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

## : mado-documentreference-fhir--2047166865 - XML Representation

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    <DocumentReference xmlns="http://hl7.org/fhir">
      <id value="mado-documentreference-fhir--2047166865"/>
      <text>
        <status value="extensions"/>
        <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: DocumentReference mado-documentreference-fhir--2047166865</b></p><a name="mado-documentreference-fhir--2047166865"> </a><a name="hcmado-documentreference-fhir--2047166865"> </a><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 KO}">Key Object Selection</span></p><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 CT}">Computed Tomography</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 38266002}">Entire body as a whole</span></li></ul></blockquote><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 774007}">Structure of head and/or neck</span></li></ul></blockquote><p><b>masterIdentifier</b>: <code>http://example.org/fhir/document-ids</code>/mado-bundle--2047166865</p><p><b>identifier</b>: <code>http://example.org/fhir/document-ids</code>/mado-bundle--2047166865</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://hl7.eu/fhir/eu-health-data-api/CodeSystem/eehrxf-document-priority-category-cs Medical-Imaging}">Medical-Imaging</span></p><p><b>subject</b>: <a href="Patient-pat-mrn--1097192655.html">John DOE</a></p><p><b>date</b>: 2022-08-22 08:31:17+0200</p><p><b>description</b>: Imaging Manifest for Imaging Study urn:oid:1.2.250.1.59.40211.22756022.2.1.102</p><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>Url</b></td><td><b>Title</b></td><td><b>Creation</b></td></tr><tr><td style="display: none">*</td><td>application/fhir+json</td><td><a href="Bundle-mado-bundle--2047166865.html">Bundle: identifier = http://example.org/fhir/document-ids#mado-bundle--2047166865; type = collection; timestamp = 2026-04-24 14:23:06+0200</a></td><td>FHIR Imaging Manifest for Imaging Study</td><td>2026-04-24 14:23:06+0200</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)</p></blockquote><blockquote><p><b>context</b></p><p><b>period</b>: 2022-08-22 08:31:17+0200 --&gt; (ongoing)</p><p><b>related</b>: </p><ul><li>Identifier: Study Instance UID/urn:oid:1.2.250.1.59.40211.22756022.2.1.102</li><li>Identifier: Accession Number/8529258169397744</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="KO"/>
          </coding>
        </valueCodeableConcept>
      </extension>
      <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="CT"/>
          </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="38266002"/>
              <display value="Entire body as a whole"/>
            </coding>
          </valueCodeableConcept>
        </extension>
      </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="774007"/>
              <display value="Structure of head and/or neck"/>
            </coding>
          </valueCodeableConcept>
        </extension>
      </extension>
      <masterIdentifier>
        <system value="http://example.org/fhir/document-ids"/>
        <value value="mado-bundle--2047166865"/>
      </masterIdentifier>
      <identifier>
        <system value="http://example.org/fhir/document-ids"/>
        <value value="mado-bundle--2047166865"/>
      </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://hl7.eu/fhir/eu-health-data-api/CodeSystem/eehrxf-document-priority-category-cs"/>
          <code value="Medical-Imaging"/>
          <display value="Medical-Imaging"/>
        </coding>
      </category>
      <subject>🔗
        <reference value="Patient/pat-mrn--1097192655"/>
        <type value="Patient"/>
        <display value="John DOE"/>
      </subject>
      <date value="2022-08-22T08:31:17.000+02:00"/>
      <description
                   value="Imaging Manifest for Imaging Study urn:oid:1.2.250.1.59.40211.22756022.2.1.102"/>
      <content>
        <extension
                   url="http://hl7.org/fhir/5.0/StructureDefinition/extension-DocumentReference.content.profile">
          <extension url="value[x]">
            <valueUri
                      value="https://profiles.ihe.net/RAD/MADO/StructureDefinition/MadoFhirBundle"/>
          </extension>
        </extension>
        <attachment>
          <contentType value="application/fhir+json"/>
          <url value="Bundle/mado-bundle--2047166865"/>
          <title value="FHIR Imaging Manifest for Imaging Study"/>
          <creation value="2026-04-24T14:23:06+02:00"/>
        </attachment>
        <format>
          <system
                  value="http://ihe.net/fhir/ihe.formatcode.fhir/CodeSystem/formatcode"/>
          <code value="urn:ihe:rad:MADO:fhir-manifest:2026"/>
        </format>
      </content>
      <context>
        <period>
          <start value="2022-08-22T08:31:17+02:00"/>
        </period>
        <related>
          <type value="ImagingStudy"/>
          <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="urn:oid:1.2.250.1.59.40211.22756022.2.1.102"/>
          </identifier>
        </related>
        <related>
          <type value="ServiceRequest"/>
          <identifier>
            <type>
              <coding>
                <system value="http://dicom.nema.org/resources/ontology/DCM"/>
                <code value="121022"/>
                <display value="Accession Number"/>
              </coding>
              <coding>
                <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
                <code value="ACSN"/>
                <display value="Accession Id"/>
              </coding>
            </type>
            <system value="http://example.org/fhir/ris-ids"/>
            <value value="8529258169397744"/>
          </identifier>
        </related>
      </context>
    </DocumentReference>