DICOM SR to FHIR Resource Mapping IG (PSS in Confluence)

DICOM Structured Report (DICOM SR) is a standard for recording clinical imaging observations made regarding an diagnostic or interventional imaging procedure. Imaging Observations are made by humans, such as a sonographer making measurements on recently acquired ultrasound image, a Radiologist recording observations on an suspected legion, or by a machine, such as an automated AI Algorithm providing qualitative and quantitative observations.

DICOM SR is widely adopted by Imaging-based devices and IT systems. Non-imaging based Healthcare IT Systems, generally, do not support DICOM SR. Non-imaging healthcare systems support HL7 standards, such as FHIR. Bridging the two standards for clinical imaging observations becomes necessary for interoperability between these type of systems.

The outcome of this project will be one or more implementation guides with defined sets of mappings between SR content and FHIR resources.

The mapping will not be bi-directional -- a complete DICOM SR is not expected to be able to be re-constructed from a set of FHIR resources.

The first phase will focus on mapping Imaging observations to FHIR Observations and related resources (Patient, Device, etc.) and the DICOM SR template TID-1500 (Measurement Report).