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

• Narrative Content
• XML
• JSON
• TTL

: DocumentReference Example for DICOM KOS manifests - XML Representation

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<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>: <code>http://www.example.com/identifiers/documentreference</code>/1.2.392.200140.2.1.1.1.2.799008771.2076.1519721309.448 (use: usual, )</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 (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#1.2.392.200140.2.1.1.1.2.799008771.2076.1519721309.448 (use: usual, ); 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>
  </text>
  <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="http://www.example.com/identifiers/documentreference"/>
    <value value="1.2.392.200140.2.1.1.1.2.799008771.2076.1519721309.448"/>
  </masterIdentifier>
  <status value="current"/>
  <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="Binary/mado-kos-manifest-binary"/>
      <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>
    <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"/>
      </identifier>
    </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>