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 Example for FHIR manifests with transform - XML Representation

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    <DocumentReference xmlns="http://hl7.org/fhir">
      <id value="DocumentReferenceFHIRwithTransform"/>
      <meta>
        <profile
                 value="https://profiles.ihe.net/RAD/MADO/StructureDefinition/MadoFhirDocumentReference"/>
      </meta>
      <text>
        <status value="extensions"/>
        <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: DocumentReference DocumentReferenceFHIRwithTransform</b></p><a name="DocumentReferenceFHIRwithTransform"> </a><a name="hcDocumentReferenceFHIRwithTransform"> </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-MadoFhirDocumentReference.html">MADO MHD DocumentReference Profile for FHIR 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>/koewopfwjqoddasf (use: usual, )</p><p><b>identifier</b>: <code>http://www.example.com/identifiers/documentreference</code>/koewopfwjqoddasf (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: official, ))</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-DocumentReferenceKOSwithTransform.html">DocumentReference: extension = Magnetic Resonance,; masterIdentifier = urn:dicom:uid#DICOM Unique Id#1.2.392.200140.2.1.1.1.2.799008771.2076.1519721309.448 (use: usual, ); identifier = urn:dicom:uid#DICOM Unique Id#1.2.392.200140.2.1.1.1.2.799008771.2076.1519721309.448; 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><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>Language</b></td><td><b>Url</b></td><td><b>Creation</b></td></tr><tr><td style="display: none">*</td><td>application/fhir+json</td><td>German (Germany)</td><td><a href="http://kos2FhirTranformService.example.com/transform?url=http://mhdserver.example.com/Binary/mado-kos-manifest-binary">http://kos2FhirTranformService.example.com/transform?url=http://mhdserver.example.com/Binary/mado-kos-manifest-binary</a></td><td>2025-05-08 00:00:00+0000</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) (version = 1.5.0 )</p></blockquote><blockquote><p><b>context</b></p><p><b>period</b>: 2018-02-27 09:48:29+0100 --&gt; (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>
      </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="koewopfwjqoddasf"/>
      </masterIdentifier>
      <identifier>
        <use value="usual"/>
        <system value="http://www.example.com/identifiers/documentreference"/>
        <value value="koewopfwjqoddasf"/>
      </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/DocumentReferenceKOSwithTransform"/>
        </target>
      </relatesTo>
      <content>
        <extension
                   url="http://hl7.org/fhir/5.0/StructureDefinition/extension-DocumentReference.content.profile">
          <extension url="value[x]">
            <valueCanonical
                            value="https://profiles.ihe.net/RAD/MADO/StructureDefinition/MadoFhirBundle"/>
          </extension>
        </extension>
        <attachment>
          <contentType value="application/fhir+json"/>
          <language value="de-DE"/>
          <url
               value="http://kos2FhirTranformService.example.com/transform?url=http://mhdserver.example.com/Binary/mado-kos-manifest-binary"/>
          <creation value="2025-05-08T00:00:00Z"/>
        </attachment>
        <format>
          <system
                  value="http://ihe.net/fhir/ihe.formatcode.fhir/CodeSystem/formatcode"/>
          <version value="1.5.0"/>
          <code value="urn:ihe:rad:MADO:fhir-manifest:2026"/>
        </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"/>
          </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>