DICOM PS3.17 2019b - Explanatory Information

X.2 Transcribed Diagnostic Imaging SR Instance Content

This section describes the use of transcribed dictation and Key Object Selection (KO) instances to produce a DICOM Basic Text SR instance. A specific SR Template, TID 2005 “Transcribed Diagnostic Imaging Report”, is defined to support transcribed diagnostic imaging reports created using this data flow.

X.2.1 SR Header Content

The Attributes of the Patient and Study Modules will be identical to those of the Study being reported. The following information is encoded in the SR Document General Module:

  • Identity of the dictating physician (observer context) in the Author Sequence

  • Identity of the transcriptionist or transcribing device (voice recognition) in the Participant Sequence

  • Identity of the report signing physician in the Verifying Observer Sequence

  • Identity of the institution owning the report in the Custodial Organization Sequence

  • Linkages to the order and requested procedures in the Referenced Request Sequence

  • A list of all images in the study in the Current Requested Procedure Evidence Sequence (from MPPS SOP Instances of the Study, or from query of the image repository)

  • A list of all images not in the study, but also attached to the report as referenced significant images, in the Pertinent Other Evidence Sequence

DICOM PS3.17 2019b - Explanatory Information