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json2dcm(1) OFFIS DCMTK json2dcm(1) NAME json2dcm - Convert JSON document to DICOM file or data set SYNOPSIS json2dcm [options] jsonfile-in dcmfile-out DESCRIPTION The json2dcm utility converts the contents of a JSON (JavaScript Object Notation) document to a binary DICOM file or data set. The JSON document is expected to conform to the 'DICOM JSON Model' as defined in DICOM Part 18 Section F. Such JSON files can be created, e.g., using the dcm2json tool. PARAMETERS jsonfile-in JSON input filename to be converted ("-" for stdin) dcmfile-out DICOM output filename ("-" for stdout) 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 file format: +f --read-meta-info read meta information if present (default) -f --ignore-meta-info ignore file meta information processing options unique identifiers: +Ug --generate-new-uids generate new Study/Series/SOP Instance UID -Uo --dont-overwrite-uids do not overwrite existing UIDs (default) +Uo --overwrite-uids overwrite existing UIDs bulkdata URI handling: +Bu --parse-bulkdata-uri parse Bulkdata URIs (default) -Bu --ignore-bulkdata-uri ignore Bulkdata URIs +Bd --add-bulkdata-dir [d]irectory: string add d to list of permitted bulk data sources handling of arrays with multiple data sets: -ar --array-reject reject multiple data sets (default) +as --array-select [n]umber: integer select data set n from array +ar --array-sequence store all data sets in private sequence output options output file format: +F --write-file write file format (default) -F --write-dataset write data set without file meta information +Fu --update-meta-info update particular file meta information output transfer syntax: +t= --write-xfer-same write with same TS as input (default) +te --write-xfer-little write with explicit VR little endian TS +tb --write-xfer-big write with explicit VR big endian TS +ti --write-xfer-implicit write with implicit VR little endian TS +td --write-xfer-deflated write with deflated explicit VR little endian TS error handling: -E --stop-on-error do not write if document is invalid (default) +E --ignore-errors attempt to write even if document is invalid post-1993 value representations: +u --enable-new-vr enable support for new VRs (UN/UT) (default) -u --disable-new-vr disable support for new VRs, convert to OB length encoding in sequences and items: +e --length-explicit write with explicit lengths (default) -e --length-undefined write with undefined lengths charset handling: +c --charset-accept write with the given charset in JSON (default) -c --charset-replace replace the given charset in JSON with UTF-8 deflate compression level (only with --write-xfer-deflated): +cl --compression-level [l]evel: integer (default: 6) 0=uncompressed, 1=fastest, 9=best compression NOTES The basic structure of the JSON input expected looks like the following (see DICOM Part 18 Section F for details): { "00080005": { "vr": "CS", "Value": [ "ISO_IR 192" ] }, "00080020": { "vr": "DT", "Value": [ "20130409" ] }, "00080030": { "vr": "TM", "Value": [ "131600.0000" ] }, "00080050": { "vr": "SH", "Value": [ "11235813" ] }, "00080056": { "vr": "CS", "Value": [ "ONLINE" ] }, "00080061": { "vr": "CS", "Value": [ "CT", "PET" ] }, "00080090": { "vr": "PN", "Value": [ { "Alphabetic": "^Bob^^Dr." } ] }, "00081190": { "vr": "UR", "Value": [ "http://wado.nema.org/studies/ 1.2.392.200036.9116.2.2.2.1762893313.1029997326.945873" ] }, "00090010": { "vr": "LO", "Value": [ "Vendor A" ] }, "00091002": { "vr": "UN", "InlineBinary": "z0x9c8v7" }, "00100010": { "vr": "PN", "Value": [ { "Alphabetic": "Wang^XiaoDong" } ] }, "00100020": { "vr": "LO", "Value": [ "12345" ] }, "00100021": { "vr": "LO", "Value": [ "Hospital A" ] }, "00100030": { "vr": "DA", "Value": [ "19670701" ] }, "00100040": { "vr": "CS", "Value": [ "M" ] }, "00101002": { "vr": "SQ", "Value": [ { "00100020": { "vr": "LO", "Value": [ "54321" ] }, "00100021": { "vr": "LO", "Value": [ "Hospital B" ] } }, { "00100020": { "vr": "LO", "Value": [ "24680" ] }, "00100021": { "vr": "LO", "Value": [ "Hospital C" ] } } ] }, "0020000D": { "vr": "UI", "Value": [ "1.2.392.200036.9116.2.2.2.1762893313.1029997326.945873" ] }, "00200010": { "vr": "SH", "Value": [ "11235813" ] }, "00201206": { "vr": "IS", "Value": [ 4 ] }, "00201208": { "vr": "IS", "Value": [ 942 ] } } Character Encoding The JSON format only supports UTF-8 encoding. Thus the generated DICOM file will also contain UTF-8 encoding. If the JSON file does not contain a specific character set, or a specific character set other than 'ISO_IR 192', a warning will be issued. Binary Data, Bulk Data, and Pixel Data The DICOM JSON Model uses 'InlineBinary' to store attribute values of binary value representations such as 'OB', 'OW', 'OD', 'OF', 'OL', 'OV' etc. in Base64 encoded form. This is supported in json2dcm for all binary attributes, including unencapsulated pixel data. The DICOM JSON Model also permits attribute values to be stored separately from the JSON data set and to be referenced through a BulkDataURI. This is supported for file URIs that reference files in the local filesystem. json2dcm tool also supports the inofficial extension to the file URI scheme generated by DCM4CHE, where parameters named 'offset' and 'length' are appended to the file URI in order to refer to a specific part of a file. HTTP URIs as well as URIs that identify another part in a MIME multipart/related structure are not yet supported in json2dcm. If the command line option --ignore-bulkdata-uri is specified, then all bulk data URIs are ignored and attributes with bulk data will be written with empty value. Finally, encapsulated (in particular, compressed) pixel data is not supported by json2dcm because the syntax of the DICOM JSON Model for this specific case is not defined in the DICOM standard yet. Arrays of Data Sets The DICOM JSON Model uses a JSON array structure to return multiple data sets in DICOMweb services such as WADO-RS or QIDO-RS. JSON arrays containing a single DICOM data set are automatically recognized by json2dcm and treated like a data set without the surrounding array structure. JSON arrays containing multiple data sets are rejected by default. Alternatively, the --array-select option can be used to select one data set from the array to be converted. The --array-sequence option causes all data sets to be written as sequence items into a single private sequence with attribute tag (0009,1000). Such files, which are mostly intended for debugging purposes, can be recognized by the private creator element (0009,0010), which has the value 'JSON2DCM_LIST_OF_DATASETS'. Trailing Commas Trailing commas are not permitted in JSON, but json2dcm will still accept such JSON data sets without warning or error message because they are handled gracefully by the underlying JSON parser. Users should, therefore, not assume that a JSON data set is valid just because json2dcm accepts it. This tool is not designed as a validator for JSON or the DICOM JSON Model. 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 <etcdir>/logger.cfg. 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 <datadir>/dumppat.txt). EXIT CODES The dcm2json utility uses the following exit codes when terminating. This enables the user to check for the reason why the application terminated. general EXITCODE_NO_ERROR 0 EXITCODE_COMMANDLINE_SYNTAX_ERROR 1 input file errors EXITCODE_CANNOT_READ_INPUT_FILE 20 output file errors EXITCODE_CANNOT_WRITE_OUTPUT_FILE 40 processing errors EXITCODE_INVALID_JSON_CONTENT 65 EXITCODE_BULKDATA_URI_NOT_SUPPORTED 66 ENVIRONMENT The json2dcm 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 <datadir>/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. SEE ALSO dcm2json(1) dump2dcm(2) COPYRIGHT Copyright (C) 2024-2025 by OFFIS e.V., Escherweg 2, 26121 Oldenburg, Germany. Version 3.7.0 Mon Dec 15 2025 json2dcm(1)
NAME | SYNOPSIS | DESCRIPTION | PARAMETERS | OPTIONS | NOTES | LOGGING | COMMAND LINE | EXIT CODES | ENVIRONMENT | SEE ALSO | COPYRIGHT
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