<?xml version="1.0" encoding="UTF-8"?>

<ConceptMap xmlns="http://hl7.org/fhir">
  <id value="DicomModalityToBemaSuggestion"/>
  <text>
    <status value="generated"/><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>
  </text>
  <url value="https://fhir.cognovis.de/dental/ConceptMap/dicom-modality-to-bema-suggestion"/>
  <version value="0.36.1"/>
  <name value="DicomModalityToBemaSuggestionCM"/>
  <title value="DICOM Modality → BEMA Vorschlag"/>
  <status value="active"/>
  <experimental value="false"/>
  <date value="2026-05-30T11:39:14+00:00"/>
  <publisher value="cognovis GmbH"/>
  <contact>
    <name value="cognovis GmbH"/>
    <telecom>
      <system value="url"/>
      <value value="https://www.cognovis.de"/>
    </telecom>
    <telecom>
      <system value="email"/>
      <value value="info@cognovis.de"/>
    </telecom>
  </contact>
  <description value="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 value="urn:iso:std:iso:3166"/>
      <code value="DE"/>
      <display value="Germany"/>
    </coding>
  </jurisdiction>
  <purpose value="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 value="Copyright 2026+ cognovis GmbH. Licensed under CC-BY-4.0."/>
  <sourceCanonical value="http://dicom.nema.org/resources/ontology/DCM"/>
  <targetCanonical value="http://fhir.de/CodeSystem/kzbv/bema"/>
  <group>
    <source value="http://dicom.nema.org/resources/ontology/DCM"/>
    <target value="http://fhir.de/CodeSystem/kzbv/bema"/>
    <element>
      <code value="DX"/>
      <display value="Digital Radiography"/>
      <target>
        <code value="Ae5000"/>
        <display value="BEMA-Ae5000 (Intraorale Röntgenaufnahme)"/>
        <equivalence value="equivalent"/>
        <comment value="Intraoral film"/>
      </target>
    </element>
    <element>
      <code value="IO"/>
      <display value="Intra-oral Radiography"/>
      <target>
        <code value="Ae5000"/>
        <display value="BEMA-Ae5000 (Intraorale Röntgenaufnahme)"/>
        <equivalence value="equivalent"/>
        <comment value="Intraoral (explicit)"/>
      </target>
    </element>
    <element>
      <code value="PX"/>
      <display value="Panoramic X-Ray"/>
      <target>
        <code value="Ae5002"/>
        <display value="BEMA-Ae5002 (Panoramaschichtaufnahme/OPG)"/>
        <equivalence value="equivalent"/>
        <comment value="OPG/Panorama"/>
      </target>
    </element>
    <element>
      <code value="CT"/>
      <display value="Computed Tomography"/>
      <target>
        <code value="Ae5370"/>
        <display value="BEMA-Ae5370 (Digitales Volumentomogramm/DVT)"/>
        <equivalence value="equivalent"/>
        <comment value="CBCT/DVT in Dental-PACS"/>
      </target>
    </element>
    <element>
      <code value="RG"/>
      <display value="Radiographic imaging"/>
      <target>
        <code value="Ae925"/>
        <display value="BEMA-Ae925 (Röntgenaufnahme allgemein)"/>
        <equivalence value="wider"/>
        <comment value="Fallback"/>
      </target>
    </element>
  </group>
</ConceptMap>