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 - JSON Representation

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    {
      "resourceType" : "DocumentReference",
      "id" : "DocumentReferenceFHIR",
      "meta" : {
        "profile" : [
          🔗 "https://profiles.ihe.net/RAD/MADO/StructureDefinition/MadoFhirDocumentReference"
        ]
      },
      "text" : {
        "status" : "extensions",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: DocumentReference DocumentReferenceFHIR</b></p><a name=\"DocumentReferenceFHIR\"> </a><a name=\"hcDocumentReferenceFHIR\"> </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\u00a0(use:\u00a0usual,\u00a0)</p><p><b>identifier</b>: <code>http://www.example.com/identifiers/documentreference</code>/koewopfwjqoddasf\u00a0(use:\u00a0usual,\u00a0)</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\u00a0(use:\u00a0official,\u00a0))</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-DocumentReferenceKOS.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\u00a0(use:\u00a0usual,\u00a0); identifier = urn:dicom:uid#DICOM Unique Id#1.2.392.200140.2.1.1.1.2.799008771.2076.1519721309.448\u00a0(use:\u00a0usual,\u00a0); 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>Bundle/fhir-manifest-bundle</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>"
      },
      "extension" : [
        {
          "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-DocumentReference.modality",
          "valueCodeableConcept" : {
            "coding" : [
              {
                "system" : "http://dicom.nema.org/resources/ontology/DCM",
                "code" : "MR"
              }
            ]
          }
        },
        {
          "extension" : [
            {
              "url" : "concept",
              "valueCodeableConcept" : {
                "coding" : [
                  {
                    "system" : "http://snomed.info/sct",
                    "code" : "61685007"
                  }
                ]
              }
            }
          ],
          "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-DocumentReference.bodySite"
        }
      ],
      "masterIdentifier" : {
        "use" : "usual",
        "system" : "http://www.example.com/identifiers/documentreference",
        "value" : "koewopfwjqoddasf"
      },
      "identifier" : [
        {
          "use" : "usual",
          "system" : "http://www.example.com/identifiers/documentreference",
          "value" : "koewopfwjqoddasf"
        }
      ],
      "status" : "current",
      "type" : {
        "coding" : [
          {
            "system" : "http://loinc.org",
            "code" : "18748-4",
            "display" : "Diagnostic imaging study"
          }
        ]
      },
      "category" : [
        {
          "coding" : [
            {
              "system" : "http://loinc.org",
              "code" : "18748-4",
              "display" : "Diagnostic imaging study"
            }
          ]
        }
      ],
      "subject" : {
        🔗 "reference" : "Patient/pat-mrn-1538098370"
      },
      "date" : "2025-05-08T00:00:00Z",
      "relatesTo" : [
        {
          "code" : "transforms",
          "target" : {
            🔗 "reference" : "DocumentReference/DocumentReferenceKOS"
          }
        }
      ],
      "content" : [
        {
          "extension" : [
            {
              "extension" : [
                {
                  "url" : "value[x]",
                  "valueCanonical" : "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",
            "language" : "de-DE",
            "url" : "Bundle/fhir-manifest-bundle",
            "creation" : "2025-05-08T00:00:00Z"
          },
          "format" : {
            "system" : "http://ihe.net/fhir/ihe.formatcode.fhir/CodeSystem/formatcode",
            "version" : "1.5.0",
            "code" : "urn:ihe:rad:MADO:fhir-manifest:2026"
          }
        }
      ],
      "context" : {
        "period" : {
          "start" : "2018-02-27T09:48:29+01:00"
        },
        "facilityType" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "79491001",
              "display" : "Hospital-based radiology facility"
            }
          ]
        },
        "practiceSetting" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "394914008",
              "display" : "Radiology"
            }
          ]
        },
        "related" : [
          {
            "identifier" : {
              "type" : {
                "coding" : [
                  {
                    "system" : "http://dicom.nema.org/resources/ontology/DCM",
                    "code" : "110180",
                    "display" : "Study Instance UID"
                  }
                ]
              },
              "system" : "urn:dicom:uid",
              "value" : "1.2.392.200140.2.1.1.1.2.799008771.2076.1519721309.448"
            }
          },
          {
            "identifier" : {
              "type" : {
                "coding" : [
                  {
                    "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                    "code" : "ACSN",
                    "display" : "Accession Id"
                  },
                  {
                    "system" : "http://dicom.nema.org/resources/ontology/DCM",
                    "code" : "121022",
                    "display" : "Accession Number"
                  }
                ]
              },
              "system" : "http://hospital.org/acc",
              "value" : "2017092101"
            }
          }
        ]
      }
    }