{
  "resourceType" : "ConceptMap",
  "id" : "DicomModalityToBemaSuggestion",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: ConceptMap DicomModalityToBemaSuggestion</b></p><a name=\"DicomModalityToBemaSuggestion\"> </a><a name=\"hcDicomModalityToBemaSuggestion\"> </a><p>Mapping from <a href=\"http://hl7.org/fhir/R4/codesystem-dicom-dcim.html\">http://dicom.nema.org/resources/ontology/DCM</a> to http://fhir.de/CodeSystem/kzbv/bema</p><br/><p><b>Group 1 </b>Mapping from <a href=\"http://hl7.org/fhir/R4/codesystem-dicom-dcim.html\">DICOM Controlled Terminology Definitions</a> to <code>http://fhir.de/CodeSystem/kzbv/bema</code></p><table class=\"grid\"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td><td><b>Comment</b></td></tr><tr><td>DX (Digital Radiography)</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>Ae5000 (BEMA-Ae5000 (Intraorale Röntgenaufnahme))</td><td>Intraoral film</td></tr><tr><td>IO (Intra-oral Radiography)</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>Ae5000 (BEMA-Ae5000 (Intraorale Röntgenaufnahme))</td><td>Intraoral (explicit)</td></tr><tr><td>PX (Panoramic X-Ray)</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>Ae5002 (BEMA-Ae5002 (Panoramaschichtaufnahme/OPG))</td><td>OPG/Panorama</td></tr><tr><td>CT (Computed Tomography)</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>Ae5370 (BEMA-Ae5370 (Digitales Volumentomogramm/DVT))</td><td>CBCT/DVT in Dental-PACS</td></tr><tr><td>RG (Radiographic imaging)</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#wider\" title=\"wider\">maps to wider concept</a></td><td>Ae925 (BEMA-Ae925 (Röntgenaufnahme allgemein))</td><td>Fallback</td></tr></table></div>"
  },
  "url" : "https://fhir.cognovis.de/dental/ConceptMap/dicom-modality-to-bema-suggestion",
  "version" : "0.36.1",
  "name" : "DicomModalityToBemaSuggestionCM",
  "title" : "DICOM Modality → BEMA Vorschlag",
  "status" : "active",
  "experimental" : false,
  "date" : "2026-05-30T11:39:14+00:00",
  "publisher" : "cognovis GmbH",
  "contact" : [{
    "name" : "cognovis GmbH",
    "telecom" : [{
      "system" : "url",
      "value" : "https://www.cognovis.de"
    },
    {
      "system" : "email",
      "value" : "info@cognovis.de"
    }]
  }],
  "description" : "Vorschlagsmapping von DICOM-Modalitäten auf BEMA-Abrechnungspositionen im DICOMweb-Adapter-Upstream-Pfad. Dental-PACS-Kontext: CT entspricht CBCT/DVT (dentales Volumentomogramm), nicht medizinischem CT. Dient als automatischer Kodierungsvorschlag bei der Übernahme von DICOM-Aufnahmen in die Abrechnung.",
  "jurisdiction" : [{
    "coding" : [{
      "system" : "urn:iso:std:iso:3166",
      "code" : "DE",
      "display" : "Germany"
    }]
  }],
  "purpose" : "Dental-PACS Kontext: CT = CBCT/DVT (Cone-Beam CT, dentales Volumentomogramm), NICHT medizinisches CT. Dieses Mapping gilt ausschließlich für den DICOMweb-Adapter-Upstream-Pfad (fdde-4kk), orthogonal zu fdde-6rt (Sidexis MSSQL).",
  "copyright" : "Copyright 2026+ cognovis GmbH. Licensed under CC-BY-4.0.",
  "sourceCanonical" : "http://dicom.nema.org/resources/ontology/DCM",
  "targetCanonical" : "http://fhir.de/CodeSystem/kzbv/bema",
  "group" : [{
    "source" : "http://dicom.nema.org/resources/ontology/DCM",
    "target" : "http://fhir.de/CodeSystem/kzbv/bema",
    "element" : [{
      "code" : "DX",
      "display" : "Digital Radiography",
      "target" : [{
        "code" : "Ae5000",
        "display" : "BEMA-Ae5000 (Intraorale Röntgenaufnahme)",
        "equivalence" : "equivalent",
        "comment" : "Intraoral film"
      }]
    },
    {
      "code" : "IO",
      "display" : "Intra-oral Radiography",
      "target" : [{
        "code" : "Ae5000",
        "display" : "BEMA-Ae5000 (Intraorale Röntgenaufnahme)",
        "equivalence" : "equivalent",
        "comment" : "Intraoral (explicit)"
      }]
    },
    {
      "code" : "PX",
      "display" : "Panoramic X-Ray",
      "target" : [{
        "code" : "Ae5002",
        "display" : "BEMA-Ae5002 (Panoramaschichtaufnahme/OPG)",
        "equivalence" : "equivalent",
        "comment" : "OPG/Panorama"
      }]
    },
    {
      "code" : "CT",
      "display" : "Computed Tomography",
      "target" : [{
        "code" : "Ae5370",
        "display" : "BEMA-Ae5370 (Digitales Volumentomogramm/DVT)",
        "equivalence" : "equivalent",
        "comment" : "CBCT/DVT in Dental-PACS"
      }]
    },
    {
      "code" : "RG",
      "display" : "Radiographic imaging",
      "target" : [{
        "code" : "Ae925",
        "display" : "BEMA-Ae925 (Röntgenaufnahme allgemein)",
        "equivalence" : "wider",
        "comment" : "Fallback"
      }]
    }]
  }]
}