Abstract: Systems and methods for implementing and using digital imaging and communications in medicine (DICOM) structured reporting (SR) object consolidation. The consolidation process may be applied to a plurality of objects generated based on a same medical imaging data. The consolidation process includes assessing each object of the plurality of objects, with the assessing including determining whether the object is a parent of another object in the plurality of objects, and discarding the object when it is a parent of another object. A composite object is then generated based on the plurality of objects, with the generating including, when only one object remains after the assessing, copying that object into the consolidated object; otherwise when a plurality of remaining objects remains after the assessing, processing the remaining objects, in sequence from newest to oldest, with the processing including, for copying each data element in each remaining object into the composite object.