# Imaging Manifest for DICOM Objects (MADO) Implementation Guide - Manifest-based Access to DICOM Objects (MADO) v0.1.0

* [**Table of Contents**](toc.md)
* **Imaging Manifest for DICOM Objects (MADO) Implementation Guide**

## Imaging Manifest for DICOM Objects (MADO) Implementation Guide

| | |
| :--- | :--- |
| *Official URL*:https://profiles.ihe.net/RAD/MADO/ImplementationGuide/ihe.rad.mado | *Version*:0.1.0 |
| Draft as of 2026-05-13 | *Computable Name*:IHE_RAD_MADO |

This profile addresses the access to DICOM Instances based on an imaging study manifest. The need for this profile was identified as part of the sharing of imaging studies and related reports as required under the EHDS Regulation.

The access to DICOM Instances based on an imaging study manifest can be combined either with MHD (or MHDS) to deploy FHIR-based document sharing infrastructures or XDS.b, or some proprietary document sharing scheme. Such flexibility ensures a common and more effective way to access the DICOM Objects through a solid profiling of WADO-RS consistent with the XC-WADO Cross-Community profile and the IID (Invoke Image Display) profiles. The MADO Profile includes also a more robust imaging study manifest compared to the one introduced by XDS-I.b, supporting two complementary encodings based on the DICOM KOS IOD or FHIR Imaging Study resource, as well as profiling in a more precise way existing attributes and new attributes, such as those necessary to improve access to key images in a way compatible with the IHE KIN Profile.

> Note that this website only represents the FHIR part of the MADO specification. Where possible, references/redirects are added that point to the PDF MADO specification that contains the Volume 1, Volume 2 and the DICOM part of Volume 3.



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      },
      "name" : "Anatomical Region",
      "description" : "A shortlist of anatomical regions that can be used for searching reports and manifests. This set is defined in Table 6.X.6.4-1. In this case discrepancies, the values in the table have prevalence. It is planned to\nmove this ValueSet to IHE terminologies. When that is done, this definition will be removed.",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Bundle"
      }],
      "reference" : {
        "reference" : "Bundle/mado-bundle-589331894518000"
      },
      "name" : "Bundle: MADO FHIR document",
      "description" : "An example of a MADO FHIR manifest.",
      "exampleCanonical" : "https://profiles.ihe.net/RAD/MADO/StructureDefinition/MadoFhirBundle"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Binary"
      }],
      "reference" : {
        "reference" : "Binary/dicom-kos-mado--2047166865"
      },
      "name" : "dicom-kos-mado--2047166865",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Binary"
      }],
      "reference" : {
        "reference" : "Binary/dicom-kos-mado--2047166866"
      },
      "name" : "dicom-kos-mado--2047166866",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "DocumentReference"
      }],
      "reference" : {
        "reference" : "DocumentReference/DocumentReferenceKOS"
      },
      "name" : "DocumentReference Example for DICOM KOS manifests",
      "description" : "DocumentReference Example for DICOM KOS manifests",
      "exampleCanonical" : "https://profiles.ihe.net/RAD/MADO/StructureDefinition/MadoDicomKosDocumentReference"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "DocumentReference"
      }],
      "reference" : {
        "reference" : "DocumentReference/DocumentReferenceKOSwithTransform"
      },
      "name" : "DocumentReference Example for DICOM KOS manifests",
      "description" : "DocumentReference Example for DICOM KOS manifests",
      "exampleCanonical" : "https://profiles.ihe.net/RAD/MADO/StructureDefinition/MadoDicomKosDocumentReference"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "DocumentReference"
      }],
      "reference" : {
        "reference" : "DocumentReference/DocumentReferenceKOSNoRelated"
      },
      "name" : "DocumentReference Example for DICOM KOS manifests and no related reference to the FHIR manifest example",
      "description" : "DocumentReference Example for DICOM KOS manifests with no related reference to the FHIR manifest example",
      "exampleCanonical" : "https://profiles.ihe.net/RAD/MADO/StructureDefinition/MadoDicomKosDocumentReference"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "DocumentReference"
      }],
      "reference" : {
        "reference" : "DocumentReference/DocumentReferenceFHIR"
      },
      "name" : "DocumentReference Example for FHIR manifests",
      "description" : "DocumentReference Example for FHIR manifests",
      "exampleCanonical" : "https://profiles.ihe.net/RAD/MADO/StructureDefinition/MadoFhirDocumentReference"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "DocumentReference"
      }],
      "reference" : {
        "reference" : "DocumentReference/DocumentReferenceFHIRwithTransform"
      },
      "name" : "DocumentReference Example for FHIR manifests with transform",
      "description" : "DocumentReference Example for FHIR manifests with transform service called to transform the KOS manifest into a FHIR manifest",
      "exampleCanonical" : "https://profiles.ihe.net/RAD/MADO/StructureDefinition/MadoFhirDocumentReference"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:resource"
      }],
      "reference" : {
        "reference" : "StructureDefinition/MadoWebViewerEndpoint"
      },
      "name" : "Endpoint: MADO profile for Web Viewer endpoints",
      "description" : "This profile defines the Web Viewer endpoint for accessing imaging study content. The URL in the Endpoint\nSHALL be a fully populated URL that contains all the information required to the launch the viewer to this study.\n\nThe `address` field in the endpoint corresponds to the `Display URI` in the DICOM KOS manifest (see 6.X.2.13 Hierarchical SOP Instance Reference Macro).\n\nThe endpoint MAY be encoded using the format defined in [IHE-RAD-IID](https://www.ihe.net/uploadedFiles/Documents/Radiology/IHE_RAD_Suppl_IID.pdf).",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:resource"
      }],
      "reference" : {
        "reference" : "StructureDefinition/MadoWadoEndpoint"
      },
      "name" : "Endpoint: MADO WADO endpoint",
      "description" : "This profile defines a WADO endpoint for accessing imaging study content. [MADO WADO Endpoint](Endpoint-wado-endpoint-with-url.html) holds an example of a endpoint with a \n`RetrieveLocationUid` and an address.\n\nThis profile supports two cases (see X.4.1.2 Intra-community Sharing Infrastructure):\n\n1. The case where `address` is provided in addition to a `RetrieveLocationUID`.\n2. The case when only the `RetrieveLocationUID` is known and the `address` is unknown (see example [EndpointWadoExampleNoAddress](Endpoint-EndpointWadoExampleNoAddress.html)). In this case:\n   1. The `address` SHALL be set to \\\"http://notspecified\\\"\n   2. A [`Data Absent Reason Exception`](http://hl7.org/fhir/StructureDefinition/data-absent-reason) with the value `unknown` SHALL be added to indicate that the address is missing.\n\nNote that we do not require population of the `payloadMimeType` as this information is not present in the DICOM KOS. As is defined in section 6.X.6.6.2, in MADO, only the `dicom` mimetype is required.",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Endpoint"
      }],
      "reference" : {
        "reference" : "Endpoint/wado-endpoint-with-url"
      },
      "name" : "Endpoint: MADO WADO Endpoint",
      "description" : "Example of a DICOM web endpoint supporting WADO.",
      "exampleCanonical" : "https://profiles.ihe.net/RAD/MADO/StructureDefinition/MadoWadoEndpoint"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Endpoint"
      }],
      "reference" : {
        "reference" : "Endpoint/EndpointWadoExampleNoAddress"
      },
      "name" : "Endpoint: MADO WADO Endpoint example with no URL",
      "description" : "Example implementation of an WADO endpoint holding a RetrieveLocationUID and no address.",
      "exampleCanonical" : "https://profiles.ihe.net/RAD/MADO/StructureDefinition/MadoWadoEndpoint"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Organization"
      }],
      "reference" : {
        "reference" : "Organization/device-organization"
      },
      "name" : "Example of an orgnization that generated the manifest",
      "exampleCanonical" : "https://profiles.ihe.net/RAD/MADO/StructureDefinition/MadoCreatorOrganization"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Patient"
      }],
      "reference" : {
        "reference" : "Patient/pat-mrn-1538098370"
      },
      "name" : "Example patient",
      "description" : "Example patient",
      "exampleBoolean" : true
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:extension"
      }],
      "reference" : {
        "reference" : "StructureDefinition/MadoAnatomicalRegionExtension"
      },
      "name" : "Extension: Anatomical Region",
      "description" : "The anatomical region in an ImagingStudy instance. This is additional information next to ImagingStudy.series.bodySite.",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:extension"
      }],
      "reference" : {
        "reference" : "StructureDefinition/MadoKeyObjectDocumentTitle"
      },
      "name" : "Extension: MADO Document Title of Key Object Selection documents",
      "description" : "The document title code of the Key Object Selection document [TID 2010](https://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_tid_2010.html) this instance refers to.",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:extension"
      }],
      "reference" : {
        "reference" : "StructureDefinition/MadoNumberOfFrames"
      },
      "name" : "Extension: Number of Frames",
      "description" : "The number of frames in an ImagingStudy instance.",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:extension"
      }],
      "reference" : {
        "reference" : "StructureDefinition/MadoRetrieveLocationUIDExtension"
      },
      "name" : "Extension: Retrieve Location UID",
      "description" : "The location UID of the source of the WADO URL. See XC-WADO and https://dicom.nema.org/medical/dicom/current/output/chtml/part03/sect_A.35.4.3.html#table_A.35.4-1.",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:complex-type"
      }],
      "reference" : {
        "reference" : "StructureDefinition/MadoAccessionNumberIdentifier"
      },
      "name" : "MADO Accession Number Identifier",
      "description" : "Profile for the Accession Number Identifier used in the MADO context. This profile is used for the Identifier that represents the Accession Number in the MADO context. It includes additional\nconstraints and extensions specific to the MADO context, such as the value set for the type of identifier and the fixed value for the system of the identifier.\n\nThe combination of the `Identifier.value` of the identifier and the `Identifier.system` of the identifier should be globally unique. The `Identifier.value` of the identifier should be locally unique within the context of the system that assigns the accession number.\n\nThe `Identifier.system` SHALL be consistent with the content of the DICOM sequence \"Issuer of Accession Number Sequence\" (0008,0051).",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:resource"
      }],
      "reference" : {
        "reference" : "StructureDefinition/MadoCreator"
      },
      "name" : "MADO Creator",
      "description" : "A profile for the Device resource that represents the creator of an imaging study manifest. The primary goal is to communicate the fields:\n\n* type = MadoDeviceType#mado-creator \"MADO Creator\"\n* manufacturer\n* owner (Reference to MadoCreatorOrganization)",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:resource"
      }],
      "reference" : {
        "reference" : "StructureDefinition/MadoCreatorOrganization"
      },
      "name" : "MADO Creator Organization",
      "description" : "Profile on Organization that specifies the required elements for the organization that creates MADO manifests.",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "CodeSystem"
      }],
      "reference" : {
        "reference" : "CodeSystem/MadoDeviceType"
      },
      "name" : "MADO Device Type Code System",
      "description" : "Code system for the type of device used in the MADO context. This code system is used to specify the type of device used in the MADO context, such as the type of device used as the author of an ImagingStudy in the MADO context.",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "CapabilityStatement"
      }],
      "reference" : {
        "reference" : "CapabilityStatement/IHE.RAD.MADO.DocumentConsumer"
      },
      "name" : "MADO Document Consumer (client)",
      "description" : "IHE RAD Manifest based Access to DICOM Objects(MADO) - Document Consumer (client). It extends MHD  [Document Consumer (client)](https://build.fhir.org/ig/IHE/ITI.MHD/CapabilityStatement-IHE.MHD.DocumentConsumer.html). \n\nPlease note that this CapabilityStatement representation only shows the delta of this instance with the \nMHD [Document Responder (client)](https://build.fhir.org/ig/IHE/ITI.MHD/CapabilityStatement-IHE.MHD.DocumentResponder.html). All the\nfunctionality specified by the [Document Consumer (client)](https://build.fhir.org/ig/IHE/ITI.MHD/CapabilityStatement-IHE.MHD.DocumentConsumer.html)\nSHALL also be supported.",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "CapabilityStatement"
      }],
      "reference" : {
        "reference" : "CapabilityStatement/IHE.RAD.MADO.DocumentResponder"
      },
      "name" : "MADO Document Responder (server)",
      "description" : "IHE RAD Manifest based Access to DICOM Objects(MADO) - Document Responder (server). It extends MHD [Document Responder (client)](https://build.fhir.org/ig/IHE/ITI.MHD/CapabilityStatement-IHE.MHD.DocumentResponder.html). \n\nPlease note that this CapabilityStatement representation only shows the delta of this instance with the \nMHD [Document Responder (client)](https://build.fhir.org/ig/IHE/ITI.MHD/CapabilityStatement-IHE.MHD.DocumentResponder.html). All the\nfunctionality specified by the [Document Consumer (client)](https://build.fhir.org/ig/IHE/ITI.MHD/CapabilityStatement-IHE.MHD.DocumentConsumer.html)\nSHALL also be supported.",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:resource"
      }],
      "reference" : {
        "reference" : "StructureDefinition/MadoImagingStudy"
      },
      "name" : "MADO Imaging Study",
      "description" : "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.\n\nIn the case significant images are present, an instance referenced in the `ImagingStudy` is a Key Object Selection document [TID 2010](https://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_tid_2010.html), 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.",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:resource"
      }],
      "reference" : {
        "reference" : "StructureDefinition/MadoFhirBundle"
      },
      "name" : "MADO Imaging Study Manifest FHIR Bundle",
      "description" : "Profile for FHIR Bundles used as a imaging study Manifest in the MADO context. It includes constraints and extensions specific to imaging study manifests, such as the type of study, the clinical specialty, and the anatomical region of interest.",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:resource"
      }],
      "reference" : {
        "reference" : "StructureDefinition/MadoDicomKosDocumentReference"
      },
      "name" : "MADO MHD DocumentReference Profile for DICOM KOS Imaging Manifests",
      "description" : "MADO specific profile for the IHE-MHD Document Reference for MADO DICOM KOS Manifests that includes the MADO specific content format, the extensions\nrelated to body-site and modality, and the definition on where `StudyInstanceUID` and `AccessionNumber` are stored. \n\nThis profile requires `context.period` and copies most of the restrictions defined in the [MHD DocumentReference Comprehensive](https://profiles.ihe.net/ITI/MHD/StructureDefinition-IHE.MHD.Comprehensive.DocumentReference.html) \nprofiles (except `securityLabel`).",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:resource"
      }],
      "reference" : {
        "reference" : "StructureDefinition/MadoFhirDocumentReference"
      },
      "name" : "MADO MHD DocumentReference Profile for FHIR Imaging Manifests",
      "description" : "MADO specific profile for the IHE-MHD Document Reference for MADO FHIR Manifests that includes the MADO specific content format, the extensions\nrelated to body-site and modality, and the definition on where `StudyInstanceUID` and `AccessionNumber` are stored.\n\nThis profile requires `context.period` and copies most of the restrictions defined in the [MHD DocumentReference Comprehensive](https://profiles.ihe.net/ITI/MHD/StructureDefinition-IHE.MHD.Comprehensive.DocumentReference.html) \nprofiles (except `securityLabel`).",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:resource"
      }],
      "reference" : {
        "reference" : "StructureDefinition/MadoPatient"
      },
      "name" : "MADO Patient",
      "description" : "Profile on Patient that specifies the required elements for the patient that is the subject of the manifest.",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:resource"
      }],
      "reference" : {
        "reference" : "StructureDefinition/MadoProvenance"
      },
      "name" : "MADO Provenance",
      "description" : "The purpose of this resource is to indicate information about the system that created the manifest. Additionally, it can be used to sign the content of the Bundle.\n\nIn DICOM KOS this information (and the referred MadoCreator) corresponds to the Institution Name, Institution Id, Manufacturer Name in the General Equipment module.",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:complex-type"
      }],
      "reference" : {
        "reference" : "StructureDefinition/MadoReferencedAccessionNumberIdentifier"
      },
      "name" : "MADO Referenced Accession Number Identifier",
      "description" : "Profile for the Reference that contains the Accession Number Identifier used in the MADO context. This profile is used for the Reference that contains the Identifier that represents the Accession Number in the MADO context. It includes additional\nconstraints and extensions specific to the MADO context, such as the value set for the type of identifier and the fixed value for the system of the identifier.",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:complex-type"
      }],
      "reference" : {
        "reference" : "StructureDefinition/MadoReferencedStudyInstanceUidIdentifier"
      },
      "name" : "MADO Referenced Study Instance UID Identifier",
      "description" : "Profile for the Reference that contains the Study Instance UID Identifier used in the MADO context. This profile is used for the Reference that contains the Identifier that represents the Study Instance UID in the MADO context. It includes additional\nconstraints and extensions specific to the MADO context, such as the value set for the type of identifier and the fixed value for the system of the identifier.",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:resource"
      }],
      "reference" : {
        "reference" : "StructureDefinition/MadoRequestedProcedure"
      },
      "name" : "MADO Requested Procedure",
      "description" : "A profile for the ServiceRequest resource that represents the Requested Procedure (see 6.X.2.8.1 Referenced Request Macro Description).",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:complex-type"
      }],
      "reference" : {
        "reference" : "StructureDefinition/MadoStudyInstanceUidIdentifier"
      },
      "name" : "MADO Study Instance UID Identifier",
      "description" : "Profile for the Study Instance UID Identifier used in the MADO context. This profile is used for the Identifier that represents the Study Instance UID in the MADO context. It includes additional\nconstraints and extensions specific to the MADO context, such as the value set for the type of identifier and the fixed value for the system of the identifier.",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Bundle"
      }],
      "reference" : {
        "reference" : "Bundle/mado-bundle--2047166865"
      },
      "name" : "mado-bundle--2047166865",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Bundle"
      }],
      "reference" : {
        "reference" : "Bundle/mado-bundle--2047166866"
      },
      "name" : "mado-bundle--2047166866",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "DocumentReference"
      }],
      "reference" : {
        "reference" : "DocumentReference/mado-documentreference-fhir--2047166865"
      },
      "name" : "mado-documentreference-fhir--2047166865",
      "description" : "Imaging Manifest for Imaging Study urn:oid:1.2.250.1.59.40211.22756022.2.1.102",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "DocumentReference"
      }],
      "reference" : {
        "reference" : "DocumentReference/mado-documentreference-fhir--2047166866"
      },
      "name" : "mado-documentreference-fhir--2047166866",
      "description" : "Imaging Manifest for Imaging Study urn:oid:1.2.250.1.59.40211.22756022.2.1.101",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "DocumentReference"
      }],
      "reference" : {
        "reference" : "DocumentReference/mado-documentreference-kos--2047166865"
      },
      "name" : "mado-documentreference-kos--2047166865",
      "description" : "Imaging Manifest for Imaging Study urn:oid:1.2.250.1.59.40211.22756022.2.1.102",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "DocumentReference"
      }],
      "reference" : {
        "reference" : "DocumentReference/mado-documentreference-kos--2047166866"
      },
      "name" : "mado-documentreference-kos--2047166866",
      "description" : "Imaging Manifest for Imaging Study urn:oid:1.2.250.1.59.40211.22756022.2.1.101",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Patient"
      }],
      "reference" : {
        "reference" : "Patient/pat-mrn--1097192655"
      },
      "name" : "pat-mrn--1097192655",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "SearchParameter"
      }],
      "reference" : {
        "reference" : "SearchParameter/SearchParameterDocumentReferenceAccessionNumber"
      },
      "name" : "SearchParameterDocumentReferenceAccessionNumber",
      "description" : "Searches for document references with a specific Accession Number.",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "SearchParameter"
      }],
      "reference" : {
        "reference" : "SearchParameter/SearchParameterDocumentReferenceBodySite"
      },
      "name" : "SearchParameterDocumentReferenceBodySite",
      "description" : "Searches for document references with a specific anatomical region.",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "SearchParameter"
      }],
      "reference" : {
        "reference" : "SearchParameter/SearchParameterDocumentReferenceModality"
      },
      "name" : "SearchParameterDocumentReferenceModality",
      "description" : "Searches for document references with a specific modality.",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "SearchParameter"
      }],
      "reference" : {
        "reference" : "SearchParameter/SearchParameterDocumentReferenceStudyInstanceUid"
      },
      "name" : "SearchParameterDocumentReferenceStudyInstanceUid",
      "description" : "Searches for document references with a specific Study Instance UID.",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "ValueSet"
      }],
      "reference" : {
        "reference" : "ValueSet/im-procedure-type"
      },
      "name" : "ValueSet: Imaging Procedure Type",
      "description" : "This value set includes all imaging procedure types defined in SNOMED CT. The codes represent\ncombinations of the modality to be used and the procedure to be performed.",
      "exampleBoolean" : false
    }],
    "page" : {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
        "valueUrl" : "toc.html"
      }],
      "nameUrl" : "toc.html",
      "title" : "Table of Contents",
      "generation" : "html",
      "page" : [{
        "extension" : [{
          "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
          "valueUrl" : "index.html"
        }],
        "nameUrl" : "index.html",
        "title" : "Imaging Manifest for DICOM Objects (MADO) Implementation Guide",
        "generation" : "markdown"
      },
      {
        "extension" : [{
          "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
          "valueUrl" : "volume-1.html"
        }],
        "nameUrl" : "volume-1.html",
        "title" : "Volume 1",
        "generation" : "markdown"
      },
      {
        "extension" : [{
          "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
          "valueUrl" : "volume-2.html"
        }],
        "nameUrl" : "volume-2.html",
        "title" : "Volume 2",
        "generation" : "markdown"
      },
      {
        "extension" : [{
          "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
          "valueUrl" : "volume-3.html"
        }],
        "nameUrl" : "volume-3.html",
        "title" : "Volume 3",
        "generation" : "markdown",
        "page" : [{
          "extension" : [{
            "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
            "valueUrl" : "fhir-imaging-manifest.html"
          }],
          "nameUrl" : "fhir-imaging-manifest.html",
          "title" : "FHIR Imaging Manifest",
          "generation" : "markdown"
        },
        {
          "extension" : [{
            "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
            "valueUrl" : "manifest-envelope.html"
          }],
          "nameUrl" : "manifest-envelope.html",
          "title" : "Manifest Envelopes for IHE-MHD",
          "generation" : "markdown"
        },
        {
          "extension" : [{
            "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
            "valueUrl" : "mapping.html"
          }],
          "nameUrl" : "mapping.html",
          "title" : "Mappings between MADO FHIR and MADO DICOM KOS",
          "generation" : "markdown"
        }]
      },
      {
        "extension" : [{
          "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
          "valueUrl" : "download.html"
        }],
        "nameUrl" : "download.html",
        "title" : "Download",
        "generation" : "markdown"
      },
      {
        "extension" : [{
          "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
          "valueUrl" : "testplan.html"
        }],
        "nameUrl" : "testplan.html",
        "title" : "Test plan",
        "generation" : "markdown"
      },
      {
        "extension" : [{
          "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
          "valueUrl" : "issues.html"
        }],
        "nameUrl" : "issues.html",
        "title" : "Significant Changes and Issues",
        "generation" : "markdown"
      }]
    },
    "parameter" : [{
      "code" : "path-resource",
      "value" : "input/resources"
    },
    {
      "code" : "path-resource",
      "value" : "fsh-generated/resources"
    },
    {
      "code" : "path-resource",
      "value" : "input/examples"
    },
    {
      "code" : "path-resource",
      "value" : "input/capabilities"
    },
    {
      "code" : "path-resource",
      "value" : "input/extensions"
    },
    {
      "code" : "path-resource",
      "value" : "input/models"
    },
    {
      "code" : "path-resource",
      "value" : "input/operations"
    },
    {
      "code" : "path-resource",
      "value" : "input/profiles"
    },
    {
      "code" : "path-resource",
      "value" : "input/vocabulary"
    },
    {
      "code" : "path-resource",
      "value" : "input/testing"
    },
    {
      "code" : "path-resource",
      "value" : "input/history"
    },
    {
      "code" : "path-pages",
      "value" : "template/config"
    },
    {
      "code" : "path-pages",
      "value" : "input/images"
    },
    {
      "code" : "path-tx-cache",
      "value" : "input-cache/txcache"
    }]
  }
}

```
