relationship value="source-is-narrower-than-target"/>
      </target>
    </element>
    <element>
      <code value="106233006"/>
      <display value="Topographical modifier"/>
      <target>
        <code value="BodyStructureFindingSite"/>
        <display value="BodyStructureFindingSite"/>
        <relationship value="source-is-narrower-than-target"/>
      </target>
    </element>
  </group>
  <group>
    <element>
      <code value="TID4019"/>
      <display value="Algorithm Identification"/>
      <target>
        <code value="AlgrithmIdentification"/>
        <display value="AlgorithmIdentification"/>
        <relationship value="equivalent"/>
        <comment
                 value="Content from the Algorithm Identification template will be used to create a FHIR AlgorithmIdentification Device."/>
      </target>
      <target>
        <code value="device"/>
        <display value="ImagingMeasurement.device"/>
        <relationship value="equivalent"/>
      </target>
    </element>
  </group>
</ConceptMap>