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 SR Measurement Report to FHIR Mapping

Page standards status: Trial-use Maturity Level: 2

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<ConceptMap xmlns="http://hl7.org/fhir">
  <id value="dicom-sr-measurement-report-to-fhir"/>
  <language value="en"/>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: ConceptMap dicom-sr-measurement-report-to-fhir</b></p><a name="dicom-sr-measurement-report-to-fhir"> </a><a name="hcdicom-sr-measurement-report-to-fhir"> </a><p>Mapping from <a href="http://dicom.nema.org/resources/ontology/DCM">http://dicom.nema.org/resources/ontology/DCM#126000</a> 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>http://hl7.org/fhir/resource-types</code></p><table class="grid"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td><td><b>Comment</b></td><td><b>identifier</b></td></tr><tr><td>DICOM.Patient (Patient IE)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>Patient</td><td>The DICOM® SR Patient IE is mapped to a FHIR Patient resource</td><td>PatientID (0010,0020) and IssuerOfPatientID (0010,0021) are mapped to Patient.identifier[0].value and Patient.identifier[0].assigner respectively</td></tr></table><hr/><p><b>Group 2 </b>Mapping from <code>unspecified code system</code> to <code>http://hl7.org/fhir/resource-types</code></p><table class="grid"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td><td><b>Comment</b></td><td><b>identifier</b></td></tr><tr><td>DICOM.Study (Study IE)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>ImagingStudy</td><td>The DICOM® SR Study IE is mapped to a FHIR ImagingStudy resource</td><td>StudyInstanceUID (0020,000D) is mapped to ImagingStudy.identifier[0].value</td></tr><tr><td>DICOM.Study (Study IE)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#related-to" title="related-to">is related to</a></td><td>ServiceRequest</td><td>The DICOM® SR Study IE is mapped to a FHIR ServiceRequest resource</td><td/></tr></table><hr/><p><b>Group 3 </b>Mapping from <code>unspecified code system</code> to <code>http://hl7.org/fhir/resource-types</code></p><table class="grid"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td><td><b>Comment</b></td></tr><tr><td>DICOM.Equipment (Equipment IE)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>Device</td><td>The DICOM® SR Equipment IE may result in the creation of a new Device resource</td></tr></table><hr/><p><b>Group 4 </b>Mapping from <code>unspecified code system</code> to <code>http://hl7.org/fhir/resource-types</code></p><table class="grid"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td><td><b>Comment</b></td><td><b>partOf</b></td><td><b>subject</b></td><td><b>imaging-measurement-group-map</b></td><td><b>device</b></td><td><b>basedOn</b></td></tr><tr><td>DICOM.Document (Document IE)</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>Observation</td><td>Processing of the Document IE will result in the creation one or more new Observation resources</td><td>Observation.partOf.reference=ImagingStudy[1].id</td><td>Observation.subject.reference=Patient[1].id</td><td>dicom-imaging-measurement-group-to-fhir</td><td>Observation.device.reference=Device[1]</td><td>Observation.basedOn.reference=ServiceRequest[1].id</td></tr></table></div>
  </text>
  <extension
             url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
    <valueCode value="ii"/>
  </extension>
  <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-sr-measurement-report-to-fhir"/>
  <identifier>
    <system value="urn:ietf:rfc:3986"/>
    <value value="urn:oid:2.16.840.1.113883.4.642.40.39.18.7"/>
  </identifier>
  <version value="1.0.0"/>
  <name value="DICOMSRMeasurementReportToFHIRMapping"/>
  <title value="ConceptMap - DICOM SR Measurement Report to FHIR Mapping"/>
  <status value="active"/>
  <experimental value="false"/>
  <date value="2026-07-22T18:58:15+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® SR Measurement Report and FHIR Resources"/>
  <jurisdiction>
    <coding>
      <system value="http://unstats.un.org/unsd/methods/m49/m49.htm"/>
      <code value="001"/>
    </coding>
  </jurisdiction>
  <property>
    <code value="references"/>
    <type value="string"/>
  </property>
  <property>
    <code value="imaging-measurement-group-map"/>
    <type value="string"/>
  </property>
  <property>
    <code value="subject"/>
    <type value="string"/>
  </property>
  <property>
    <code value="partOf"/>
    <type value="string"/>
  </property>
  <property>
    <code value="basedOn"/>
    <type value="string"/>
  </property>
  <property>
    <code value="device"/>
    <type value="string"/>
  </property>
  <property>
    <code value="identifier"/>
    <type value="string"/>
  </property>
  <sourceScopeUri
                  value="http://dicom.nema.org/resources/ontology/DCM#126000"/>
  <targetScopeUri value="http://hl7.org/fhir/ValueSet/resource-types#Bundle"/>
  <group>
    <target value="http://hl7.org/fhir/resource-types"/>
    <element>
      <code value="DICOM.Patient"/>
      <display value="Patient IE"/>
      <target>
        <code value="Patient"/>
        <display value="Patient"/>
        <relationship value="equivalent"/>
        <comment
                 value="The DICOM® SR Patient IE is mapped to a FHIR Patient resource"/>
        <property>
          <code value="identifier"/>
          <valueString
                       value="PatientID (0010,0020) and IssuerOfPatientID (0010,0021) are mapped to Patient.identifier[0].value and Patient.identifier[0].assigner respectively"/>
        </property>
      </target>
    </element>
  </group>
  <group>
    <target value="http://hl7.org/fhir/resource-types"/>
    <element>
      <code value="DICOM.Study"/>
      <display value="Study IE"/>
      <target>
        <code value="ImagingStudy"/>
        <display value="ImagingStudy"/>
        <relationship value="equivalent"/>
        <comment
                 value="The DICOM® SR Study IE is mapped to a FHIR ImagingStudy resource"/>
        <property>
          <code value="identifier"/>
          <valueString
                       value="StudyInstanceUID (0020,000D) is mapped to ImagingStudy.identifier[0].value"/>
        </property>
      </target>
    </element>
    <element>
      <code value="DICOM.Study"/>
      <display value="Study IE"/>
      <target>
        <code value="ServiceRequest"/>
        <display value="ServiceRequest"/>
        <relationship value="related-to"/>
        <comment
                 value="The DICOM® SR Study IE is mapped to a FHIR ServiceRequest resource"/>
      </target>
    </element>
  </group>
  <group>
    <target value="http://hl7.org/fhir/resource-types"/>
    <element>
      <code value="DICOM.Equipment"/>
      <display value="Equipment IE"/>
      <target>
        <code value="Device"/>
        <display value="Device"/>
        <relationship value="equivalent"/>
        <comment
                 value="The DICOM® SR Equipment IE may result in the creation of a new Device resource"/>
      </target>
    </element>
  </group>
  <group>
    <target value="http://hl7.org/fhir/resource-types"/>
    <element>
      <code value="DICOM.Document"/>
      <display value="Document IE"/>
      <target>
        <code value="Observation"/>
        <display value="Observation"/>
        <relationship value="source-is-narrower-than-target"/>
        <comment
                 value="Processing of the Document IE will result in the creation one or more new Observation resources"/>
        <property>
          <code value="imaging-measurement-group-map"/>
          <valueString value="dicom-imaging-measurement-group-to-fhir"/>
        </property>
        <property>
          <code value="subject"/>
          <valueString value="Observation.subject.reference=Patient[1].id"/>
        </property>
        <property>
          <code value="partOf"/>
          <valueString
                       value="Observation.partOf.reference=ImagingStudy[1].id"/>
        </property>
        <property>
          <code value="basedOn"/>
          <valueString
                       value="Observation.basedOn.reference=ServiceRequest[1].id"/>
        </property>
        <property>
          <code value="device"/>
          <valueString value="Observation.device.reference=Device[1]"/>
        </property>
      </target>
    </element>
  </group>
</ConceptMap>