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

## Resource Profile: MADO Creator Organization

Official URL: https://profiles.ihe.net/RAD/MADO/StructureDefinition/MadoCreatorOrganization | Version: 0.1.0
Draft as of 2026-05-13 | Computable Name: MadoCreatorOrganization

Profile on Organization that specifies the required elements for the organization that creates MADO manifests.

Usages:

- Use this Profile: MADO Imaging Study Manifest FHIR Bundle
- Refer to this Profile: MADO Creator, MADO MHD DocumentReference Profile for DICOM KOS Imaging Manifests, MADO MHD DocumentReference Profile for FHIR Imaging Manifests and MADO Provenance
- Examples for this Profile: ACME

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.

- Key Elements Table
- Differential Table
- Snapshot Table
- Statistics/References
- All

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Organization | C | 0..* | Organization | A grouping of people or organizations with a common purpose Constraints: org-1
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | S Σ C | 0..* | Identifier | Identifies this organization across multiple systems
active | ?!Σ | 0..1 | boolean | Whether the organization's record is still in active use
type | S Σ | 0..* | CodeableConcept | Kind of organization Binding: OrganizationType (example): Used to categorize the organization.
name | S Σ C | 0..1 | string | Name used for the organization
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Organization.type | Base | example | Organization type | 📍4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
dom-2 | error | Organization | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | Organization | 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 | Organization | 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 | Organization | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | Organization | 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()`
org-1 | error | Organization | The organization SHALL at least have a name or an identifier, and possibly more than one | `(identifier.count() + name.count()) > 0`

This structure is derived from Organization

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Organization |  | 0..* | Organization | A grouping of people or organizations with a common purpose
identifier | S | 0..* | Identifier | Identifies this organization across multiple systems
type | S | 0..* | CodeableConcept | Kind of organization
name | S | 0..1 | string | Name used for the organization
Documentation for this format

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Organization | C | 0..* | Organization | A grouping of people or organizations with a common purpose Constraints: org-1
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 Bindings | Purpose
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
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | S Σ C | 0..* | Identifier | Identifies this organization across multiple systems
active | ?!Σ | 0..1 | boolean | Whether the organization's record is still in active use
type | S Σ | 0..* | CodeableConcept | Kind of organization Binding: OrganizationType (example): Used to categorize the organization.
name | S Σ C | 0..1 | string | Name used for the organization
alias |  | 0..* | string | A list of alternate names that the organization is known as, or was known as in the past
telecom | C | 0..* | ContactPoint | A contact detail for the organization Constraints: org-3
address | C | 0..* | Address | An address for the organization Constraints: org-2
partOf | Σ | 0..1 | Reference(Organization) | The organization of which this organization forms a part
contact |  | 0..* | BackboneElement | Contact for the organization for a certain purpose
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
purpose |  | 0..1 | CodeableConcept | The type of contact Binding: ContactEntityType (extensible): The purpose for which you would contact a contact party.
name |  | 0..1 | HumanName | A name associated with the contact
telecom |  | 0..* | ContactPoint | Contact details (telephone, email, etc.) for a contact
address |  | 0..1 | Address | Visiting or postal addresses for the contact
endpoint |  | 0..* | Reference(Endpoint) | Technical endpoints providing access to services operated for the organization
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Organization.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std.
Organization.type | Base | example | Organization type | 📍4.0.1 | FHIR Std.
Organization.contact.​purpose | Base | extensible | Contact entity type | 📍4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
dom-2 | error | Organization | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | Organization | 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 | Organization | 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 | Organization | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | Organization | 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()`
org-1 | error | Organization | The organization SHALL at least have a name or an identifier, and possibly more than one | `(identifier.count() + name.count()) > 0`
org-2 | error | Organization.address | An address of an organization can never be of use 'home' | `where(use = 'home').empty()`
org-3 | error | Organization.telecom | The telecom of an organization can never be of use 'home' | `where(use = 'home').empty()`

This structure is derived from Organization

Summary

Must-Support: 3 elements

Key Elements View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Organization | C | 0..* | Organization | A grouping of people or organizations with a common purpose Constraints: org-1
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | S Σ C | 0..* | Identifier | Identifies this organization across multiple systems
active | ?!Σ | 0..1 | boolean | Whether the organization's record is still in active use
type | S Σ | 0..* | CodeableConcept | Kind of organization Binding: OrganizationType (example): Used to categorize the organization.
name | S Σ C | 0..1 | string | Name used for the organization
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Organization.type | Base | example | Organization type | 📍4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
dom-2 | error | Organization | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | Organization | 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 | Organization | 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 | Organization | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | Organization | 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()`
org-1 | error | Organization | The organization SHALL at least have a name or an identifier, and possibly more than one | `(identifier.count() + name.count()) > 0`

Differential View

This structure is derived from Organization

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Organization |  | 0..* | Organization | A grouping of people or organizations with a common purpose
identifier | S | 0..* | Identifier | Identifies this organization across multiple systems
type | S | 0..* | CodeableConcept | Kind of organization
name | S | 0..1 | string | Name used for the organization
Documentation for this format

Snapshot View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Organization | C | 0..* | Organization | A grouping of people or organizations with a common purpose Constraints: org-1
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 Bindings | Purpose
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
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | S Σ C | 0..* | Identifier | Identifies this organization across multiple systems
active | ?!Σ | 0..1 | boolean | Whether the organization's record is still in active use
type | S Σ | 0..* | CodeableConcept | Kind of organization Binding: OrganizationType (example): Used to categorize the organization.
name | S Σ C | 0..1 | string | Name used for the organization
alias |  | 0..* | string | A list of alternate names that the organization is known as, or was known as in the past
telecom | C | 0..* | ContactPoint | A contact detail for the organization Constraints: org-3
address | C | 0..* | Address | An address for the organization Constraints: org-2
partOf | Σ | 0..1 | Reference(Organization) | The organization of which this organization forms a part
contact |  | 0..* | BackboneElement | Contact for the organization for a certain purpose
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
purpose |  | 0..1 | CodeableConcept | The type of contact Binding: ContactEntityType (extensible): The purpose for which you would contact a contact party.
name |  | 0..1 | HumanName | A name associated with the contact
telecom |  | 0..* | ContactPoint | Contact details (telephone, email, etc.) for a contact
address |  | 0..1 | Address | Visiting or postal addresses for the contact
endpoint |  | 0..* | Reference(Endpoint) | Technical endpoints providing access to services operated for the organization
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Organization.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std.
Organization.type | Base | example | Organization type | 📍4.0.1 | FHIR Std.
Organization.contact.​purpose | Base | extensible | Contact entity type | 📍4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
dom-2 | error | Organization | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | Organization | 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 | Organization | 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 | Organization | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | Organization | 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()`
org-1 | error | Organization | The organization SHALL at least have a name or an identifier, and possibly more than one | `(identifier.count() + name.count()) > 0`
org-2 | error | Organization.address | An address of an organization can never be of use 'home' | `where(use = 'home').empty()`
org-3 | error | Organization.telecom | The telecom of an organization can never be of use 'home' | `where(use = 'home').empty()`

This structure is derived from Organization

Summary

Must-Support: 3 elements

Other representations of profile: CSV, Excel, Schematron