Manifest-based Access to DICOM Objects (MADO)
0.0.1-current - ci-build

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 0.0.1-current 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

## Artifacts Summary

This page provides a list of the FHIR artifacts defined as part of this implementation guide.

### Requirements: Actor Definitions

The following artifacts define the types of individuals and/or systems that will interact as part of the use cases covered by this implementation guide.

ActorDefinition: Imaging Manifest Responder | The actor responsible for producing the Imaging Manifest resources.

### Behavior: Capability Statements

The following artifacts define the specific capabilities that different types of systems are expected to have in order to comply with this implementation guide. Systems conforming to this implementation guide are expected to declare conformance to one or more of the following capability statements.

MADO Document Consumer (client) | IHE RAD Manifest based Access to DICOM Objects(MADO) - Document Consumer (client). It extends https://build.fhir.org/ig/IHE/ITI.MHD/branches/MHD5/CapabilityStatement-IHE.MHD.DocumentConsumer.html
MADO Document Responder (server) | IHE RAD Manifest based Access to DICOM Objects(MADO) - Document Responder (server). It extends https://build.fhir.org/ig/IHE/ITI.MHD/branches/MHD5/CapabilityStatement-IHE.MHD.DocumentResponder.html

### Behavior: Search Parameters

These define the properties by which a RESTful server can be searched. They can also be used for sorting and including related resources.

SearchParameterDocumentReferenceAccessionNumber | Searches for document references with a specific Accession Number.
SearchParameterDocumentReferenceBodySite | Searches for document references with a specific body site.
SearchParameterDocumentReferenceModality | Searches for document references with a specific modality.
SearchParameterDocumentReferenceStudyInstanceUid | Searches for document references with a specific Study Instance UID.

### Structures: Resource Profiles

These define constraints on FHIR resources for systems conforming to this implementation guide.

Endpoint: IHE-XC-WADO | This profile defines the XC-WADO endpoint for accessing imaging study content. It is a regular WADO endpoint with an additional extension that holds the `locationUID` of the domain where the content can be accessed. See the IHE XC-WADO specification for more details. Note that in XC-WADO the address is optional. When no address is known, a placeholder value is inserted and a data absent exception with the code `not-applicable`.
Endpoint: WADO | This profile defines the WADO endpoint for accessing imaging study content.
MADO Creator | A profile for the Device resource that represents the creator of an ImagingStudy in the MADO context. This profile is used for the Device resource that represents the author of an ImagingStudy in the MADO context.
MADO FHIR Bundle | Profile for FHIR Bundles used in the MADO context. This profile is used for the FHIR Bundles that represent imaging manifests using the DICOM KOS format in the MADO context. It includes additional constraints and extensions specific to imaging manifests, such as the type of report, the clinical specialty, and the anatomical region of interest.
MADO Imaging Study | Profile for ImagingStudy resources used in the MADO context. This profile is used for the ImagingStudy resources that represent the imaging studies in the MADO context. It includes additional constraints and extensions specific to the MADO context, such as the type of imaging study, the clinical specialty, and the anatomical region of interest.
MADO MHD DocumentReference Profile for DICOM KOS Imaging Manifests | MADO specific profile for the IHE-MHD Minimal Document Reference for MADO DICOM KOS Manifests that includes the MADO specific content format, the extensions related to body-site and modality, and the definition on where `StudyInstanceUID` and `AccessionNumber` are stored.
MADO MHD DocumentReference Profile for FHIR Imaging Manifests | MADO specific profile for the IHE-MHD Minimal Document Reference for MADO FHIR Manifests that includes the MADO specific content format, the extensions related to body-site and modality, and the definition on where `StudyInstanceUID` and `AccessionNumber` are stored.
ServiceRequest: Requested Procedure for Imaging Study | This profile on ServiceRequest represents the order for the Imaging Study and report. In DICOM this is referred to as the Requested Procedure. The `code` element represents the requested imaging procedure type which includes the requested modality.

### Structures: Data Type Profiles

These define constraints on FHIR data types for systems conforming to this implementation guide.

MADO Accession Number Identifier | Profile for the Accession Number Identifier used in the MADO context. This profile is used for the Identifier that represents the Accession Number in the MADO context. It includes additional constraints and extensions specific to the MADO context, such as the value set for the type of identifier and the fixed value for the system of the identifier.
MADO Filler Number Identifier | Profile for the Filler Number Identifier used in the MADO context. This profile is used for the Identifier that represents the Filler Number in the MADO context. It includes additional constraints and extensions specific to the MADO context, such as the value set for the type of identifier and the fixed value for the system of the identifier.
MADO Placer Number Identifier | Profile for the Placer Number Identifier used in the MADO context. This profile is used for the Identifier that represents the Placer Number in the MADO context. It includes additional constraints and extensions specific to the MADO context, such as the value set for the type of identifier and the fixed value for the system of the identifier.
MADO Referenced Study Instance UID Identifier | Profile for the Reference that contains the Study Instance UID Identifier used in the MADO context. This profile is used for the Reference that contains the Identifier that represents the Study Instance UID in the MADO context. It includes additional constraints and extensions specific to the MADO context, such as the value set for the type of identifier and the fixed value for the system of the identifier.
MADO Study Instance UID Identifier | Profile for the Study Instance UID Identifier used in the MADO context. This profile is used for the Identifier that represents the Study Instance UID in the MADO context. It includes additional constraints and extensions specific to the MADO context, such as the value set for the type of identifier and the fixed value for the system of the identifier.

### Structures: Extension Definitions

These define constraints on FHIR data types for systems conforming to this implementation guide.

Extension: Anatomical Region | The anatomical region in an ImagingStudy instance. This is additional information next to ImagingStudy.series.bodySite.
Extension: Creator of the MADO | The creator of the MADO, which is the device that created the ImagingStudy resource in the MADO context.
Extension: Location UID | The location UID of the source of the WADO URL. See XC-WADO and https://dicom.nema.org/medical/dicom/current/output/chtml/part03/sect_A.35.4.3.html#table_A.35.4-1.
Extension: Number of Frames | The number of frames in an ImagingStudy instance.
Extension: Representative Instance | An extension to indicate that a referenced instance on and ImagingStudy series is a representative instance for that series. This extension is used in the MADO context to indicate that a referenced instance on an ImagingStudy series is a representative instance for that series, which can be used for display purposes in the MADO context.

### Terminology: Value Sets

These define sets of codes used by systems conforming to this implementation guide.

Anatomical Region | A shortlist of anatomical regions that can be used for searching reports and manifests.
ValueSet: Imaging Procedure Type | This value set includes all imaging procedure types defined in SNOMED CT. The codes represent combinations of the modality to be used and the procedure to be performed.

### Terminology: Code Systems

These define new code systems used by systems conforming to this implementation guide.

MADO Device Type Code System | Code system for the type of device used in the MADO context. This code system is used to specify the type of device used in the MADO context, such as the type of device used as the author of an ImagingStudy in the MADO context.

### Example: Example Instances

These are example instances that show what data produced and consumed by systems conforming with this implementation guide might look like.

Bundle: MADO FHIR document | An example of a MADO FHIR manifest.
Device: MADO creator | Example of a Device that represents the system that creates the MADO content.
DocumentReference Example for DICOM KOS manifests | DocumentReference Example for DICOM KOS manifests
DocumentReference Example for DICOM KOS manifests | DocumentReference Example for DICOM KOS manifests
DocumentReference Example for DICOM KOS manifests and no related reference to the FHIR manifest example | DocumentReference Example for DICOM KOS manifests with no related reference to the FHIR manifest example
DocumentReference Example for FHIR manifests | DocumentReference Example for FHIR manifests
DocumentReference Example for FHIR manifests with transform | DocumentReference Example for FHIR manifests with transform service called to transform the KOS manifest into a FHIR manifest
Dummy Authoring Practitioner example | Dummy Practitioner example for completeness sake. No actual use of this resource other than an example target
Dummy Practitioner example | Dummy Practitioner example for completeness sake. No actual use of this resource other than an example target
Endpoint: WADO | Example of a DICOM web endpoint supporting WADO.
Endpoint: XC-WADO | Example implementation of an XC_WADO endpoint
Example Encounter | holding typical values
Example Patient | The patient from which all the example relate
Example patient | Example patient
ImagingStudy: example of an FHIR imaging study in a MADO manifest | ImagingStudy in a MADO manifest providing information on the structure and content of a DICOM study.