DICOM SR to FHIR Resource Mapping PSS

1a. Project Name DICOM SR to FHIR Resource Mapping IG 1b. Project ID 1707 1c. Is Your Project an Investigative Project (aka PSS-Lite)? No 1d. Is your Project Artifact being Reaffirmed or proceeding to Normative directly after being either Informative or STU? No 1e. Today's Date 1f. Name of standard being reaffirmed 1g. Project Artifact Information 1h. ISO/IEC Standard to Adopt 1i. Does the standard include excerpted text from one or more ISO, IEC or ISO/IEC standards, but is not an identical or modified adoption? 1j. Unit of Measure 2a. Primary/Sponsor WG Imaging Integration 2d. Project Facilitator Jonathan Whitby, Chris Lindop 2e. Other Interested Parties (and roles) Orders and Observations WG PIE WG 2f. Modeling Facilitator 2g. Publishing Facilitator Jonathan Whitby, Chris Lindop 2h. Vocabulary Facilitator 2i. Domain Expert Representative 2j. Business Requirements Analyst 2k. Conformance Facilitator John Moerke 2l. Other Facilitators 2m. Implementers Canon GE 3a. Project Scope 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). Attachments 3b. Project Need IHE AI Results Profile uses DICOM SR to encode imaging AI results and has identified a need for a path to storing these results in FHIR. 3c. Security Risk No 3d. External Drivers IHE Radiology AI Results profile 3e. Objectives/Deliverables and Target Dates - STU Implementation Guide for September 2021 ballot cycle - Normative IG for September 2022 ballot cycle 3f. Common Names / Keywords / Aliases: DICOM SR / IHE AIR 3g. Lineage 3h. Project Dependencies 3i. HL7-Managed Project Document Repository URL: https://github.com/HL7/dicom-sr 3j. Backwards Compatibility No 3k. Additional Backwards Compatibility Information (if applicable) 3l. Using Current V3 Data Types? No 3l. Reason for not using current V3 data types? N/A 3m. External Vocabularies No 3n. List of Vocabularies 3o. Earliest prior release and/or version to which the compatibility applies 4a. Products FHIR Implementation Guide 4b. For FHIR IGs and FHIR Profiles, what product version(s) will the profiles apply to? R5 4c. FHIR Profiles Version 4d. Please define your New Product Definition 4d. Please define your New Product Family 5a. Project Intent Implementation Guide (IG) will be created/modified 5a. White Paper Type 5a. Is the project adopting/endorsing an externally developed IG? No 5a. Externally developed IG is to be (select one) 5a. Specify external organization 5a. Revising Current Standard Info 5b. Project Ballot Type STU to Normative 5c. Additional Ballot Info 5d. Joint Copyright No 5e. I understand I must submit a Joint Copyright Letter of Agreement to the TSC in order for the PSS to receive TSC approval. no 6a. External Project Collaboration DICOM WG 20 IHE Radiology Technical Committee American College of Radiology 6b. Content Already Developed 6c. Content externally developed? 6d. List Developers of Externally Developed Content 6e. Is this a hosted (externally funded) project? 6f. Stakeholders Standards Development Organizations (SDOs) 6f. Other Stakeholders 6g. Vendors EHR, PHR, Equipment, Health Care IT, Clinical Decision Support Systems, HIS, Other 6g. Other Vendors PACS / VNA / Enterprise Imaging Repository 6h. Providers Medical Imaging Service, Healthcare Institutions (hospitals, long term care, home care, mental health) 6h. Other Providers 6i. Realm Universal 7d. US Realm Approval Date 7a. Management Group(s) to Review PSS FHIR 7b. Sponsoring WG Approval Date May 26, 2021 7c. Co-Sponsor Approval Date 7c. Co-Sponsor 2 Approval Date 7c. Co-Sponsor 3 Approval Date 7c. Co-Sponsor 4 Approval Date 7c. Co-Sponsor 5 Approval Date 7c. Co-Sponsor 6 Approval Date 7c. Co-Sponsor 7 Approval Date 7c. Co-Sponsor 8 Approval Date 7c. Co-Sponsor 9 Approval Date 7c. Co-Sponsor 10 Approval Date 7e. CDA MG Approval Date 7f. FMG Approval Date Jun 02, 2021 7g. V2 MG Approval Date 7h. Architecture Review Board Approval Date 7i. Steering Division Approval Date 7j. TSC Approval Date Dec 20, 2021