Abstract: Methods for implementing a structured clinical reporting system employing a DICOM Structured Reporting (SR) software database engine that maps clinical report data into a clinical structured reporting data format are disclosed. A workstation is used to create, sign, render, or transmit a structured clinical report. A conversion engine performs image recognition on the structured clinical report, which includes identifying data therein, segmenting the report, using a library to perform value object extraction on the segments, and converting the value objects to a DICOM format. A PACS server is usable to communicate with the conversion engine, workstation, and database. Various software plug-ins are usable, such that different methods of acquiring user input may be implemented.