dsr2xml(1) OFFIS DCMTK dsr2xml(1)

# [NAME](#NAME)

dsr2xml - Convert DICOM SR file and data set to XML

# [SYNOPSIS](#SYNOPSIS)

```
dsr2xml [options] dsrfile-in [xmlfile-out]
```

# [DESCRIPTION](#DESCRIPTION)

The **dsr2xml** utility converts the contents of a DICOM Structured Reporting (SR) document (file format or raw data set) to XML (Extensible Markup Language). The XML Schema *dsr2xml.xsd* does not yet follow any standard format. However, the **dsr2xml** application might be enhanced in this aspect in the future (e.g. by supporting HL7/CDA - Clinical Document Architecture).

If **dsr2xml** reads a raw data set (DICOM data without a file format meta-header) it will attempt to guess the transfer syntax by examining the first few bytes of the file. It is not always possible to correctly guess the transfer syntax and it is better to convert a data set to a file format whenever possible (using the **dcmconv** utility). It is also possible to use the *-f* and *-t\[ieb]* options to force **dsr2xml** to read a dataset with a particular transfer syntax.

# [PARAMETERS](#PARAMETERS)

```
dsrfile-in   DICOM SR input filename to be converted ("-" for stdin)
xmlfile-out  XML output filename (default: stdout)
```

# [OPTIONS](#OPTIONS)

## [general options](#general_options)

```


  -h   --help


         print this help text and exit


       --version


         print version information and exit


       --arguments


         print expanded command line arguments


  -q   --quiet


         quiet mode, print no warnings and errors


  -v   --verbose


         verbose mode, print processing details


  -d   --debug


         debug mode, print debug information


  -ll  --log-level  [l]evel: string constant


         (fatal, error, warn, info, debug, trace)


         use level l for the logger


  -lc  --log-config  [f]ilename: string


         use config file f for the logger
```

## [input options](#input_options)

```
input file format:


  +f   --read-file


         read file format or data set (default)


  +fo  --read-file-only


         read file format only


  -f   --read-dataset


         read data set without file meta information
input transfer syntax:


  -t=  --read-xfer-auto


         use TS recognition (default)


  -td  --read-xfer-detect


         ignore TS specified in the file meta header


  -te  --read-xfer-little


         read with explicit VR little endian TS


  -tb  --read-xfer-big


         read with explicit VR big endian TS


  -ti  --read-xfer-implicit


         read with implicit VR little endian TS
```

## [processing options](#processing_options)

```
error handling:


  -Er  --unknown-relationship


         accept unknown/missing relationship type


  -Ev  --invalid-item-value


         accept invalid content item value


         (e.g. violation of VR or VM definition)


  -Ec  --ignore-constraints


         ignore relationship content constraints


  -Ee  --ignore-item-errors


         do not abort on content item errors, just warn


         (e.g. missing value type specific attributes)


  -Ei  --skip-invalid-items


         skip invalid content items (including sub-tree)


  -Dv  --disable-vr-checker


         disable check for VR-conformant string values
specific character set:


  +Cr  --charset-require


         require declaration of extended charset (default)


  +Ca  --charset-assume  [c]harset: string


         assume charset c if no extended charset declared


  +Cc  --charset-check-all


         check all data elements with string values


         (default: only PN, LO, LT, SH, ST, UC and UT)


         # this option is only used for the extended check whether


         # the Specific Character Set (0008,0005) attribute should be


         # present, but not for the conversion of unaffected element


         # values to UTF-8 (e.g. element values with a VR of CS)


  +U8  --convert-to-utf8


         convert all element values that are affected


         by Specific Character Set (0008,0005) to UTF-8


         # requires support from an underlying character encoding


         # library (see output of --version on which one is available)
```

## [output options](#output_options)

```
encoding:


  +Ea  --attr-all


         encode everything as XML attribute


         (shortcut for +Ec, +Er, +Ev and +Et)


  +Ec  --attr-code


         encode code value, coding scheme designator


         and coding scheme version as XML attribute


  +Er  --attr-relationship


         encode relationship type as XML attribute


  +Ev  --attr-value-type


         encode value type as XML attribute


  +Et  --attr-template-id


         encode template id as XML attribute


  +Ee  --template-envelope


         template element encloses content items


         (requires +Wt, implies +Et)
XML structure:


  +Xs  --add-schema-reference


         add reference to XML Schema "dsr2xml.xsd"


         (not with +Ea, +Ec, +Er, +Ev, +Et, +Ee, +We)


  +Xn  --use-xml-namespace


         add XML namespace declaration to root element
writing:


  +We  --write-empty-tags


         write all tags even if their value is empty


  +Wi  --write-item-id


         always write item identifier


  +Wt  --write-template-id


         write template identification information
```

# [NOTES](#NOTES)

## [DICOM Conformance](#DICOM_Conformance)

The **dsr2xml** utility supports the following SOP Classes:

```
SpectaclePrescriptionReportStorage           1.2.840.10008.5.1.4.1.1.78.6
MacularGridThicknessAndVolumeReportStorage   1.2.840.10008.5.1.4.1.1.79.1
BasicTextSRStorage                           1.2.840.10008.5.1.4.1.1.88.11
EnhancedSRStorage                            1.2.840.10008.5.1.4.1.1.88.22
ComprehensiveSRStorage                       1.2.840.10008.5.1.4.1.1.88.33
Comprehensive3DSRStorage                     1.2.840.10008.5.1.4.1.1.88.34
ProcedureLogStorage                          1.2.840.10008.5.1.4.1.1.88.40
MammographyCADSRStorage                      1.2.840.10008.5.1.4.1.1.88.50
KeyObjectSelectionDocumentStorage            1.2.840.10008.5.1.4.1.1.88.59
ChestCADSRStorage                            1.2.840.10008.5.1.4.1.1.88.65
XRayRadiationDoseSRStorage                   1.2.840.10008.5.1.4.1.1.88.67
RadiopharmaceuticalRadiationDoseSRStorage    1.2.840.10008.5.1.4.1.1.88.68
ColonCADSRStorage                            1.2.840.10008.5.1.4.1.1.88.69
ImplantationPlanSRStorage                    1.2.840.10008.5.1.4.1.1.88.70
AcquisitionContextSRStorage                  1.2.840.10008.5.1.4.1.1.88.71
SimplifiedAdultEchoSRStorage                 1.2.840.10008.5.1.4.1.1.88.72
PatientRadiationDoseSRStorage                1.2.840.10008.5.1.4.1.1.88.73
PlannedImagingAgentAdministrationSRStorage   1.2.840.10008.5.1.4.1.1.88.74
PerformedImagingAgentAdministrationSRStorage 1.2.840.10008.5.1.4.1.1.88.75
WaveformAnnotationSRStorage                  1.2.840.10008.5.1.4.1.1.88.77
RenditionSelectionDocumentRealTimeCommunication 1.2.840.10008.10.4 (*)
```

(\*) This is not a Storage SOP Class, but used for Real-Time Communication.

Please note that currently only mandatory and some optional attributes are supported.

## [Character Encoding](#Character_Encoding)

The XML encoding is determined automatically from the DICOM attribute (0008,0005) 'Specific Character Set' using the following mapping:

```
ASCII         (ISO_IR 6)                       =>  "UTF-8"
UTF-8         "ISO_IR 192"                     =>  "UTF-8"
ISO Latin 1   "ISO_IR 100"                     =>  "ISO-8859-1"
ISO Latin 2   "ISO_IR 101"                     =>  "ISO-8859-2"
ISO Latin 3   "ISO_IR 109"                     =>  "ISO-8859-3"
ISO Latin 4   "ISO_IR 110"                     =>  "ISO-8859-4"
ISO Latin 5   "ISO_IR 148"                     =>  "ISO-8859-9"
ISO Latin 9   "ISO_IR 203"                     =>  "ISO-8859-15"
Cyrillic      "ISO_IR 144"                     =>  "ISO-8859-5"
Arabic        "ISO_IR 127"                     =>  "ISO-8859-6"
Greek         "ISO_IR 126"                     =>  "ISO-8859-7"
Hebrew        "ISO_IR 138"                     =>  "ISO-8859-8"
Thai          "ISO_IR 166"                     =>  "TIS-620"
Japanese      "ISO 2022 IR 13ISO 2022 IR 87"  =>  "ISO-2022-JP"
Korean        "ISO 2022 IR 6ISO 2022 IR 149"  =>  "ISO-2022-KR"
Chinese       "ISO 2022 IR 6ISO 2022 IR 58"   =>  "ISO-2022-CN"
Chinese       "GB18030"                        =>  "GB18030"
Chinese       "GBK"                            =>  "GBK"
```

If this DICOM attribute is missing in the input file, although needed, option *--charset-assume* can be used to specify an appropriate character set manually (using one of the DICOM defined terms). For reasons of backward compatibility with previous versions of this tool, the following terms are also supported and mapped automatically to the associated DICOM defined terms: latin-1, latin-2, latin-3, latin-4, latin-5, latin-9, cyrillic, arabic, greek, hebrew.

Option *--convert-to-utf8* can be used to convert the DICOM file or data set to UTF-8 encoding prior to the conversion to XML format.

If no mapping is defined and option *--convert-to-utf8* is not used, non-ASCII characters and those below #32 are stored as '&#nnn;' where 'nnn' refers to the numeric character code. This might lead to invalid character entity references (such as '&#27;' for ESC) and will cause most XML parsers to reject the document.

## [Error Handling](#Error_Handling)

Please be careful with the processing options *--unknown-relationship*, *--invalid-item-value*, *--ignore-constraints*, *--ignore-item-errors* and *--skip-invalid-items* since they disable certain validation checks on the DICOM SR input file and, therefore, might result in non-standard conformant output. However, there might be reasons for using one or more of these options, e.g. in order to read and process an incorrectly encoded SR document.

## [Limitations](#Limitations)

The XML Schema *dsr2xml.xsd* does not support all variations of the **dsr2xml** output format. However, the default output format (plus option *--use-xml-namespace*) should work.

# [LOGGING](#LOGGING)

The level of logging output of the various command line tools and underlying libraries can be specified by the user. By default, only errors and warnings are written to the standard error stream. Using option *--verbose* also informational messages like processing details are reported. Option *--debug* can be used to get more details on the internal activity, e.g. for debugging purposes. Other logging levels can be selected using option *--log-level*. In *--quiet* mode only fatal errors are reported. In such very severe error events, the application will usually terminate. For more details on the different logging levels, see documentation of module 'oflog'.

In case the logging output should be written to file (optionally with logfile rotation), to syslog (Unix) or the event log (Windows) option *--log-config* can be used. This configuration file also allows for directing only certain messages to a particular output stream and for filtering certain messages based on the module or application where they are generated. An example configuration file is provided in *&lt;etcdir&gt;/logger.cfg*.

# [COMMAND LINE](#COMMAND_LINE)

All command line tools use the following notation for parameters: square brackets enclose optional values (0-1), three trailing dots indicate that multiple values are allowed (1-n), a combination of both means 0 to n values.

Command line options are distinguished from parameters by a leading '+' or '-' sign, respectively. Usually, order and position of command line options are arbitrary (i.e. they can appear anywhere). However, if options are mutually exclusive the rightmost appearance is used. This behavior conforms to the standard evaluation rules of common Unix shells.

In addition, one or more command files can be specified using an '@' sign as a prefix to the filename (e.g. *@command.txt*). Such a command argument is replaced by the content of the corresponding text file (multiple whitespaces are treated as a single separator unless they appear between two quotation marks) prior to any further evaluation. Please note that a command file cannot contain another command file. This simple but effective approach allows one to summarize common combinations of options/parameters and avoids longish and confusing command lines (an example is provided in file *&lt;datadir&gt;/dumppat.txt*).

# [ENVIRONMENT](#ENVIRONMENT)

The **dsr2xml** utility will attempt to load DICOM data dictionaries specified in the *DCMDICTPATH* environment variable. By default, i.e. if the *DCMDICTPATH* environment variable is not set, the file *&lt;datadir&gt;/dicom.dic* will be loaded unless the dictionary is built into the application (default for Windows).

The default behavior should be preferred and the *DCMDICTPATH* environment variable only used when alternative data dictionaries are required. The *DCMDICTPATH* environment variable has the same format as the Unix shell *PATH* variable in that a colon (':') separates entries. On Windows systems, a semicolon (';') is used as a separator. The data dictionary code will attempt to load each file specified in the *DCMDICTPATH* environment variable. It is an error if no data dictionary can be loaded.

Depending on the command line options specified, the **dsr2xml** utility will attempt to load character set mapping tables. This happens when DCMTK was compiled with the oficonv library (which is the default) and the mapping tables are not built into the library (default when DCMTK uses shared libraries).

The mapping table files are expected in DCMTK's *&lt;datadir&gt;*. The *DCMICONVPATH* environment variable can be used to specify a different location. If a different location is specified, those mapping tables also replace any built-in tables.

# [FILES](#FILES)

*&lt;datadir&gt;/dsr2xml.xsd* - XML Schema file

# [SEE ALSO](#SEE_ALSO)

[**xml2dsr**(1)](/man/os/dcmtk/xml2dsr.1), [**dcmconv**(1)](/man/os/dcmtk/dcmconv.1)

# [COPYRIGHT](#COPYRIGHT)

Copyright (C) 2000-2025 by OFFIS e.V., Escherweg 2, 26121 Oldenburg, Germany.

Mon Dec 15 2025 Version 3.7.0

---

Document: dsr2xml(1) from dcmtk 3.7.0-r7 (Chainguard OS)
Source: https://github.com/DCMTK/dcmtk
