Manifest-based Access to DICOM Objects (MADO)
0.1.0 - trial-use International flag

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-kos--2047166865 - TTL Representation

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@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 xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

<http://hl7.org/fhir/DocumentReference/mado-documentreference-kos--2047166865> a fhir:DocumentReference ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:Resource.id [ fhir:value "mado-documentreference-kos--2047166865"] ;
  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 mado-documentreference-kos--2047166865</b></p><a name=\"mado-documentreference-kos--2047166865\"> </a><a name=\"hcmado-documentreference-kos--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 CT}\">Computed Tomography</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 KO}\">Key Object Selection</span></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: Head CT on CT of Head, KO (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 FHIR Imaging Study Manifest 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/dicom</td><td><a href=\"Binary-dicom-kos-mado--2047166865.html\">Binary: application/dicom (15276 bytes base64)</a></td><td>KOS Imaging Manifest for Imaging Study</td><td>2026-06-19 17:00:57+0200</td></tr></table><p><b>format</b>: DICOM_UIDs: 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>: 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>"
  ] ;
  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 "CT" ]
       ]
     ]
  ], [
     fhir:index 1 ;
     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 "KO" ]
       ]
     ]
  ] ;
  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 ;
       fhir:Coding.system [ fhir:value "http://hl7.eu/fhir/eu-health-data-api/CodeSystem/eehrxf-document-priority-category-cs" ] ;
       fhir:Coding.code [ fhir:value "Medical-Imaging" ] ;
       fhir:Coding.display [ fhir:value "Medical-Imaging" ]
     ]
  ] ;
  fhir:DocumentReference.subject [
     fhir:link <http://hl7.org/fhir/Patient/pat-mrn--1097192655> ;
     fhir:Reference.reference [ fhir:value "Patient/pat-mrn--1097192655" ] ;
     fhir:Reference.type [ fhir:value "Patient" ] ;
     fhir:Reference.display [ fhir:value "John DOE" ]
  ] ;
  fhir:DocumentReference.date [ fhir:value "2022-08-22T08:31:17.658+02:00"^^xsd:dateTime] ;
  fhir:DocumentReference.description [ fhir:value "Imaging Manifest for Imaging Study: Head CT on CT of Head, KO (urn:oid:1.2.250.1.59.40211.22756022.2.1.102)"] ;
  fhir:DocumentReference.content [
     fhir:index 0 ;
     fhir:Element.extension [
       fhir:index 0 ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Extension.url [ fhir:value "value[x]" ] ;
         fhir:Extension.valueUri [ fhir:value "https://profiles.ihe.net/RAD/MADO/StructureDefinition/MadoFhirBundle" ]
       ] ;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/5.0/StructureDefinition/extension-DocumentReference.content.profile" ]
     ] ;
     fhir:DocumentReference.content.attachment [
       fhir:Attachment.contentType [ fhir:value "application/dicom" ] ;
       fhir:Attachment.url [ fhir:value "Binary/dicom-kos-mado--2047166865" ] ;
       fhir:Attachment.title [ fhir:value "KOS Imaging Manifest for Imaging Study" ] ;
       fhir:Attachment.creation [ fhir:value "2026-06-19T17:00:57+02:00"^^xsd:dateTime ]
     ] ;
     fhir:DocumentReference.content.format [
       fhir:Coding.system [ fhir:value "http://dicom.nema.org/resources/CodeSystem/DICOM_UIDs" ] ;
       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 "2022-08-22T08:31:17+02:00"^^xsd:dateTime ]
     ] ;
     fhir:DocumentReference.context.related [
       fhir:index 0 ;
       fhir:Reference.type [ fhir:value "ImagingStudy" ] ;
       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 "urn:oid:1.2.250.1.59.40211.22756022.2.1.102" ]
       ]
     ], [
       fhir:index 1 ;
       fhir:Reference.type [ fhir:value "ServiceRequest" ] ;
       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 "121022" ] ;
             fhir:Coding.display [ fhir:value "Accession Number" ]
           ], [
             fhir:index 1 ;
             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:Identifier.system [ fhir:value "http://example.org/fhir/ris-ids" ] ;
         fhir:Identifier.value [ fhir:value "8529258169397744" ]
       ]
     ]
  ] .

<http://hl7.org/fhir/Patient/pat-mrn--1097192655> a fhir:Patient .

# - ontology header ------------------------------------------------------------

<http://hl7.org/fhir/DocumentReference/mado-documentreference-kos--2047166865.ttl> a owl:Ontology ;
  owl:imports fhir:fhir.ttl ;
  owl:versionIRI <http://build.fhir.org/DocumentReference/mado-documentreference-kos--2047166865.ttl> .