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 - JSON Representation

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    {
      "resourceType" : "DocumentReference",
      "id" : "mado-documentreference-fhir--2047166865",
      "text" : {
        "status" : "extensions",
        "div" : "<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>"
      },
      "extension" : [
        {
          "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-DocumentReference.modality",
          "valueCodeableConcept" : {
            "coding" : [
              {
                "system" : "http://dicom.nema.org/resources/ontology/DCM",
                "code" : "KO"
              }
            ]
          }
        },
        {
          "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-DocumentReference.modality",
          "valueCodeableConcept" : {
            "coding" : [
              {
                "system" : "http://dicom.nema.org/resources/ontology/DCM",
                "code" : "CT"
              }
            ]
          }
        },
        {
          "extension" : [
            {
              "url" : "concept",
              "valueCodeableConcept" : {
                "coding" : [
                  {
                    "system" : "http://snomed.info/sct",
                    "code" : "38266002",
                    "display" : "Entire body as a whole"
                  }
                ]
              }
            }
          ],
          "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-DocumentReference.bodySite"
        },
        {
          "extension" : [
            {
              "url" : "concept",
              "valueCodeableConcept" : {
                "coding" : [
                  {
                    "system" : "http://snomed.info/sct",
                    "code" : "774007",
                    "display" : "Structure of head and/or neck"
                  }
                ]
              }
            }
          ],
          "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-DocumentReference.bodySite"
        }
      ],
      "masterIdentifier" : {
        "system" : "http://example.org/fhir/document-ids",
        "value" : "mado-bundle--2047166865"
      },
      "identifier" : [
        {
          "system" : "http://example.org/fhir/document-ids",
          "value" : "mado-bundle--2047166865"
        }
      ],
      "status" : "current",
      "type" : {
        "coding" : [
          {
            "system" : "http://loinc.org",
            "code" : "18748-4",
            "display" : "Diagnostic imaging Study"
          }
        ]
      },
      "category" : [
        {
          "coding" : [
            {
              "system" : "http://hl7.eu/fhir/eu-health-data-api/CodeSystem/eehrxf-document-priority-category-cs",
              "code" : "Medical-Imaging",
              "display" : "Medical-Imaging"
            }
          ]
        }
      ],
      "subject" : {
        🔗 "reference" : "Patient/pat-mrn--1097192655",
        "type" : "Patient",
        "display" : "John DOE"
      },
      "date" : "2022-08-22T08:31:17.000+02:00",
      "description" : "Imaging Manifest for Imaging Study urn:oid:1.2.250.1.59.40211.22756022.2.1.102",
      "content" : [
        {
          "extension" : [
            {
              "extension" : [
                {
                  "url" : "value[x]",
                  "valueUri" : "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",
            "url" : "Bundle/mado-bundle--2047166865",
            "title" : "FHIR Imaging Manifest for Imaging Study",
            "creation" : "2026-04-24T14:23:06+02:00"
          },
          "format" : {
            "system" : "http://ihe.net/fhir/ihe.formatcode.fhir/CodeSystem/formatcode",
            "code" : "urn:ihe:rad:MADO:fhir-manifest:2026"
          }
        }
      ],
      "context" : {
        "period" : {
          "start" : "2022-08-22T08:31:17+02:00"
        },
        "related" : [
          {
            "type" : "ImagingStudy",
            "identifier" : {
              "type" : {
                "coding" : [
                  {
                    "system" : "http://dicom.nema.org/resources/ontology/DCM",
                    "code" : "110180",
                    "display" : "Study Instance UID"
                  }
                ]
              },
              "system" : "urn:dicom:uid",
              "value" : "urn:oid:1.2.250.1.59.40211.22756022.2.1.102"
            }
          },
          {
            "type" : "ServiceRequest",
            "identifier" : {
              "type" : {
                "coding" : [
                  {
                    "system" : "http://dicom.nema.org/resources/ontology/DCM",
                    "code" : "121022",
                    "display" : "Accession Number"
                  },
                  {
                    "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                    "code" : "ACSN",
                    "display" : "Accession Id"
                  }
                ]
              },
              "system" : "http://example.org/fhir/ris-ids",
              "value" : "8529258169397744"
            }
          }
        ]
      }
    }