Manifest-based Access to DICOM Objects (MADO)
0.1.0 - trial-use International flag

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

Resource Profile: MADO Imaging Study

Official URL: https://profiles.ihe.net/RAD/MADO/StructureDefinition/MadoImagingStudy Version: 0.1.0
Standards status: Draft Maturity Level: 1 Computable Name: MadoImagingStudy

Profile for ImagingStudy resources that represent the imaging studies manifest in the MADO context. It includes additional constraints and extensions specific to the MADO context, such as the study modality, the clinical specialty, the anatomical region of interest, the presence of significant images.

In the case significant images are present, an instance referenced in the ImagingStudy is a Key Object Selection document TID 2010, the ImagingStudy.series.instance.extension[ko-document-title] SHALL contain the Document Title code of the referenced document, and the ImagingStudy.series.instance.description field contains the contents of the KeyObjectSelectionDescription field.

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. ImagingStudy 0..* ImagingStudy A set of images produced in single study (one or more series of references images)
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:anatomical-region S 0..* CodeableConcept The anatomical regions covered by the study.
URL: https://profiles.ihe.net/RAD/MADO/StructureDefinition/MadoAnatomicalRegionExtension
Binding: Anatomical Region (preferred)
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... Slices for identifier Σ 1..* Identifier Identifiers for the whole study
Slice: Unordered, Open by profile:$this
.... identifier:study-instance-uid SΣ 1..1 MadoStudyInstanceUidIdentifier Identifiers for the whole study
... status ?!Σ 1..1 code registered | available | cancelled | entered-in-error | unknown
Binding: ImagingStudyStatus (required): The status of the ImagingStudy.
... modality SΣ 0..* Coding All series modality if actual acquisition modalities
Binding: AcquisitionModality (extensible): Type of acquired data in the instance.
... subject SΣ 1..1 Reference(MADO Patient) Who or what is the subject of the study
... started SΣ 0..1 dateTime When the study was started
Example General: 2011-01-01T11:01:20+03:00
... Slices for basedOn Σ 0..* Reference(CarePlan | ServiceRequest | Appointment | AppointmentResponse | Task) Request fulfilled
Slice: Unordered, Open by type:$this
.... basedOn:order SΣ 0..1 MadoReferencedAccessionNumberIdentifier(CarePlan | ServiceRequest | Appointment | AppointmentResponse | Task) Request fulfilled
... Slices for endpoint Σ 0..* Reference(Endpoint) Study access endpoint
Slice: Unordered, Open by profile:$this.resolve()
.... endpoint:webviewer SΣ 0..* Reference(Endpoint: MADO profile for Web Viewer endpoints) Study access endpoint
... numberOfSeries SΣ 1..1 unsignedInt Number of Study Related Series
... procedureCode SΣ 0..* CodeableConcept The performed procedure code
Binding: http://www.rsna.org/RadLex_Playbook.aspx (extensible): The performed procedure type.
... description SΣ 0..1 string Institution-generated description
... series Σ 0..* BackboneElement Each study has one or more series of instances
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... uid SΣ 1..1 id DICOM Series Instance UID for the series
Example General: 2.16.124.113543.6003.2588828330.45298.17418.2723805630
.... number SΣ 0..1 unsignedInt Numeric identifier of this series
Example General: 3
.... modality SΣ 1..1 Coding The modality of the instances in the series
Binding: AcquisitionModality (extensible): Type of acquired data in the instance.
.... description SΣ 0..1 string A short human readable summary of the series
Example General: CT Surview 180
.... numberOfInstances SΣ 1..1 unsignedInt Number of Series Related Instances
.... Slices for endpoint Σ 1..* Reference(Endpoint) Series access endpoint
Slice: Unordered, Open by profile:$this.resolve()
..... endpoint:wado SΣ 1..* Reference(Endpoint: MADO WADO endpoint) Series access endpoint
.... bodySite SΣ 0..1 Coding Body part examined
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
.... specimen SΣ 0..* Reference(Specimen) Specimen imaged
.... started SΣ 0..1 dateTime When the series started
.... instance 0..* BackboneElement A single SOP instance from the series
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:number-of-frames S 0..1 integer The number of frames in an ImagingStudy instance.
URL: https://profiles.ihe.net/RAD/MADO/StructureDefinition/MadoNumberOfFrames
...... extension:ko-document-title S 0..1 CodeableConcept When this instance represents a Key Object Selection document, this extension contains the document title code of the referenced document.
URL: https://profiles.ihe.net/RAD/MADO/StructureDefinition/MadoKeyObjectDocumentTitle
Binding: KeyObjectSelectionDocumentTitle (required)
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... uid S 1..1 id DICOM SOP Instance UID
Example General: 2.16.124.113543.6003.189642796.63084.16748.2599092903
..... sopClass S 1..1 Coding DICOM class type
Binding: http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1 (extensible): The sopClass for the instance.
..... number S 0..1 unsignedInt The number of this instance in the series
Example General: 1
..... title S 0..1 string Will contain the Key Object Description in the case the instance represents a Key Object.

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
ImagingStudy.status Base required ImagingStudyStatus 📍4.0.1 FHIR Std.
ImagingStudy.modality Base extensible AcquisitionModality 📦2025.3.20250714 DICOM v2025c
ImagingStudy.procedureCode Base extensible http://www.rsna.org/RadLex_Playbook.aspx Not State Unknown
ImagingStudy.series.​modality Base extensible AcquisitionModality 📦2025.3.20250714 DICOM v2025c
ImagingStudy.series.​bodySite Base example SNOMED CT Body Structures 📍4.0.1 FHIR Std.
ImagingStudy.series.​instance.sopClass Base extensible http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1 Not State Unknown

Constraints

Id Grade Path(s) Description Expression
dom-2 error ImagingStudy If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error ImagingStudy If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error ImagingStudy If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error ImagingStudy If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice ImagingStudy A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

This structure is derived from ImagingStudy

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. ImagingStudy ImagingStudy
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:anatomical-region S 0..* CodeableConcept The anatomical regions covered by the study.
URL: https://profiles.ihe.net/RAD/MADO/StructureDefinition/MadoAnatomicalRegionExtension
Binding: Anatomical Region (preferred)
... Slices for identifier 1..* Identifier Identifiers for the whole study
Slice: Unordered, Open by profile:$this
.... identifier:study-instance-uid S 1..1 MadoStudyInstanceUidIdentifier Identifiers for the whole study
... modality S 0..* Coding All series modality if actual acquisition modalities
... subject S 1..1 Reference(MADO Patient) Who or what is the subject of the study
... started S 0..1 dateTime When the study was started
... Slices for basedOn 0..* Reference(CarePlan | ServiceRequest | Appointment | AppointmentResponse | Task) Request fulfilled
Slice: Unordered, Open by type:$this
.... basedOn:order S 0..1 MadoReferencedAccessionNumberIdentifier(CarePlan | ServiceRequest | Appointment | AppointmentResponse | Task) Request fulfilled
... Slices for endpoint 0..* Reference(Endpoint) Study access endpoint
Slice: Unordered, Open by profile:$this.resolve()
.... endpoint:webviewer S 0..* Reference(Endpoint: MADO profile for Web Viewer endpoints) Study access endpoint
... numberOfSeries S 1..1 unsignedInt Number of Study Related Series
... procedureCode S 0..* CodeableConcept The performed procedure code
... description S 0..1 string Institution-generated description
... series
.... uid S 1..1 id DICOM Series Instance UID for the series
.... number S 0..1 unsignedInt Numeric identifier of this series
.... modality S 1..1 Coding The modality of the instances in the series
.... description S 0..1 string A short human readable summary of the series
.... numberOfInstances S 1..1 unsignedInt Number of Series Related Instances
.... Slices for endpoint 1..* Reference(Endpoint) Series access endpoint
Slice: Unordered, Open by profile:$this.resolve()
..... endpoint:wado S 1..* Reference(Endpoint: MADO WADO endpoint) Series access endpoint
.... bodySite S 0..1 Coding Body part examined
.... specimen S 0..* Reference(Specimen) Specimen imaged
.... started S 0..1 dateTime When the series started
.... instance
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:number-of-frames S 0..1 integer The number of frames in an ImagingStudy instance.
URL: https://profiles.ihe.net/RAD/MADO/StructureDefinition/MadoNumberOfFrames
...... extension:ko-document-title S 0..1 CodeableConcept When this instance represents a Key Object Selection document, this extension contains the document title code of the referenced document.
URL: https://profiles.ihe.net/RAD/MADO/StructureDefinition/MadoKeyObjectDocumentTitle
Binding: KeyObjectSelectionDocumentTitle (required)
..... uid S 1..1 id DICOM SOP Instance UID
..... sopClass S 1..1 Coding DICOM class type
..... number S 0..1 unsignedInt The number of this instance in the series
..... title S 0..1 string Will contain the Key Object Description in the case the instance represents a Key Object.

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. ImagingStudy 0..* ImagingStudy A set of images produced in single study (one or more series of references images)
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:anatomical-region S 0..* CodeableConcept The anatomical regions covered by the study.
URL: https://profiles.ihe.net/RAD/MADO/StructureDefinition/MadoAnatomicalRegionExtension
Binding: Anatomical Region (preferred)
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... Slices for identifier Σ 1..* Identifier Identifiers for the whole study
Slice: Unordered, Open by profile:$this
.... identifier:study-instance-uid SΣ 1..1 MadoStudyInstanceUidIdentifier Identifiers for the whole study
... status ?!Σ 1..1 code registered | available | cancelled | entered-in-error | unknown
Binding: ImagingStudyStatus (required): The status of the ImagingStudy.
... modality SΣ 0..* Coding All series modality if actual acquisition modalities
Binding: AcquisitionModality (extensible): Type of acquired data in the instance.
... subject SΣ 1..1 Reference(MADO Patient) Who or what is the subject of the study
... encounter Σ 0..1 Reference(Encounter) Encounter with which this imaging study is associated
... started SΣ 0..1 dateTime When the study was started
Example General: 2011-01-01T11:01:20+03:00
... Slices for basedOn Σ 0..* Reference(CarePlan | ServiceRequest | Appointment | AppointmentResponse | Task) Request fulfilled
Slice: Unordered, Open by type:$this
.... basedOn:order SΣ 0..1 MadoReferencedAccessionNumberIdentifier(CarePlan | ServiceRequest | Appointment | AppointmentResponse | Task) Request fulfilled
... referrer Σ 0..1 Reference(Practitioner | PractitionerRole) Referring physician
... interpreter Σ 0..* Reference(Practitioner | PractitionerRole) Who interpreted images
... Slices for endpoint Σ 0..* Reference(Endpoint) Study access endpoint
Slice: Unordered, Open by profile:$this.resolve()
.... endpoint:webviewer SΣ 0..* Reference(Endpoint: MADO profile for Web Viewer endpoints) Study access endpoint
... numberOfSeries SΣ 1..1 unsignedInt Number of Study Related Series
... numberOfInstances Σ 0..1 unsignedInt Number of Study Related Instances
... procedureReference Σ 0..1 Reference(Procedure) The performed Procedure reference
... procedureCode SΣ 0..* CodeableConcept The performed procedure code
Binding: http://www.rsna.org/RadLex_Playbook.aspx (extensible): The performed procedure type.
... location Σ 0..1 Reference(Location) Where ImagingStudy occurred
... reasonCode Σ 0..* CodeableConcept Why the study was requested
Binding: ProcedureReasonCodes (example): The reason for the study.
... reasonReference Σ 0..* Reference(Condition | Observation | Media | DiagnosticReport | DocumentReference) Why was study performed
... note Σ 0..* Annotation User-defined comments
... description SΣ 0..1 string Institution-generated description
... series Σ 0..* BackboneElement Each study has one or more series of instances
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... uid SΣ 1..1 id DICOM Series Instance UID for the series
Example General: 2.16.124.113543.6003.2588828330.45298.17418.2723805630
.... number SΣ 0..1 unsignedInt Numeric identifier of this series
Example General: 3
.... modality SΣ 1..1 Coding The modality of the instances in the series
Binding: AcquisitionModality (extensible): Type of acquired data in the instance.
.... description SΣ 0..1 string A short human readable summary of the series
Example General: CT Surview 180
.... numberOfInstances SΣ 1..1 unsignedInt Number of Series Related Instances
.... Slices for endpoint Σ 1..* Reference(Endpoint) Series access endpoint
Slice: Unordered, Open by profile:$this.resolve()
..... endpoint:wado SΣ 1..* Reference(Endpoint: MADO WADO endpoint) Series access endpoint
.... bodySite SΣ 0..1 Coding Body part examined
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
.... laterality Σ 0..1 Coding Body part laterality
Binding: Laterality (example): Codes describing body site laterality (left, right, etc.).
.... specimen SΣ 0..* Reference(Specimen) Specimen imaged
.... started SΣ 0..1 dateTime When the series started
.... performer Σ 0..* BackboneElement Who performed the series
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... function Σ 0..1 CodeableConcept Type of performance
Binding: ImagingStudySeriesPerformerFunction (extensible): The type of involvement of the performer.
..... actor Σ 1..1 Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | Device | RelatedPerson) Who performed the series
.... instance 0..* BackboneElement A single SOP instance from the series
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:number-of-frames S 0..1 integer The number of frames in an ImagingStudy instance.
URL: https://profiles.ihe.net/RAD/MADO/StructureDefinition/MadoNumberOfFrames
...... extension:ko-document-title S 0..1 CodeableConcept When this instance represents a Key Object Selection document, this extension contains the document title code of the referenced document.
URL: https://profiles.ihe.net/RAD/MADO/StructureDefinition/MadoKeyObjectDocumentTitle
Binding: KeyObjectSelectionDocumentTitle (required)
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... uid S 1..1 id DICOM SOP Instance UID
Example General: 2.16.124.113543.6003.189642796.63084.16748.2599092903
..... sopClass S 1..1 Coding DICOM class type
Binding: http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1 (extensible): The sopClass for the instance.
..... number S 0..1 unsignedInt The number of this instance in the series
Example General: 1
..... title S 0..1 string Will contain the Key Object Description in the case the instance represents a Key Object.

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
ImagingStudy.language Base preferred Common Languages 📍4.0.1 FHIR Std.
ImagingStudy.status Base required ImagingStudyStatus 📍4.0.1 FHIR Std.
ImagingStudy.modality Base extensible AcquisitionModality 📦2025.3.20250714 DICOM v2025c
ImagingStudy.procedureCode Base extensible http://www.rsna.org/RadLex_Playbook.aspx Not State Unknown
ImagingStudy.reasonCode Base example Procedure Reason Codes 📍4.0.1 FHIR Std.
ImagingStudy.series.​modality Base extensible AcquisitionModality 📦2025.3.20250714 DICOM v2025c
ImagingStudy.series.​bodySite Base example SNOMED CT Body Structures 📍4.0.1 FHIR Std.
ImagingStudy.series.​laterality Base example Laterality 📍4.0.1 FHIR Std.
ImagingStudy.series.​performer.function Base extensible ImagingStudy series performer function 📍4.0.1 FHIR Std.
ImagingStudy.series.​instance.sopClass Base extensible http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1 Not State Unknown

Constraints

Id Grade Path(s) Description Expression
dom-2 error ImagingStudy If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error ImagingStudy If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error ImagingStudy If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error ImagingStudy If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice ImagingStudy A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

This structure is derived from ImagingStudy

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. ImagingStudy 0..* ImagingStudy A set of images produced in single study (one or more series of references images)
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:anatomical-region S 0..* CodeableConcept The anatomical regions covered by the study.
URL: https://profiles.ihe.net/RAD/MADO/StructureDefinition/MadoAnatomicalRegionExtension
Binding: Anatomical Region (preferred)
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... Slices for identifier Σ 1..* Identifier Identifiers for the whole study
Slice: Unordered, Open by profile:$this
.... identifier:study-instance-uid SΣ 1..1 MadoStudyInstanceUidIdentifier Identifiers for the whole study
... status ?!Σ 1..1 code registered | available | cancelled | entered-in-error | unknown
Binding: ImagingStudyStatus (required): The status of the ImagingStudy.
... modality SΣ 0..* Coding All series modality if actual acquisition modalities
Binding: AcquisitionModality (extensible): Type of acquired data in the instance.
... subject SΣ 1..1 Reference(MADO Patient) Who or what is the subject of the study
... started SΣ 0..1 dateTime When the study was started
Example General: 2011-01-01T11:01:20+03:00
... Slices for basedOn Σ 0..* Reference(CarePlan | ServiceRequest | Appointment | AppointmentResponse | Task) Request fulfilled
Slice: Unordered, Open by type:$this
.... basedOn:order SΣ 0..1 MadoReferencedAccessionNumberIdentifier(CarePlan | ServiceRequest | Appointment | AppointmentResponse | Task) Request fulfilled
... Slices for endpoint Σ 0..* Reference(Endpoint) Study access endpoint
Slice: Unordered, Open by profile:$this.resolve()
.... endpoint:webviewer SΣ 0..* Reference(Endpoint: MADO profile for Web Viewer endpoints) Study access endpoint
... numberOfSeries SΣ 1..1 unsignedInt Number of Study Related Series
... procedureCode SΣ 0..* CodeableConcept The performed procedure code
Binding: http://www.rsna.org/RadLex_Playbook.aspx (extensible): The performed procedure type.
... description SΣ 0..1 string Institution-generated description
... series Σ 0..* BackboneElement Each study has one or more series of instances
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... uid SΣ 1..1 id DICOM Series Instance UID for the series
Example General: 2.16.124.113543.6003.2588828330.45298.17418.2723805630
.... number SΣ 0..1 unsignedInt Numeric identifier of this series
Example General: 3
.... modality SΣ 1..1 Coding The modality of the instances in the series
Binding: AcquisitionModality (extensible): Type of acquired data in the instance.
.... description SΣ 0..1 string A short human readable summary of the series
Example General: CT Surview 180
.... numberOfInstances SΣ 1..1 unsignedInt Number of Series Related Instances
.... Slices for endpoint Σ 1..* Reference(Endpoint) Series access endpoint
Slice: Unordered, Open by profile:$this.resolve()
..... endpoint:wado SΣ 1..* Reference(Endpoint: MADO WADO endpoint) Series access endpoint
.... bodySite SΣ 0..1 Coding Body part examined
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
.... specimen SΣ 0..* Reference(Specimen) Specimen imaged
.... started SΣ 0..1 dateTime When the series started
.... instance 0..* BackboneElement A single SOP instance from the series
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:number-of-frames S 0..1 integer The number of frames in an ImagingStudy instance.
URL: https://profiles.ihe.net/RAD/MADO/StructureDefinition/MadoNumberOfFrames
...... extension:ko-document-title S 0..1 CodeableConcept When this instance represents a Key Object Selection document, this extension contains the document title code of the referenced document.
URL: https://profiles.ihe.net/RAD/MADO/StructureDefinition/MadoKeyObjectDocumentTitle
Binding: KeyObjectSelectionDocumentTitle (required)
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... uid S 1..1 id DICOM SOP Instance UID
Example General: 2.16.124.113543.6003.189642796.63084.16748.2599092903
..... sopClass S 1..1 Coding DICOM class type
Binding: http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1 (extensible): The sopClass for the instance.
..... number S 0..1 unsignedInt The number of this instance in the series
Example General: 1
..... title S 0..1 string Will contain the Key Object Description in the case the instance represents a Key Object.

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
ImagingStudy.status Base required ImagingStudyStatus 📍4.0.1 FHIR Std.
ImagingStudy.modality Base extensible AcquisitionModality 📦2025.3.20250714 DICOM v2025c
ImagingStudy.procedureCode Base extensible http://www.rsna.org/RadLex_Playbook.aspx Not State Unknown
ImagingStudy.series.​modality Base extensible AcquisitionModality 📦2025.3.20250714 DICOM v2025c
ImagingStudy.series.​bodySite Base example SNOMED CT Body Structures 📍4.0.1 FHIR Std.
ImagingStudy.series.​instance.sopClass Base extensible http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1 Not State Unknown

Constraints

Id Grade Path(s) Description Expression
dom-2 error ImagingStudy If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error ImagingStudy If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error ImagingStudy If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error ImagingStudy If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice ImagingStudy A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

Differential View

This structure is derived from ImagingStudy

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. ImagingStudy ImagingStudy
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:anatomical-region S 0..* CodeableConcept The anatomical regions covered by the study.
URL: https://profiles.ihe.net/RAD/MADO/StructureDefinition/MadoAnatomicalRegionExtension
Binding: Anatomical Region (preferred)
... Slices for identifier 1..* Identifier Identifiers for the whole study
Slice: Unordered, Open by profile:$this
.... identifier:study-instance-uid S 1..1 MadoStudyInstanceUidIdentifier Identifiers for the whole study
... modality S 0..* Coding All series modality if actual acquisition modalities
... subject S 1..1 Reference(MADO Patient) Who or what is the subject of the study
... started S 0..1 dateTime When the study was started
... Slices for basedOn 0..* Reference(CarePlan | ServiceRequest | Appointment | AppointmentResponse | Task) Request fulfilled
Slice: Unordered, Open by type:$this
.... basedOn:order S 0..1 MadoReferencedAccessionNumberIdentifier(CarePlan | ServiceRequest | Appointment | AppointmentResponse | Task) Request fulfilled
... Slices for endpoint 0..* Reference(Endpoint) Study access endpoint
Slice: Unordered, Open by profile:$this.resolve()
.... endpoint:webviewer S 0..* Reference(Endpoint: MADO profile for Web Viewer endpoints) Study access endpoint
... numberOfSeries S 1..1 unsignedInt Number of Study Related Series
... procedureCode S 0..* CodeableConcept The performed procedure code
... description S 0..1 string Institution-generated description
... series
.... uid S 1..1 id DICOM Series Instance UID for the series
.... number S 0..1 unsignedInt Numeric identifier of this series
.... modality S 1..1 Coding The modality of the instances in the series
.... description S 0..1 string A short human readable summary of the series
.... numberOfInstances S 1..1 unsignedInt Number of Series Related Instances
.... Slices for endpoint 1..* Reference(Endpoint) Series access endpoint
Slice: Unordered, Open by profile:$this.resolve()
..... endpoint:wado S 1..* Reference(Endpoint: MADO WADO endpoint) Series access endpoint
.... bodySite S 0..1 Coding Body part examined
.... specimen S 0..* Reference(Specimen) Specimen imaged
.... started S 0..1 dateTime When the series started
.... instance
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:number-of-frames S 0..1 integer The number of frames in an ImagingStudy instance.
URL: https://profiles.ihe.net/RAD/MADO/StructureDefinition/MadoNumberOfFrames
...... extension:ko-document-title S 0..1 CodeableConcept When this instance represents a Key Object Selection document, this extension contains the document title code of the referenced document.
URL: https://profiles.ihe.net/RAD/MADO/StructureDefinition/MadoKeyObjectDocumentTitle
Binding: KeyObjectSelectionDocumentTitle (required)
..... uid S 1..1 id DICOM SOP Instance UID
..... sopClass S 1..1 Coding DICOM class type
..... number S 0..1 unsignedInt The number of this instance in the series
..... title S 0..1 string Will contain the Key Object Description in the case the instance represents a Key Object.

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. ImagingStudy 0..* ImagingStudy A set of images produced in single study (one or more series of references images)
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:anatomical-region S 0..* CodeableConcept The anatomical regions covered by the study.
URL: https://profiles.ihe.net/RAD/MADO/StructureDefinition/MadoAnatomicalRegionExtension
Binding: Anatomical Region (preferred)
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... Slices for identifier Σ 1..* Identifier Identifiers for the whole study
Slice: Unordered, Open by profile:$this
.... identifier:study-instance-uid SΣ 1..1 MadoStudyInstanceUidIdentifier Identifiers for the whole study
... status ?!Σ 1..1 code registered | available | cancelled | entered-in-error | unknown
Binding: ImagingStudyStatus (required): The status of the ImagingStudy.
... modality SΣ 0..* Coding All series modality if actual acquisition modalities
Binding: AcquisitionModality (extensible): Type of acquired data in the instance.
... subject SΣ 1..1 Reference(MADO Patient) Who or what is the subject of the study
... encounter Σ 0..1 Reference(Encounter) Encounter with which this imaging study is associated
... started SΣ 0..1 dateTime When the study was started
Example General: 2011-01-01T11:01:20+03:00
... Slices for basedOn Σ 0..* Reference(CarePlan | ServiceRequest | Appointment | AppointmentResponse | Task) Request fulfilled
Slice: Unordered, Open by type:$this
.... basedOn:order SΣ 0..1 MadoReferencedAccessionNumberIdentifier(CarePlan | ServiceRequest | Appointment | AppointmentResponse | Task) Request fulfilled
... referrer Σ 0..1 Reference(Practitioner | PractitionerRole) Referring physician
... interpreter Σ 0..* Reference(Practitioner | PractitionerRole) Who interpreted images
... Slices for endpoint Σ 0..* Reference(Endpoint) Study access endpoint
Slice: Unordered, Open by profile:$this.resolve()
.... endpoint:webviewer SΣ 0..* Reference(Endpoint: MADO profile for Web Viewer endpoints) Study access endpoint
... numberOfSeries SΣ 1..1 unsignedInt Number of Study Related Series
... numberOfInstances Σ 0..1 unsignedInt Number of Study Related Instances
... procedureReference Σ 0..1 Reference(Procedure) The performed Procedure reference
... procedureCode SΣ 0..* CodeableConcept The performed procedure code
Binding: http://www.rsna.org/RadLex_Playbook.aspx (extensible): The performed procedure type.
... location Σ 0..1 Reference(Location) Where ImagingStudy occurred
... reasonCode Σ 0..* CodeableConcept Why the study was requested
Binding: ProcedureReasonCodes (example): The reason for the study.
... reasonReference Σ 0..* Reference(Condition | Observation | Media | DiagnosticReport | DocumentReference) Why was study performed
... note Σ 0..* Annotation User-defined comments
... description SΣ 0..1 string Institution-generated description
... series Σ 0..* BackboneElement Each study has one or more series of instances
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... uid SΣ 1..1 id DICOM Series Instance UID for the series
Example General: 2.16.124.113543.6003.2588828330.45298.17418.2723805630
.... number SΣ 0..1 unsignedInt Numeric identifier of this series
Example General: 3
.... modality SΣ 1..1 Coding The modality of the instances in the series
Binding: AcquisitionModality (extensible): Type of acquired data in the instance.
.... description SΣ 0..1 string A short human readable summary of the series
Example General: CT Surview 180
.... numberOfInstances SΣ 1..1 unsignedInt Number of Series Related Instances
.... Slices for endpoint Σ 1..* Reference(Endpoint) Series access endpoint
Slice: Unordered, Open by profile:$this.resolve()
..... endpoint:wado SΣ 1..* Reference(Endpoint: MADO WADO endpoint) Series access endpoint
.... bodySite SΣ 0..1 Coding Body part examined
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
.... laterality Σ 0..1 Coding Body part laterality
Binding: Laterality (example): Codes describing body site laterality (left, right, etc.).
.... specimen SΣ 0..* Reference(Specimen) Specimen imaged
.... started SΣ 0..1 dateTime When the series started
.... performer Σ 0..* BackboneElement Who performed the series
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... function Σ 0..1 CodeableConcept Type of performance
Binding: ImagingStudySeriesPerformerFunction (extensible): The type of involvement of the performer.
..... actor Σ 1..1 Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | Device | RelatedPerson) Who performed the series
.... instance 0..* BackboneElement A single SOP instance from the series
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:number-of-frames S 0..1 integer The number of frames in an ImagingStudy instance.
URL: https://profiles.ihe.net/RAD/MADO/StructureDefinition/MadoNumberOfFrames
...... extension:ko-document-title S 0..1 CodeableConcept When this instance represents a Key Object Selection document, this extension contains the document title code of the referenced document.
URL: https://profiles.ihe.net/RAD/MADO/StructureDefinition/MadoKeyObjectDocumentTitle
Binding: KeyObjectSelectionDocumentTitle (required)
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... uid S 1..1 id DICOM SOP Instance UID
Example General: 2.16.124.113543.6003.189642796.63084.16748.2599092903
..... sopClass S 1..1 Coding DICOM class type
Binding: http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1 (extensible): The sopClass for the instance.
..... number S 0..1 unsignedInt The number of this instance in the series
Example General: 1
..... title S 0..1 string Will contain the Key Object Description in the case the instance represents a Key Object.

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
ImagingStudy.language Base preferred Common Languages 📍4.0.1 FHIR Std.
ImagingStudy.status Base required ImagingStudyStatus 📍4.0.1 FHIR Std.
ImagingStudy.modality Base extensible AcquisitionModality 📦2025.3.20250714 DICOM v2025c
ImagingStudy.procedureCode Base extensible http://www.rsna.org/RadLex_Playbook.aspx Not State Unknown
ImagingStudy.reasonCode Base example Procedure Reason Codes 📍4.0.1 FHIR Std.
ImagingStudy.series.​modality Base extensible AcquisitionModality 📦2025.3.20250714 DICOM v2025c
ImagingStudy.series.​bodySite Base example SNOMED CT Body Structures 📍4.0.1 FHIR Std.
ImagingStudy.series.​laterality Base example Laterality 📍4.0.1 FHIR Std.
ImagingStudy.series.​performer.function Base extensible ImagingStudy series performer function 📍4.0.1 FHIR Std.
ImagingStudy.series.​instance.sopClass Base extensible http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1 Not State Unknown

Constraints

Id Grade Path(s) Description Expression
dom-2 error ImagingStudy If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error ImagingStudy If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error ImagingStudy If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error ImagingStudy If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice ImagingStudy A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

This structure is derived from ImagingStudy

 

Other representations of profile: CSV, Excel, Schematron