Manifest-based Access to DICOM Objects (MADO)
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Manifest-based Access to DICOM Objects (MADO), published by IHE Radiology Technical Committee. This guide is not an authorized publication; it is the continuous build for version 0.0.1-current built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/IHE/RAD.MADO/ and changes regularly. See the Directory of published versions

: DocumentReference Example for DICOM KOS manifests - JSON Representation

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{
  "resourceType" : "DocumentReference",
  "id" : "DocumentReferenceKOS",
  "meta" : {
    "profile" : [
      🔗 "https://profiles.ihe.net/RAD/MADO/StructureDefinition/MadoDicomKosMinimalDocumentReference"
    ]
  },
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: DocumentReference DocumentReferenceKOS</b></p><a name=\"DocumentReferenceKOS\"> </a><a name=\"hcDocumentReferenceKOS\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-MadoDicomKosMinimalDocumentReference.html\">MADO MHD DocumentReference Profile for DICOM KOS Imaging Manifests</a></p></div><p><b>Cross-version Extension for R5.DocumentReference.modality for use in FHIR R4</b>: <span title=\"Codes:{http://dicom.nema.org/resources/ontology/DCM MR}\">Magnetic Resonance</span></p><blockquote><p><b>Cross-version Extension for R5.DocumentReference.bodySite for use in FHIR R4</b></p><ul><li>concept: <span title=\"Codes:{http://snomed.info/sct 61685007}\">Lower extremity</span></li></ul></blockquote><p><b>masterIdentifier</b>: <code>http://www.example.com/identifiers/documentreference</code>/1.2.392.200140.2.1.1.1.2.799008771.2076.1519721309.448\u00a0(use:\u00a0usual,\u00a0)</p><p><b>status</b>: Current</p><p><b>subject</b>: <a href=\"Patient-pat-mrn-1538098370.html\">Pietje Puk  (no stated gender), DoB Unknown ( Medical Record number: PID_666\u00a0(use:\u00a0usual,\u00a0))</a></p><p><b>date</b>: 2025-05-08 00:00:00+0000</p><h3>RelatesTos</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Code</b></td><td><b>Target</b></td></tr><tr><td style=\"display: none\">*</td><td>Transforms</td><td><a href=\"DocumentReference-DocumentReferenceFHIR.html\">DocumentReference: extension = Magnetic Resonance,; masterIdentifier = http://www.example.com/identifiers/documentreference#1.2.392.200140.2.1.1.1.2.799008771.2076.1519721309.448\u00a0(use:\u00a0usual,\u00a0); status = current; date = 2025-05-08 00:00:00+0000</a></td></tr></table><blockquote><p><b>content</b></p><h3>Attachments</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>ContentType</b></td><td><b>Language</b></td><td><b>Url</b></td><td><b>Creation</b></td></tr><tr><td style=\"display: none\">*</td><td>application/dicom</td><td>German (Germany)</td><td>Binary/mado-kos-manifest-binary</td><td>2025-05-08 00:00:00+0000</td></tr></table><p><b>format</b>: DCMUID: 1.2.840.10008.5.1.4.1.1.88.59 (Key Object Selection Document)</p></blockquote><blockquote><p><b>context</b></p><p><b>related</b>: </p><ul><li>Identifier: Study Instance UID/1.2.392.200140.2.1.1.1.2.799008771.2076.1519721309.448</li><li>Identifier: Accession Id/2017092101</li></ul></blockquote></div>"
  },
  "extension" : [
    {
      "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-DocumentReference.modality",
      "valueCodeableConcept" : {
        "coding" : [
          {
            "system" : "http://dicom.nema.org/resources/ontology/DCM",
            "code" : "MR"
          }
        ]
      }
    },
    {
      "extension" : [
        {
          "url" : "concept",
          "valueCodeableConcept" : {
            "coding" : [
              {
                "system" : "http://snomed.info/sct",
                "code" : "61685007"
              }
            ]
          }
        }
      ],
      "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-DocumentReference.bodySite"
    }
  ],
  "masterIdentifier" : {
    "use" : "usual",
    "system" : "http://www.example.com/identifiers/documentreference",
    "value" : "1.2.392.200140.2.1.1.1.2.799008771.2076.1519721309.448"
  },
  "status" : "current",
  "subject" : {
    🔗 "reference" : "Patient/pat-mrn-1538098370"
  },
  "date" : "2025-05-08T00:00:00Z",
  "relatesTo" : [
    {
      "code" : "transforms",
      "target" : {
        🔗 "reference" : "DocumentReference/DocumentReferenceFHIR"
      }
    }
  ],
  "content" : [
    {
      "attachment" : {
        "contentType" : "application/dicom",
        "language" : "de-DE",
        "url" : "Binary/mado-kos-manifest-binary",
        "creation" : "2025-05-08T00:00:00Z"
      },
      "format" : {
        "system" : "http://dicom.nema.org/resources/ontology/DCMUID",
        "code" : "1.2.840.10008.5.1.4.1.1.88.59",
        "display" : "Key Object Selection Document"
      }
    }
  ],
  "context" : {
    "related" : [
      {
        "identifier" : {
          "type" : {
            "coding" : [
              {
                "system" : "http://dicom.nema.org/resources/ontology/DCM",
                "code" : "110180",
                "display" : "Study Instance UID"
              }
            ]
          },
          "system" : "urn:dicom:uid",
          "value" : "1.2.392.200140.2.1.1.1.2.799008771.2076.1519721309.448"
        }
      },
      {
        "identifier" : {
          "type" : {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                "code" : "ACSN",
                "display" : "Accession Id"
              },
              {
                "system" : "http://dicom.nema.org/resources/ontology/DCM",
                "code" : "121022",
                "display" : "Accession Number"
              }
            ]
          },
          "system" : "http://hospital.org/acc",
          "value" : "2017092101"
        }
      }
    ]
  }
}