A.2 Use Cases

The basic use case for the mapping and transformation from DICOM SR to HL7 CDA is to facilitate the exchange of imaging based observations between imaging information systems and clinical information systems. The DICOM SR “Basic Diagnostic Imaging Report” will typically base its observations and conclusions on imaging data and related clinical information.


  1. Mapping of the complete constrained DICOM SR “Basic Diagnostic Imaging Report” to an HL7 CDA Release 2 Diagnostic Imaging Report. The receiver optionally selects relevant parts of the transformed document for inclusion into a clinical HL7 CDA document (e.g. a clinical progress note or a summary report that cites the results of a variety of subspecialties involved in the treatment process of the patient)

  2. Mapping of a subset of the original DICOM SR “Basic Diagnostic Imaging Report” which includes measurement data and the relevant context information (the minimal context that is required will be outlined in section 3.2.2). This subset comprises the relevant information provided by the responsible physician of the imaging institution to external parties (e.g. for ultrasound SR documents where only a subset of the measurement data will be communicated)