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 DICOM KOS manifests - XML Representation

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    <DocumentReference xmlns="http://hl7.org/fhir">
      <id value="DocumentReferenceKOS"/>
      <meta>
        <profile
                 value="https://profiles.ihe.net/RAD/MADO/StructureDefinition/MadoDicomKosDocumentReference"/>
      </meta>
      <text>
        <status value="extensions"/>
        <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: DocumentReference DocumentReferenceKOS</b></p><a name="DocumentReferenceKOS"> </a><a name="hcDocumentReferenceKOS"> </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-MadoDicomKosDocumentReference.html">MADO MHD DocumentReference Profile for DICOM KOS 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>: <a href="http://terminology.hl7.org/6.5.0/NamingSystem-dui.html" title="An OID issued under DICOM OID rules. DICOM OIDs are represented as plain OIDs, with a prefix of &quot;urn:oid:&quot;. See https://www.dicomstandard.org/">DICOM Unique Id</a>/1.2.392.200140.2.1.1.1.2.799008771.2076.1519721309.448 (use: usual, )</p><p><b>identifier</b>: <a href="http://terminology.hl7.org/6.5.0/NamingSystem-dui.html" title="An OID issued under DICOM OID rules. DICOM OIDs are represented as plain OIDs, with a prefix of &quot;urn:oid:&quot;. See https://www.dicomstandard.org/">DICOM Unique Id</a>/1.2.392.200140.2.1.1.1.2.799008771.2076.1519721309.448 (use: usual, )</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 (use: official, ))</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-DocumentReferenceFHIR.html">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</a></td></tr></table><blockquote><p><b>content</b></p><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/dicom</td><td>German (Germany)</td><td><a href="Bundle-mado-bundle-589331894518000.html">Bundle: identifier = UUID:4fe96b54-204d-4f98-ae8d-491869a8ba01; type = collection; timestamp = 2026-02-24 11:48:21+0100</a></td><td>2025-05-08 00:00:00+0000</td></tr></table><p><b>format</b>: DCMUID: 1.2.840.10008.5.1.4.1.1.88.59 (Key Object Selection Document)</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>
      </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="MR"/>
          </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="61685007"/>
            </coding>
          </valueCodeableConcept>
        </extension>
      </extension>
      <masterIdentifier>
        <use value="usual"/>
        <system value="urn:dicom:uid"/>
        <value value="1.2.392.200140.2.1.1.1.2.799008771.2076.1519721309.448"/>
      </masterIdentifier>
      <identifier>
        <use value="usual"/>
        <system value="urn:dicom:uid"/>
        <value value="1.2.392.200140.2.1.1.1.2.799008771.2076.1519721309.448"/>
      </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://loinc.org"/>
          <code value="18748-4"/>
          <display value="Diagnostic imaging study"/>
        </coding>
      </category>
      <subject>🔗
        <reference value="Patient/pat-mrn-1538098370"/>
      </subject>
      <date value="2025-05-08T00:00:00Z"/>
      <relatesTo>
        <code value="transforms"/>
        <target>🔗
          <reference value="DocumentReference/DocumentReferenceFHIR"/>
        </target>
      </relatesTo>
      <content>
        <attachment>
          <contentType value="application/dicom"/>
          <language value="de-DE"/>
          <url value="Bundle/mado-bundle-589331894518000"/>
          <creation value="2025-05-08T00:00:00Z"/>
        </attachment>
        <format>
          <system value="http://dicom.nema.org/resources/ontology/DCMUID"/>
          <code value="1.2.840.10008.5.1.4.1.1.88.59"/>
          <display value="Key Object Selection Document"/>
        </format>
      </content>
      <context>
        <period>
          <start value="2018-02-27T09:48:29+01:00"/>
        </period>
        <facilityType>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="79491001"/>
            <display value="Hospital-based radiology facility"/>
          </coding>
        </facilityType>
        <practiceSetting>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="394914008"/>
            <display value="Radiology"/>
          </coding>
        </practiceSetting>
        <related>
          <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="1.2.392.200140.2.1.1.1.2.799008771.2076.1519721309.448"/>
          </identifier>
        </related>
        <related>
          <identifier>
            <type>
              <coding>
                <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
                <code value="ACSN"/>
                <display value="Accession Id"/>
              </coding>
              <coding>
                <system value="http://dicom.nema.org/resources/ontology/DCM"/>
                <code value="121022"/>
                <display value="Accession Number"/>
              </coding>
            </type>
            <system value="http://hospital.org/acc"/>
            <value value="2017092101"/>
          </identifier>
        </related>
      </context>
    </DocumentReference>