Manifest-based Access to DICOM Objects (MADO)
0.1.0 - trial-use
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
@prefix fhir: <http://hl7.org/fhir/> .
@prefix loinc: <http://loinc.org/rdf#> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix sct: <http://snomed.info/id/> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .
# - resource -------------------------------------------------------------------
<http://hl7.org/fhir/DocumentReference/DocumentReferenceKOSNoRelated> a fhir:DocumentReference ;
fhir:nodeRole fhir:treeRoot ;
fhir:Resource.id [ fhir:value "DocumentReferenceKOSNoRelated"] ;
fhir:Resource.meta [
fhir:Meta.profile [
fhir:value "https://profiles.ihe.net/RAD/MADO/StructureDefinition/MadoDicomKosDocumentReference" ;
fhir:index 0 ;
fhir:link <https://profiles.ihe.net/RAD/MADO/StructureDefinition/MadoDicomKosDocumentReference>
]
] ;
fhir:DomainResource.text [
fhir:Narrative.status [ fhir:value "extensions" ] ;
fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: DocumentReference DocumentReferenceKOSNoRelated</b></p><a name=\"DocumentReferenceKOSNoRelated\"> </a><a name=\"hcDocumentReferenceKOSNoRelated\"> </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/6.3.0/NamingSystem-dui.html\" title=\"An OID issued under DICOM OID rules. DICOM OIDs are represented as plain OIDs, with a prefix of "urn:oid:". 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/6.3.0/NamingSystem-dui.html\" title=\"An OID issued under DICOM OID rules. DICOM OIDs are represented as plain OIDs, with a prefix of "urn:oid:". 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-ExamplePatient.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><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>Binary/mado-kos-manifest-binary</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 --> (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>"
] ;
fhir:DomainResource.extension [
fhir:index 0 ;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/5.0/StructureDefinition/extension-DocumentReference.modality" ] ;
fhir:Extension.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0 ;
fhir:Coding.system [ fhir:value "http://dicom.nema.org/resources/ontology/DCM" ] ;
fhir:Coding.code [ fhir:value "MR" ]
]
]
], [
fhir:index 1 ;
fhir:Element.extension [
fhir:index 0 ;
fhir:Extension.url [ fhir:value "concept" ] ;
fhir:Extension.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0 ;
a sct:61685007 ;
fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
fhir:Coding.code [ fhir:value "61685007" ]
]
]
] ;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/5.0/StructureDefinition/extension-DocumentReference.bodySite" ]
] ;
fhir:DocumentReference.masterIdentifier [
fhir:Identifier.use [ fhir:value "usual" ] ;
fhir:Identifier.system [ fhir:value "urn:dicom:uid" ] ;
fhir:Identifier.value [ fhir:value "1.2.392.200140.2.1.1.1.2.799008771.2076.1519721309.448" ]
] ;
fhir:DocumentReference.identifier [
fhir:index 0 ;
fhir:Identifier.use [ fhir:value "usual" ] ;
fhir:Identifier.system [ fhir:value "urn:dicom:uid" ] ;
fhir:Identifier.value [ fhir:value "1.2.392.200140.2.1.1.1.2.799008771.2076.1519721309.448" ]
] ;
fhir:DocumentReference.status [ fhir:value "current"] ;
fhir:DocumentReference.type [
fhir:CodeableConcept.coding [
fhir:index 0 ;
a loinc:18748-4 ;
fhir:Coding.system [ fhir:value "http://loinc.org" ] ;
fhir:Coding.code [ fhir:value "18748-4" ] ;
fhir:Coding.display [ fhir:value "Diagnostic imaging study" ]
]
] ;
fhir:DocumentReference.category [
fhir:index 0 ;
fhir:CodeableConcept.coding [
fhir:index 0 ;
a loinc:18748-4 ;
fhir:Coding.system [ fhir:value "http://loinc.org" ] ;
fhir:Coding.code [ fhir:value "18748-4" ] ;
fhir:Coding.display [ fhir:value "Diagnostic imaging study" ]
]
] ;
fhir:DocumentReference.subject [
fhir:link <http://hl7.org/fhir/Patient/ExamplePatient> ;
fhir:Reference.reference [ fhir:value "Patient/ExamplePatient" ]
] ;
fhir:DocumentReference.date [ fhir:value "2025-05-08T00:00:00Z"^^xsd:dateTime] ;
fhir:DocumentReference.content [
fhir:index 0 ;
fhir:DocumentReference.content.attachment [
fhir:Attachment.contentType [ fhir:value "application/dicom" ] ;
fhir:Attachment.language [ fhir:value "de-DE" ] ;
fhir:Attachment.url [ fhir:value "Binary/mado-kos-manifest-binary" ] ;
fhir:Attachment.creation [ fhir:value "2025-05-08T00:00:00Z"^^xsd:dateTime ]
] ;
fhir:DocumentReference.content.format [
fhir:Coding.system [ fhir:value "http://dicom.nema.org/resources/ontology/DCMUID" ] ;
fhir:Coding.code [ fhir:value "1.2.840.10008.5.1.4.1.1.88.59" ] ;
fhir:Coding.display [ fhir:value "Key Object Selection Document" ]
]
] ;
fhir:DocumentReference.context [
fhir:DocumentReference.context.period [
fhir:Period.start [ fhir:value "2018-02-27T09:48:29+01:00"^^xsd:dateTime ]
] ;
fhir:DocumentReference.context.facilityType [
fhir:CodeableConcept.coding [
fhir:index 0 ;
a sct:79491001 ;
fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
fhir:Coding.code [ fhir:value "79491001" ] ;
fhir:Coding.display [ fhir:value "Hospital-based radiology facility" ]
]
] ;
fhir:DocumentReference.context.practiceSetting [
fhir:CodeableConcept.coding [
fhir:index 0 ;
a sct:394914008 ;
fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
fhir:Coding.code [ fhir:value "394914008" ] ;
fhir:Coding.display [ fhir:value "Radiology" ]
]
] ;
fhir:DocumentReference.context.related [
fhir:index 0 ;
fhir:Reference.identifier [
fhir:Identifier.type [
fhir:CodeableConcept.coding [
fhir:index 0 ;
fhir:Coding.system [ fhir:value "http://dicom.nema.org/resources/ontology/DCM" ] ;
fhir:Coding.code [ fhir:value "110180" ] ;
fhir:Coding.display [ fhir:value "Study Instance UID" ]
]
] ;
fhir:Identifier.system [ fhir:value "urn:dicom:uid" ] ;
fhir:Identifier.value [ fhir:value "1.2.392.200140.2.1.1.1.2.799008771.2076.1519721309.448" ]
]
], [
fhir:index 1 ;
fhir:Reference.identifier [
fhir:Identifier.type [
fhir:CodeableConcept.coding [
fhir:index 0 ;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v2-0203" ] ;
fhir:Coding.code [ fhir:value "ACSN" ] ;
fhir:Coding.display [ fhir:value "Accession Id" ]
], [
fhir:index 1 ;
fhir:Coding.system [ fhir:value "http://dicom.nema.org/resources/ontology/DCM" ] ;
fhir:Coding.code [ fhir:value "121022" ] ;
fhir:Coding.display [ fhir:value "Accession Number" ]
]
] ;
fhir:Identifier.system [ fhir:value "http://hospital.org/acc" ] ;
fhir:Identifier.value [ fhir:value "2017092101" ]
]
]
] .
<http://hl7.org/fhir/Patient/ExamplePatient> a fhir:Patient .
# - ontology header ------------------------------------------------------------
<http://hl7.org/fhir/DocumentReference/DocumentReferenceKOSNoRelated.ttl> a owl:Ontology ;
owl:imports fhir:fhir.ttl ;
owl:versionIRI <http://build.fhir.org/DocumentReference/DocumentReferenceKOSNoRelated.ttl> .
IG © 2025+ IHE Radiology Technical Committee. Package ihe.rad.mado#0.1.0 based on FHIR 4.0.1. Generated 2026-07-02
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