DICOM PS3.20 2019b - Imaging Reports using HL7 Clinical Document Architecture

C.3 Header Transformation

For transformation of the SR content into the CDA header, the target elements of the CDA instance are listed in Table C.3-1 by their Business Names, together with the recommended source in an SR instance. This allows the transforming application to "pull" the relevant information from the SR to populate the CDA header.

Table C.3-1. CDA Header content from SR

CDA Business Name

DICOM SR

ImagingReport: DocType

Concept Name Code Sequence (0040,A043) [of the root content item]

ImagingReport: ContentTemplate

ImagingReport: DocumentID

ImagingReport: Title

(121050, DCM, "Equivalent Meaning of Concept Name") > Concept Code Sequence (0040,A168) > Code Meaning (0008,0104) if present; otherwise Concept Name Code Sequence (0040,A043) > Code Meaning (0008,0104) [of the root content item].

ImagingReport: CreationTime

Content Date (0008,0023) + Content Time (0008,0033) + Timezone Offset From UTC (0008,0201)

ImagingReport: Confidentiality

ImagingReport: LanguageCode

(121049, DCM, "Language of Content Item and Descendants")

ImagingReport: SetId

ImagingReport: VersionNumber

ImagingReport: Patient:ID

Patient ID (0010,0020)

ImagingReport: Patient:IDIssuer

Issuer of Patient ID Qualifiers Sequence (0010,0024) > Universal Entity ID (0040,0032)

ImagingReport: Patient:Addr

Patient's Address (0010,1040)

ImagingReport: Patient:Tele

Patient's Telephone Numbers (0010,2154)

ImagingReport: Patient:Name

Patient's Name (0010,0010)

ImagingReport: Patient:Gender

Patient's Sex (0010,0040)

[Map value "O" to nullFlavor UNK]

ImagingReport: Patient:BirthTime

Patient's Birth Date (0010,0030) + Patient's Birth Time (0010,0032)

ImagingReport: Patient:ProviderOrgName

Issuer of Patient ID (0010,0021)

ImagingReport: Patient:ProviderOrgTel

ImagingReport: Patient:ProviderOrgAddr

ImagingReport: SigningTime

Verifying Observer Sequence (0040,A073) > Verification DateTime (0040,A030).

ImagingReport: SignerID

Verifying Observer Sequence (0040,A073) > Verifying Observer Identification Code Sequence (0040,A088) [code value as identifier]

ImagingReport: SignerAddr

ImagingReport: SignerTel

ImagingReport: SignerName

Verifying Observer Sequence (0040,A073) > Verifying Observer Name (0040,A075)

ImagingReport: SignatureBlock

ImagingReport: Author:AuthoringTime

Content Date (0008,0023) + Content Time (0008,0033) + Timezone Offset From UTC (0008,0201)

ImagingReport: Author:ID

Author Observer Sequence (0040,A078) > Person Identification Code Sequence (0040,1101) [code value as identifier]

ImagingReport: Author:Addr

ImagingReport: Author:Tel

ImagingReport: Author:Name

Author Observer Sequence (0040,A078) > Person Name (0040,A123)

ImagingReport: Recipient:Addr

ImagingReport: Recipient:Tel

ImagingReport: Recipient:Name

ImagingReport: Recipient:Org

ImagingReport: CustodianOrgID

Custodial Organization Sequence (0040,A07C) > Institution Code Sequence (0008,0082) [code value as identifier]

ImagingReport: CustodianOrgName

Custodial Organization Sequence (0040,A07C) > Institution Name (0008,0080)

ImagingReport: CustodianOrgAddr

ImagingReport: CustodianOrgTel

ImagingReport: EncounterID

Admission Id (0038,0010)

ImagingReport: EncounterIDIssuer

Issuer of Admission ID Sequence (0038;0014) > Universal Entity ID (0040,0032)

ImagingReport: EncounterTime

ImagingReport: HealthcareFacilityName

ImagingReport: HealthcareFacilityAddress

Institution Address (0008,0081)

ImagingReport:HealthcareProviderOrganizationName

Institution Name (0008,0080)

ImagingReport:AttendingPhysicianName

Physician(s) of Record (0008,1048)

ImagingReport:OrderPlacerNumber

Referenced Request Sequence (0040,A370) > Placer Order Number/Imaging Service Request (0040,2016)

ImagingReport:OrderAssigningAuthority

Referenced Request Sequence (0040,A370) > Order Placer Identifier Sequence (0040,0026) > Universal Entity ID (0040,0032)

ImagingReport:AccessionNumber

Accession Number (0008,0050)

ImagingReport:AccessionAssigningAuthority

Issuer of Accession Number Sequence (0008,0051) > Universal Entity ID (0040,0032)

ImagingReport:OrderedProcedureCode

Referenced Request Sequence (0040,A370) > Requested Procedure Code Sequence (0032,1064)

ImagingReport: OrderPriority

ImagingReport:Study:StudyUID

Study Instance UID (0020,000D)

ImagingReport:Study:ProcedureCode

Procedure Code Sequence (0008,1032)

ImagingReport:Study:Modality

(122142, DCM, "Acquisition Device Type") or (55111-9, LN, "Current Procedure Descriptions") > (122142, DCM, "Acquisition Device Type")

ImagingReport:Study:AnatomicRegionCode

(123014, DCM, "Target Region") or (55111-9, LN, "Current Procedure Descriptions") > (123014, DCM, "Target Region")

ImagingReport:Study:StudyTime

Study Date (0008,0020) + Study Time (0008,0030) + Timezone Offset From UTC (0008,0201)

ImagingReport: Performer:Type

ImagingReport: Performer:ID

ImagingReport: Performer:Name

ImagingReport: ReferrerAddr

Referring Physician Identification Sequence (0008,0096) > Person's Address (0040,1102)

ImagingReport: ReferrerTel

Referring Physician Identification Sequence (0008,0096) > Person's Telephone Numbers (0040,1103)

ImagingReport: ReferrerName

Referring Physician's Name (0008,0090)

ImagingReport: TranscriptionistID

Participant Sequence (0040,A07A) > Person Identification Code Sequence (0040,1101) , [where Participation Type (0040,A080) equals "ENT" (Data Enterer); code value as identifier]

ImagingReport: TranscriptionistName

Participant Sequence (0040,A07A) Person Name (0040,A123) [where Participation Type (0040,A080) equals "ENT" (Data Enterer) ]

ImagingReport: TransformedDocumentID

SOP Instance UID (0008,0018)


ImagingReport:Study:Modality and ImagingReport:Study:AnatomicRegionCode may be mapped from attributes in the root CONTAINER, if present there as in TID 2000, or in the Current Procedure Descriptions section CONTAINER, if present there as in TID 2006.

DICOM PS3.20 2019b - Imaging Reports using HL7 Clinical Document Architecture