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

C.5 Example

C.5.1 DICOM SR "Basic Diagnostic Imaging Report" (TID 2000)

The SR sample document encoding includes information on the SR document body tree depth (column 1: SR Tree Depth), nesting level for nested artifacts such as sequences and sequence items (column 2: Nesting), DICOM attribute names (column 3: Attribute), DICOM tag (column 4: Tag), the DICOM attribute value representation (Column 5: VR as specified in PS3.5), the hexadecimal value of value length (column 6: VL (hex)) and the sample document attribute values (column 7: Value).

Table C.5-1. Sample document encoding

SR Tree Depth

Nesting

Attribute

Tag

VR

VL (hex)

Value

Instance Creation Date

(0008,0012)

DA

0008

20060827

Instance Creation Time

(0008,0013)

TM

0006

224157

Instance Creator UID

(0008,0014)

UI

001c

1.2.276.0.7230010.3.0.3.5.4

SOP Class UID

(0008,0016)

UI

001e

1.2.840.10008.5.1.4.1.1.88.22

SOP Instance UID

(0008,0018)

UI

003c

1.2.840.113619.2.62.994044785528.20060823.200608232232322.9

Study Date

(0008,0020)

DA

0008

20060823

Content Date

(0008,0023)

DA

0008

20060823

Study Time

(0008,0030)

TM

0006

222400

Content Time

(0008,0033)

TM

0006

224352

Accession Number

(0008,0050)

SH

0008

10523475

Issuer of Accession Number Sequence

(0008,0051)

SQ

ffffffff

%item

>

Local Namespace Entity ID

(0040,0032)

UT

0008

WUH-RIS

>

Universal Entity ID

(0040,0032)

UT

0024

1.2.840.113619.2.62.994044785528.27

>

Universal Entity ID Type

(0040,0033)

CS

0004

ISO

%enditem

%endseq

Modality

(0008,0060)

CS

0002

SR

Manufacturer

(0008,0070)

LO

000a

DicomWg20

Referring Physician's Name

(0008,0090)

PN

0010

Smith^John^^^MD

Procedure Code Sequence

(0008,1032)

SQ

ffffffff

%item

>

Code Value

(0008,0100)

SH

0006

11123

>

Coding Scheme Designator

(0008,0102)

SH

0008

99WUHID

>

Code Meaning

(0008,0104)

LO

000c

X-Ray Study

%enditem

%endseq

Referenced Performed Procedure Step Sequence

(0008,1111)

SQ

ffffffff

%endseq

Patient's Name

(0010,0010)

PN

0008

Doe^John

Patient ID

(0010,0020)

LO

000a

0000680029

Issuer of Patient ID

(0010,0021)

LO

001a

World University Hospital

Issuer of Patient ID Qualifiers Sequence

(0010,0024)

SQ

ffffffff

%item

>

Universal Entity ID

(0040,0032)

UT

0024

1.2.840.113619.2.62.994044785528.10

>

Universal Entity ID Type

(0040,0033)

CS

0004

ISO

%enditem

%endseq

Patient's Birth Date

(0010,0030)

DA

0008

19641128

Patient's Sex

(0010,0040)

CS

0002

M

Study Instance UID

(0020,000d)

UI

002e

1.2.840.113619.2.62.994044785528.114289542805

Series Instance UID

(0020,000e)

UI

0036

1.2.840.113619.2.62.994044785528.20060823223142485052

Study ID

(0020,0010)

SH

0008

10523475

Series Number

(0020,0011)

IS

0004

560

Instance Number

(0020,0013)

IS

0006

07851

1

Value Type

(0040,a040)

CS

000a

CONTAINER

1

Concept Name Code Sequence

(0040,a043)

SQ

ffffffff

1

%item

1

>

Code Value

(0008,0100)

SH

0008

18782-3

1

>

Coding Scheme Designator

(0008,0102)

SH

0002

LN

1

>

Code Meaning

(0008,0104)

LO

000c

X-Ray Report

1

%enditem

1

%endseq

1

Continuity Of Content

(0040,a050)

CS

0008

SEPARATE

Verifying Observer Sequence

(0040,a073)

SQ

ffffffff

%item

>

Verifying Organization

(0040,a027)

LO

001a

World University Hospital

>

Verification DateTime

(0040,a030)

DT

000e

20060827141500

>

Verifying Observer Name

(0040,a075)

PN

0012

Blitz^Richard^^^MD

>

Verifying Observer Identification Code Sequence

(0040,a088)

SQ

ffffffff

%item

>>

Code Value

(0008,0100)

SH

0008

08150000

>>

Coding Scheme Designator

(0008,0102)

SH

0008

99WUHID

>>

Code Meaning

(0008,0104)

LO

0016

Verifying Observer ID

%enditem

%endseq

%enditem

%endseq

Referenced Request Sequence

(0040,a370)

SQ

ffffffff

%item

>

Accession Number

(0008,0050)

SH

0008

10523475

>

Issuer of Accession Number Sequence

(0008,0051)

SQ

ffffffff

%item

>>

Local Namespace Entity ID

(0040,0032)

UT

0008

WUH-RIS

>>

Universal Entity ID

(0040,0032)

UT

0024

1.2.840.113619.2.62.994044785528.27

>>

Universal Entity ID Type

(0040,0033)

CS

0004

ISO

%enditem

%endseq

>

Referenced Study Sequence

(0008,1110)

SQ

ffffffff

%item

>>

Referenced SOP Class UID

(0008,1150)

UI

001a

1.2.840.10008.5.1.4.1.1.1

>>

Referenced SOP Instance UID

(0008,1155)

UI

003c

1.2.840.113619.2.62.994044785528.20060823.200608232232322.3

%enditem

%endseq

>

Study Instance UID

(0020,000d)

UI

002e

1.2.840.113619.2.62.994044785528.114289542805

>

Requested Procedure Description

(0032,1060)

LO

0020

CHEST TWO VIEWS, PA AND LATERAL

>

Requested Procedure Code Sequence

(0032,1064)

SQ

ffffffff

%item

>>

Code Value

(0008,0100)

SH

0006

11123

>>

Coding Scheme Designator

(0008,0102)

SH

0008

99WUHID

>>

Code Meaning

(0008,0104)

LO

000c

X-Ray Study

%enditem

%endseq

>

Order Placer Identifier Sequence

(0040,0026)

SQ

ffffffff

%item

>>

Local Namespace Entity ID

(0040,0032)

UT

0008

WUH-CPOE

>>

Universal Entity ID

(0040,0032)

UT

0024

1.2.840.113619.2.62.994044785528.29

>>

Universal Entity ID Type

(0040,0033)

CS

0004

ISO

%enditem

%endseq

>

Requested Procedure ID

(0040,1001)

SH

0006

123453

>

Reason for the Requested Procedure

(0040,1002)

LO

0014

Suspected lung tumor

>

Placer Order Number/Imaging Service Request

(0040,2016)

LO

0006

123451

%enditem

%endseq

Performed Procedure Code Sequence

(0040,a372)

SQ

ffffffff

%item

>

Code Value

(0008,0100)

SH

0006

11123

>

Coding Scheme Designator

(0008,0102)

SH

0008

99WUHID

>

Code Meaning

(0008,0104)

LO

000c

X-Ray Study

%enditem

%endseq

Current Requested Procedure Evidence Sequence

(0040,a375)

SQ

ffffffff

%item

>

Referenced Series Sequence

(0008,1115)

SQ

ffffffff

%item

>>

Referenced SOP Sequence

(0008,1199)

SQ

ffffffff

%item

>>>

Referenced SOP Class UID

(0008,1150)

UI

001a

1.2.840.10008.5.1.4.1.1.1

>>>

Referenced SOP Instance UID

(0008,1155)

UI

003c

1.2.840.113619.2.62.994044785528.20060823.200608232232322.3

%enditem

%item

>>>

Referenced SOP Class UID

(0008,1150)

UI

001a

1.2.840.10008.5.1.4.1.1.1

>>>

Referenced SOP Instance UID

(0008,1155)

UI

003c

1.2.840.113619.2.62.994044785528.20060823.200608232231422.3

%enditem

%endseq

>>

Series Instance UID

(0020,000e)

UI

0036

1.2.840.113619.2.62.994044785528.20060823223142485051

%enditem

%endseq

>

Study Instance UID

(0020,000d)

UI

002e

1.2.840.113619.2.62.994044785528.114289542805

%enditem

%endseq

Completion Flag

(0040,a491)

CS

0008

COMPLETE

Verification Flag

(0040,a493)

CS

0008

VERIFIED

1

Content Sequence

(0040,a730)

SQ

ffffffff

1.1

%item

1.1

>

Relationship Type

(0040,a010)

CS

0010

HAS CONCEPT MOD

1.1

>

Value Type

(0040,a040)

CS

0004

CODE

1.1

>

Concept Name Code Sequence

(0040,a043)

SQ

ffffffff

1.1

%item

1.1

>>

Code Value

(0008,0100)

SH

0006

122142

1.1

>>

Coding Scheme Designator

(0008,0102)

SH

0004

DCM

1.1

>>

Code Meaning

(0008,0104)

LO

0018

Acquisition Device Type

1.1

%enditem

1.1

%endseq

1.1

>

Concept Code Sequence

(0040,a168)

SQ

ffffffff

1.1

%item

1.1

>>

Code Value

(0008,0100)

SH

0002

XR

1.1

>>

Coding Scheme Designator

(0008,0102)

SH

0004

DCM

1.1

>>

Code Meaning

(0008,0104)

LO

0002

XR

1.1

%enditem

1.1

%endseq

1.1

%enditem

1.2

%item

1.2

>

Relationship Type

(0040,a010)

CS

0010

HAS CONCEPT MOD

1.2

>

Value Type

(0040,a040)

CS

0004

CODE

1.2

>

Concept Name Code Sequence

(0040,a043)

SQ

ffffffff

1.2

%item

1.2

>>

Code Value

(0008,0100)

SH

0006

123014

1.2

>>

Coding Scheme Designator

(0008,0102)

SH

0004

DCM

1.2

>>

Code Meaning

(0008,0104)

LO

000e

Target Region

1.2

%enditem

1.2

%endseq

1.2

>

Concept Code Sequence

(0040,a168)

SQ

ffffffff

1.2

%item

1.2

>>

Code Value

(0008,0100)

SH

0008

51185008

1.2

>>

Coding Scheme Designator

(0008,0102)

SH

0004

SCT

1.2

>>

Code Meaning

(0008,0104)

LO

0006

Chest

1.2

%enditem

1.2

%endseq

1.2

%enditem

1.3

%item

1.3

>

Relationship Type

(0040,a010)

CS

0010

HAS CONCEPT MOD

1.3

>

Value Type

(0040,a040)

CS

0004

CODE

1.3

>

Concept Name Code Sequence

(0040,a043)

SQ

ffffffff

1.3

%item

1.3

>>

Code Value

(0008,0100)

SH

0006

121049

1.3

>>

Coding Scheme Designator

(0008,0102)

SH

0004

DCM

1.3

>>

Code Meaning

(0008,0104)

LO

0028

Language of Content Item and Descendants

1.3

%enditem

1.3

%endseq

1.3

>

Concept Code Sequence

(0040,a168)

SQ

ffffffff

1.3

%item

1.3

>>

Code Value

(0008,0100)

SH

0006

en-US

1.3

>>

Coding Scheme Designator

(0008,0102)

SH

0008

ISO639_1

1.3

>>

Code Meaning

(0008,0104)

LO

000e

English (U.S.)

1.3

%enditem

1.3

%endseq

1.3

%enditem

1.4

%item

1.4

>

Relationship Type

(0040,a010)

CS

0010

HAS CONCEPT MOD

1.4

>

Value Type

(0040,a040)

CS

0004

TEXT

1.4

>

Concept Name Code Sequence

(0040,a043)

SQ

ffffffff

1.4

%item

1.4

>>

Code Value

(0008,0100)

SH

0006

121050

1.4

>>

Coding Scheme Designator

(0008,0102)

SH

0004

DCM

1.4

>>

Code Meaning

(0008,0104)

LO

0022

Equivalent Meaning of Concept Name

1.4

%enditem

1.4

%endseq

1.4

>

Text Value

(0040,a160)

UT

001c

Chest X-Ray, PA and LAT View

1.4

%enditem

1.5

%item

1.5

>

Relationship Type

(0040,a010)

CS

0010

HAS OBS CONTEXT

1.5

>

Value Type

(0040,a040)

CS

0004

CODE

1.5

>

Concept Name Code Sequence

(0040,a043)

SQ

ffffffff

1.5

%item

1.5

>>

Code Value

(0008,0100)

SH

0006

121005

1.5

>>

Coding Scheme Designator

(0008,0102)

SH

0004

DCM

1.5

>>

Code Meaning

(0008,0104)

LO

000e

Observer Type

1.5

%enditem

1.5

%endseq

1.5

>

Concept Code Sequence

(0040,a168)

SQ

ffffffff

1.5

%item

1.5

>>

Code Value

(0008,0100)

SH

0006

121006

1.5

>>

Coding Scheme Designator

(0008,0102)

SH

0004

DCM

1.5

>>

Code Meaning

(0008,0104)

LO

0006

Person

1.5

%enditem

1.5

%endseq

1.5

%enditem

1.6

%item

1.6

>

Relationship Type

(0040,a010)

CS

0010

HAS OBS CONTEXT

1.6

>

Value Type

(0040,a040)

CS

0006

PNAME

1.6

>

Concept Name Code Sequence

(0040,a043)

SQ

ffffffff

1.6

%item

1.6

>>

Code Value

(0008,0100)

SH

0006

121008

1.6

>>

Coding Scheme Designator

(0008,0102)

SH

0004

DCM

1.6

>>

Code Meaning

(0008,0104)

LO

0014

Person Observer Name

1.6

%enditem

1.6

%endseq

1.6

>

Person Name

(0040,a123)

PN

0012

Blitz^Richard^^^MD

1.6

%enditem

1.7

%item

1.7

>

Relationship Type

(0040,a010)

CS

0008

CONTAINS

1.7

>

Value Type

(0040,a040)

CS

000a

CONTAINER

1.7

>

Concept Name Code Sequence

(0040,a043)

SQ

ffffffff

1.7

%item

1.7

>>

Code Value

(0008,0100)

SH

0006

121060

1.7

>>

Coding Scheme Designator

(0008,0102)

SH

0004

DCM

1.7

>>

Code Meaning

(0008,0104)

LO

0008

History

1.7

%enditem

1.7

%endseq

1.7

>

Continuity Of Content

(0040,a050)

CS

0008

SEPARATE

1.7

>

Content Sequence

(0040,a730)

SQ

ffffffff

1.7.1

%item

1.7.1

>>

Relationship Type

(0040,a010)

CS

0008

CONTAINS

1.7.1

>>

Value Type

(0040,a040)

CS

0004

TEXT

1.7.1

>>

Concept Name Code Sequence

(0040,a043)

SQ

ffffffff

1.7.1

%item

1.7.1

>>>

Code Value

(0008,0100)

SH

0006

121060

1.7.1

>>>

Coding Scheme Designator

(0008,0102)

SH

0004

DCM

1.7.1

>>>

Code Meaning

(0008,0104)

LO

0008

History

1.7.1

%enditem

1.7.1

%endseq

1.7.1

>>

Text Value

(0040,a160)

UT

000c

Sore throat.

1.7.1

%enditem

1.7

%endseq

1.7

%enditem

1.8

%item

1.8

>

Relationship Type

(0040,a010)

CS

0008

CONTAINS

1.8

>

Value Type

(0040,a040)

CS

000a

CONTAINER

1.8

>

Concept Name Code Sequence

(0040,a043)

SQ

ffffffff

1.8

%item

1.8

>>

Code Value

(0008,0100)

SH

0006

121070

1.8

>>

Coding Scheme Designator

(0008,0102)

SH

0004

DCM

1.8

>>

Code Meaning

(0008,0104)

LO

0008

Findings

1.8

%enditem

1.8

%endseq

1.8

>

Continuity Of Content

(0040,a050)

CS

0008

SEPARATE

1.8

>

Content Sequence

(0040,a730)

SQ

ffffffff

1.8.1

%item

1.8.1

>>

Relationship Type

(0040,a010)

CS

0008

CONTAINS

1.8.1

>>

Value Type

(0040,a040)

CS

0004

TEXT

1.8.1

>>

Concept Name Code Sequence

(0040,a043)

SQ

ffffffff

1.8.1

%item

1.8.1

>>>

Code Value

(0008,0100)

SH

0006

121071

1.8.1

>>>

Coding Scheme Designator

(0008,0102)

SH

0004

DCM

1.8.1

>>>

Code Meaning

(0008,0104)

LO

0008

Finding

1.8.1

%enditem

1.8.1

%endseq

1.8.1

>>

Text Value

(0040,a160)

UT

01ae

The cardiomediastinum is within normal limits. The trachea is midline. The previously described opacity at the medial right lung base has cleared. There are no new infiltrates. There is a new round density at the left hilus, superiorly (diameter about 45mm). A CT scan is recommended for further evaluation. The pleural spaces are clear. The visualized musculoskeletal structures and the upper abdomen are stable and unremarkable.

1.8.1

>>

Content Sequence

(0040,a730)

SQ

ffffffff

1.8.1.1

%item

1.8.1.1

>>>

Relationship Type

(0040,a010)

CS

000e

INFERRED FROM

1.8.1.1

>>>

Observation DateTime

(0040,a032)

DT

000e

20060823223912

1.8.1.1

>>>

Value Type

(0040,a040)

CS

0004

NUM

1.8.1.1

>>>

Concept Name Code Sequence

(0040,a043)

SQ

ffffffff

1.8.1.1

%item

1.8.1.1

>>>>

Code Value

(0008,0100)

SH

0008

81827009

1.8.1.1

>>>>

Coding Scheme Designator

(0008,0102)

SH

0004

SCT

1.8.1.1

>>>>

Code Meaning

(0008,0104)

LO

0008

Diameter

1.8.1.1

%enditem

1.8.1.1

%endseq

1.8.1.1

>>>

Measured Value Sequence

(0040,a300)

SQ

ffffffff

1.8.1.1

%item

1.8.1.1

>>>>

Measurement Units Code Sequence

(0040,08ea)

SQ

ffffffff

1.8.1.1

%item

1.8.1.1

>>>>>

Code Value

(0008,0100)

SH

0002

mm

1.8.1.1

>>>>>

Coding Scheme Designator

(0008,0102)

SH

0004

UCUM

1.8.1.1

>>>>>

Code Meaning

(0008,0104)

LO

0002

mm

1.8.1.1

%enditem

1.8.1.1

%endseq

1.8.1.1

>>>>

Numeric Value

(0040,a30a)

DS

0002

45

1.8.1.1

%enditem

1.8.1.1

%endseq

1.8.1.1

>>>

Content Sequence

(0040,a730)

SQ

ffffffff

1.8.1.1.1

%item

1.8.1.1.1

>>>>

Referenced SOP Sequence

(0008,1199)

SQ

ffffffff

1.8.1.1.1

%item

1.8.1.1.1

>>>>>

Referenced SOP Class UID

(0008,1150)

UI

001a

1.2.840.10008.5.1.4.1.1.1

1.8.1.1.1

>>>>>

Referenced SOP Instance UID

(0008,1155)

UI

003c

1.2.840.113619.2.62.994044785528.20060823.200608232232322.3

1.8.1.1.1

%enditem

1.8.1.1.1

%endseq

1.8.1.1.1

>>>>

Relationship Type

(0040,a010)

CS

000e

INFERRED FROM

1.8.1.1.1

>>>>

Value Type

(0040,a040)

CS

0006

IMAGE

1.8.1.1.1

>>>>

Concept Name Code Sequence

(0040,a043)

SQ

ffffffff

1.8.1.1.1

%item

1.8.1.1.1

>>>>>

Code Value

(0008,0100)

SH

0006

121112

1.8.1.1.1

>>>>>

Coding Scheme Designator

(0008,0102)

SH

0004

DCM

1.8.1.1.1

>>>>>

Code Meaning

(0008,0104)

LO

0016

Source of Measurement

1.8.1.1.1

%enditem

1.8.1.1.1

%endseq

1.8.1.1.1

%enditem

1.8.1.1

%endseq

1.8.1.1

%enditem

1.8.1

%endseq

1.8.1

%enditem

1.8

%endseq

1.8

%enditem

1.9

%item

1.9

>

Relationship Type

(0040,a010)

CS

0008

CONTAINS

1.9

>

Value Type

(0040,a040)

CS

000a

CONTAINER

1.9

>

Concept Name Code Sequence

(0040,a043)

SQ

ffffffff

1.9

%item

1.9

>>

Code Value

(0008,0100)

SH

0006

121072

1.9

>>

Coding Scheme Designator

(0008,0102)

SH

0004

DCM

1.9

>>

Code Meaning

(0008,0104)

LO

000c

Impressions

1.9

%enditem

1.9

%endseq

1.9

>

Continuity Of Content

(0040,a050)

CS

0008

SEPARATE

1.9

>

Content Sequence

(0040,a730)

SQ

ffffffff

1.9.1

%item

1.9.1

>>

Relationship Type

(0040,a010)

CS

0008

CONTAINS

1.9.1

>>

Value Type

(0040,a040)

CS

0004

TEXT

1.9.1

>>

Concept Name Code Sequence

(0040,a043)

SQ

ffffffff

1.9.1

%item

1.9.1

>>>

Code Value

(0008,0100)

SH

0006

121073

1.9.1

>>>

Coding Scheme Designator

(0008,0102)

SH

0004

DCM

1.9.1

>>>

Code Meaning

(0008,0104)

LO

000a

Impression

1.9.1

%enditem

1.9.1

%endseq

1.9.1

>>

Text Value

(0040,a160)

UT

009c

No acute cardiopulmonary process. Round density in left superior hilus, further evaluation with CT is recommended as underlying malignancy is not excluded.

1.9.1

%enditem

1.9

%endseq

1.9

%enditem

1

%endseq


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