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

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Official URL: http://hl7.org/fhir/uv/dicom-sr/ImplementationGuide/hl7.fhir.uv.dicom-sr				Version: 1.0.0
IG Standards status: Trial-use Active as of 2025-10-29			Maturity Level: 2	Computable Name: DICOMSRToFHIRResourceMappingIG
Other Identifiers: OID:2.16.840.1.113883.4.642.40.39

This Implementation Guide defines the use of FHIR resources to convey measurements, derived measurements and Qualitative Evaluations extracted from a DICOM® SR Measurement Report.

Organization of this implementation guide

This IG is organized into three main sections:

• Chapter I: Background - Introduction and overview
  • Problem - Description of the problem
  • Scope - Scope of the IG
  • Intended Readers - Intended readers of the IG
  • Use cases - Key use cases covered by the IG
  • Excluded use cases - Excluded use cases
  • FHIR Version 4 compatibility - FHIR Version 4 compatibility
  • Glossary - Glossary
  • References - References
  • IG Dependencies - Dependencies on other IGs
  • Global Profiles - Global profiles used in this IG
  • Copyrights - Copyrights and acknowledgments
• Chapter II: Architecture & Implementation
  • Profiles & Extensions - FHIR Profiles and extensions defined in the IG
    • Resources - FHIR Resource Profiles
      • Observation - Observation
      • ImagingSelection - ImagingSelection
      • Device - Device
      • BodyStructure - BodyStructure
    • Data Types - FHIR Data Type Profiles
    • Extensions - FHIR Extensions
    • Profile Relationships - Relationships between profiled FHIR resources and other standards
      • DICOM® SR Basics - Overview of DICOM® SR and terminology
      • Relationship to DICOM® SR TID 1500 Measurement Report - Mapping of content from DICOM SR Measurement Report
        • Imaging Measurement Group Relationship - Mapping of imaging measurement groups
        • Derived Imaging Measurements Relationship - Mapping of derived imaging measurements
        • Imaging Qualitative Evaluations Relationship - Mapping of imaging qualitative evaluations
      • Device Relationship - Mapping of devices from a DICOM SR Measurement Report
      • Other Resource Relationships - Relationships to other FHIR resources
  • Actors - Actors participating in the IG
  • Terminology - Value Sets defined and used
  • Security Consideration - Security aspects to be taken in consideration
• Chapter III: Measurement Report Processing Mapping
  • DICOM SR Measurement Report Mapping Overview - Overview of the mapping process
  • DICOM SR Measurement Report Instance Mapping
  • DICOM SR Document Mapping
  • Imaging Measurements Container Mapping
  • Imaging Measurement Group Mapping
  • Imaging Measurement Mapping
  • Imaging Qualitative Evaluation Mapping
  • Derived Imaging Measurements Mapping
• Chapter IV: Example DICOM SR Measurement Report Mapping
  • Patient Mapping - Patient Mapping Example
  • Service Request Mapping - Service Request Mapping Example
  • Imaging Study Mapping - Imaging Study Mapping Example
  • Device Mapping - Device Mapping Example
  • Document Mapping - Document Mapping Example
  • Imaging Measurements Container Mapping - Imaging Measurements Container Mapping Example
  • Imaging Measurement Group Mapping - Imaging Measurement Group Mapping Example
  • Imaging Measurement Mapping - Imaging Measurement Mapping Example
  • Imaging Qualitative Evaluation Mapping - Imaging Qualitative Evaluation Mapping Example
  • Example Instance - Complete Example DICOM SR Measurement Report

Copyrights and acknowledgments

This document is licensed under Creative Commons "No Rights Reserved" (CC0).

Value Sets

Value Sets in this guide include:

• Vocabulary Content from SNOMED CT, which is copyright © 2002+ International Health Terminology Standards Development Organization (IHTSDO) and distributed by agreement between IHTSDO and HL7. Implementer use of SNOMED CT is not covered by this agreement
• Vocabulary Content from LOINC (http://loinc.org). LOINC is copyright © 1995-2020, Regenstrief Institute, Inc. and the Logical Observation Identifiers Names and Codes (LOINC) Committee and is available at no cost under the license at LOINC/license.

Trademarks

LOINC® is a registered United States trademark of Regenstrief Institute, Inc.

SNOMED® and "SNOMED CT" are registered trademarks of the IHTSDO.

HL7®, HEALTH LEVEL SEVEN®, FHIR® and the FHIR® Logo are trademarks owned by Health Level Seven International, registered with the United States Patent and Trademark Office.

DICOM® is a registered trademark of the National Electrical Manufacturers Association for its standards publications relating to digital communications of medical information.

IHE® is a registered trademark of the Healthcare Information Management Systems Society in the United States and trademarks of IHE Europe in the European Community.

Sponsors Working Groups

• Imaging Integration Work Group

Contributors

Name	Organization	Role
Jonathan Whitby	Canon Medical	Author
Christopher Lindop	GE Healthcare	Author