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

## Example DocumentReference: DocumentReference Example for DICOM KOS manifests

Profile: MADO MHD DocumentReference Profile for DICOM KOS Imaging Manifests

Cross-version Extension for R5.DocumentReference.modality for use in FHIR R4: Magnetic Resonance

> Cross-version Extension for R5.DocumentReference.bodySite for use in FHIR R4

> - concept: Lower extremity

masterIdentifier: DICOM Unique Id/1.2.392.200140.2.1.1.1.2.799008771.2076.1519721309.448 (use: usual, )

identifier: DICOM Unique Id/1.2.392.200140.2.1.1.1.2.799008771.2076.1519721309.448 (use: usual, )

status: Current

type: Diagnostic imaging study

category: Diagnostic imaging study

subject: Pietje Puk Male, DoB Unknown ( Medical Record number: PID_666 (use: official, ))

date: 2025-05-08 00:00:00+0000

### RelatesTos

- | Code | Target
* | Transforms | DocumentReference: extension = Magnetic Resonance,; masterIdentifier = http://www.example.com/identifiers/documentreference#koewopfwjqoddasf (use: usual, ); identifier = http://www.example.com/identifiers/documentreference#koewopfwjqoddasf (use: usual, ); status = current; type = Diagnostic imaging study; category = Diagnostic imaging study; date = 2025-05-08 00:00:00+0000

> content

> ### Attachments

> - | ContentType | Language | Url | Creation
> * | application/dicom | German (Germany) | Bundle: identifier = UUID:4fe96b54-204d-4f98-ae8d-491869a8ba01; type = collection; timestamp = 2026-02-24 11:48:21+0100 | 2025-05-08 00:00:00+0000

> format: DCMUID: 1.2.840.10008.5.1.4.1.1.88.59 (Key Object Selection Document)

> context

> period: 2018-02-27 09:48:29+0100 --> (ongoing)

> facilityType: Hospital-based radiology facility

> practiceSetting: Radiology

> related:

> - Identifier: Study Instance UID/1.2.392.200140.2.1.1.1.2.799008771.2076.1519721309.448
> - Identifier: Accession Id/2017092101