Manifest-based Access to DICOM Objects (MADO)
0.1.0 - trial-use
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
{
"resourceType" : "DocumentReference",
"id" : "mado-documentreference-fhir--2047166865",
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: DocumentReference mado-documentreference-fhir--2047166865</b></p><a name=\"mado-documentreference-fhir--2047166865\"> </a><a name=\"hcmado-documentreference-fhir--2047166865\"> </a><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 KO}\">Key Object Selection</span></p><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 CT}\">Computed Tomography</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 38266002}\">Entire body as a whole</span></li></ul></blockquote><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 774007}\">Structure of head and/or neck</span></li></ul></blockquote><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://hl7.eu/fhir/eu-health-data-api/CodeSystem/eehrxf-document-priority-category-cs Medical-Imaging}\">Medical-Imaging</span></p><p><b>subject</b>: <a href=\"Patient-pat-mrn--1097192655.html\">John DOE</a></p><p><b>date</b>: 2022-08-22 08:31:17+0200</p><p><b>description</b>: Imaging Manifest for Imaging Study urn:oid:1.2.250.1.59.40211.22756022.2.1.102</p><blockquote><p><b>content</b></p><blockquote><p><b>Cross-version Extension for R5.DocumentReference.content.profile for use in FHIR R4</b></p><ul><li>value[x]: <a href=\"StructureDefinition-MadoFhirBundle.html\">MADO Imaging Study Manifest FHIR Bundle</a></li></ul></blockquote><h3>Attachments</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>ContentType</b></td><td><b>Url</b></td><td><b>Title</b></td><td><b>Creation</b></td></tr><tr><td style=\"display: none\">*</td><td>application/fhir+json</td><td><a href=\"Bundle-mado-bundle--2047166865.html\">Bundle: type = collection; timestamp = 2026-04-22 20:25:46+0200</a></td><td>FHIR Imaging Manifest for Imaging Study</td><td>2026-04-22 20:25:46+0200</td></tr></table><p><b>format</b>: <a href=\"https://profiles.ihe.net/fhir/ihe.formatcode.fhir/1.5.0/CodeSystem-formatcode.html#formatcode-urn.58ihe.58rad.58MADO.58fhir-manifest.582026\">IHE Format Code set for use with Document Sharing: urn:ihe:rad:MADO:fhir-manifest:2026</a> (RAD MADO)</p></blockquote><blockquote><p><b>context</b></p><p><b>period</b>: 2022-08-22 08:31:17+0200 --> (ongoing)</p><p><b>related</b>: </p><ul><li>Identifier: Study Instance UID/urn:oid:1.2.250.1.59.40211.22756022.2.1.102</li><li>Identifier: Accession Number/8529258169397744</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" : "KO"
}
]
}
},
{
"url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-DocumentReference.modality",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://dicom.nema.org/resources/ontology/DCM",
"code" : "CT"
}
]
}
},
{
"extension" : [
{
"url" : "concept",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "38266002",
"display" : "Entire body as a whole"
}
]
}
}
],
"url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-DocumentReference.bodySite"
},
{
"extension" : [
{
"url" : "concept",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "774007",
"display" : "Structure of head and/or neck"
}
]
}
}
],
"url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-DocumentReference.bodySite"
}
],
"status" : "current",
"type" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "18748-4",
"display" : "Diagnostic imaging Study"
}
]
},
"category" : [
{
"coding" : [
{
"system" : "http://hl7.eu/fhir/eu-health-data-api/CodeSystem/eehrxf-document-priority-category-cs",
"code" : "Medical-Imaging",
"display" : "Medical-Imaging"
}
]
}
],
"subject" : {
🔗 "reference" : "Patient/pat-mrn--1097192655",
"type" : "Patient",
"display" : "John DOE"
},
"date" : "2022-08-22T08:31:17.658+02:00",
"description" : "Imaging Manifest for Imaging Study urn:oid:1.2.250.1.59.40211.22756022.2.1.102",
"content" : [
{
"extension" : [
{
"extension" : [
{
"url" : "value[x]",
"valueUri" : "https://profiles.ihe.net/RAD/MADO/StructureDefinition/MadoFhirBundle"
}
],
"url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-DocumentReference.content.profile"
}
],
"attachment" : {
"contentType" : "application/fhir+json",
"url" : "Bundle/mado-bundle--2047166865",
"title" : "FHIR Imaging Manifest for Imaging Study",
"creation" : "2026-04-22T20:25:46+02:00"
},
"format" : {
"system" : "http://ihe.net/fhir/ihe.formatcode.fhir/CodeSystem/formatcode",
"code" : "urn:ihe:rad:MADO:fhir-manifest:2026"
}
}
],
"context" : {
"period" : {
"start" : "2022-08-22T08:31:17+02:00"
},
"related" : [
{
"type" : "ImagingStudy",
"identifier" : {
"type" : {
"coding" : [
{
"system" : "http://dicom.nema.org/resources/ontology/DCM",
"code" : "110180",
"display" : "Study Instance UID"
}
]
},
"system" : "urn:dicom:uid",
"value" : "urn:oid:1.2.250.1.59.40211.22756022.2.1.102"
}
},
{
"type" : "ServiceRequest",
"identifier" : {
"type" : {
"coding" : [
{
"system" : "http://dicom.nema.org/resources/ontology/DCM",
"code" : "121022",
"display" : "Accession Number"
},
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "ACSN",
"display" : "Accession Id"
}
]
},
"system" : "http://example.org/fhir/ris-ids",
"value" : "8529258169397744"
}
}
]
}
}
IG © 2025+ IHE Radiology Technical Committee. Package ihe.rad.mado#0.1.0 based on FHIR 4.0.1. Generated 2026-04-22
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