DICOM PS3.20 2016e - Imaging Reports using HL7 Clinical Document Architecture

C.3 Header Transformation
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## 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.

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DICOM PS3.20 2016e - Imaging Reports using HL7 Clinical Document Architecture