{
  "resourceType" : "DocumentReference",
  "id" : "mado-documentreference-fhir--2047166866",
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: DocumentReference mado-documentreference-fhir--2047166866</b></p><a name=\"mado-documentreference-fhir--2047166866\"> </a><a name=\"hcmado-documentreference-fhir--2047166866\"> </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 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 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:1.2.250.1.59.40211.22756022.2.1.101</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--2047166866.html\">Bundle: type = collection; timestamp = 2026-04-22 20:25:43+0200</a></td><td>FHIR Imaging Manifest for Imaging Study</td><td>2026-04-22 20:25:43+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 --&gt; (ongoing)</p><p><b>related</b>: </p><ul><li>Identifier: Study Instance UID/urn:oid:1.2.250.1.59.40211.22756022.2.1.101</li><li>Identifier: Accession Number/1731954284869428</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" : "CT"
      }]
    }
  },
  {
    "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:1.2.250.1.59.40211.22756022.2.1.101",
  "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--2047166866",
      "title" : "FHIR Imaging Manifest for Imaging Study",
      "creation" : "2026-04-22T20:25:43+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:1.2.250.1.59.40211.22756022.2.1.101"
      }
    },
    {
      "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" : "1731954284869428"
      }
    }]
  }
}