Manifest-based Access to DICOM Objects (MADO)
0.1.0 - trial-use
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 0.1.0 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 xmlns="http://hl7.org/fhir">
<id value="DocumentReferenceKOS"/>
<meta>
<profile
value="https://profiles.ihe.net/RAD/MADO/StructureDefinition/MadoDicomKosMinimalDocumentReference"/>
</meta>
<text>
<status value="extensions"/>
<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>: <a href="http://terminology.hl7.org/6.3.0/NamingSystem-dui.html" title="An OID issued under DICOM OID rules. DICOM OIDs are represented as plain OIDs, with a prefix of "urn:oid:". See https://www.dicomstandard.org/">DICOM Unique Id</a>/1.2.392.200140.2.1.1.1.2.799008771.2076.1519721309.448 (use: usual, )</p><p><b>identifier</b>: <a href="http://terminology.hl7.org/6.3.0/NamingSystem-dui.html" title="An OID issued under DICOM OID rules. DICOM OIDs are represented as plain OIDs, with a prefix of "urn:oid:". See https://www.dicomstandard.org/">DICOM Unique Id</a>/1.2.392.200140.2.1.1.1.2.799008771.2076.1519721309.448 (use: usual, )</p><p><b>status</b>: Current</p><p><b>type</b>: <span title="Codes:{http://loinc.org 18748-4}">Diagnostic imaging study</span></p><p><b>category</b>: <span title="Codes:{http://loinc.org 18748-4}">Diagnostic imaging study</span></p><p><b>subject</b>: <a href="Patient-pat-mrn-1538098370.html">Pietje Puk Male, DoB Unknown ( Medical Record number: PID_666 (use: usual, ))</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#koewopfwjqoddasf (use: usual, ); identifier = http://www.example.com/identifiers/documentreference#koewopfwjqoddasf (use: usual, ); status = current; type = Diagnostic imaging study; category = Diagnostic imaging study; 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><a href="Bundle-mado-bundle-589331894518000.html">Bundle: identifier = UUID:4fe96b54-204d-4f98-ae8d-491869a8ba01; type = collection; timestamp = 2026-02-24 11:48:21+0100</a></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>period</b>: 2018-02-27 09:48:29+0100 --> (ongoing)</p><p><b>facilityType</b>: <span title="Codes:{http://snomed.info/sct 79491001}">Hospital-based radiology facility</span></p><p><b>practiceSetting</b>: <span title="Codes:{http://snomed.info/sct 394914008}">Radiology</span></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>
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<extension
url="http://hl7.org/fhir/5.0/StructureDefinition/extension-DocumentReference.modality">
<valueCodeableConcept>
<coding>
<system value="http://dicom.nema.org/resources/ontology/DCM"/>
<code value="MR"/>
</coding>
</valueCodeableConcept>
</extension>
<extension
url="http://hl7.org/fhir/5.0/StructureDefinition/extension-DocumentReference.bodySite">
<extension url="concept">
<valueCodeableConcept>
<coding>
<system value="http://snomed.info/sct"/>
<code value="61685007"/>
</coding>
</valueCodeableConcept>
</extension>
</extension>
<masterIdentifier>
<use value="usual"/>
<system value="urn:dicom:uid"/>
<value value="1.2.392.200140.2.1.1.1.2.799008771.2076.1519721309.448"/>
</masterIdentifier>
<identifier>
<use value="usual"/>
<system value="urn:dicom:uid"/>
<value value="1.2.392.200140.2.1.1.1.2.799008771.2076.1519721309.448"/>
</identifier>
<status value="current"/>
<type>
<coding>
<system value="http://loinc.org"/>
<code value="18748-4"/>
<display value="Diagnostic imaging study"/>
</coding>
</type>
<category>
<coding>
<system value="http://loinc.org"/>
<code value="18748-4"/>
<display value="Diagnostic imaging study"/>
</coding>
</category>
<subject>🔗
<reference value="Patient/pat-mrn-1538098370"/>
</subject>
<date value="2025-05-08T00:00:00Z"/>
<relatesTo>
<code value="transforms"/>
<target>🔗
<reference value="DocumentReference/DocumentReferenceFHIR"/>
</target>
</relatesTo>
<content>
<attachment>
<contentType value="application/dicom"/>
<language value="de-DE"/>
<url value="Bundle/mado-bundle-589331894518000"/>
<creation value="2025-05-08T00:00:00Z"/>
</attachment>
<format>
<system value="http://dicom.nema.org/resources/ontology/DCMUID"/>
<code value="1.2.840.10008.5.1.4.1.1.88.59"/>
<display value="Key Object Selection Document"/>
</format>
</content>
<context>
<period>
<start value="2018-02-27T09:48:29+01:00"/>
</period>
<facilityType>
<coding>
<system value="http://snomed.info/sct"/>
<code value="79491001"/>
<display value="Hospital-based radiology facility"/>
</coding>
</facilityType>
<practiceSetting>
<coding>
<system value="http://snomed.info/sct"/>
<code value="394914008"/>
<display value="Radiology"/>
</coding>
</practiceSetting>
<related>
<identifier>
<type>
<coding>
<system value="http://dicom.nema.org/resources/ontology/DCM"/>
<code value="110180"/>
<display value="Study Instance UID"/>
</coding>
</type>
<system value="urn:dicom:uid"/>
<value
value="1.2.392.200140.2.1.1.1.2.799008771.2076.1519721309.448"/>
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</related>
<related>
<identifier>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="ACSN"/>
<display value="Accession Id"/>
</coding>
<coding>
<system value="http://dicom.nema.org/resources/ontology/DCM"/>
<code value="121022"/>
<display value="Accession Number"/>
</coding>
</type>
<system value="http://hospital.org/acc"/>
<value value="2017092101"/>
</identifier>
</related>
</context>
</DocumentReference>