Profile Comparison between https://profiles.ihe.net/RAD/MADO/StructureDefinition/MadoFhirDocumentReference vs https://profiles.ihe.net/RAD/MADO/StructureDefinition/MadoFhirDocumentReference

Messages

Metadata

Name	Value		Comments
abstract	false
baseDefinition	https://profiles.ihe.net/ITI/MHD/StructureDefinition/IHE.MHD.Minimal.DocumentReference
copyright
date	2026-09-03T19:51:11-05:00	2026-09-07T16:55:57+00:00	Values Differ
description	MADO specific profile for the IHE-MHD Document Reference for FHIR Imaging Study Manifest 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. This profile requires `context.period` and copies most of the restrictions defined in the [MHD DocumentReference Comprehensive](https://profiles.ihe.net/ITI/MHD/StructureDefinition-IHE.MHD.Comprehensive.DocumentReference.html) profiles (except `securityLabel`).
experimental
fhirVersion	4.0.1
jurisdiction
jurisdiction[0]	http://unstats.un.org/unsd/methods/m49/m49.htm#001
kind	resource
name	MadoFhirDocumentReference
publisher	IHE Radiology Technical Committee
purpose
status	active
title	MADO MHD DocumentReference Profile for FHIR Imaging Study Manifest
type	DocumentReference
url	https://profiles.ihe.net/RAD/MADO/StructureDefinition/MadoFhirDocumentReference
version	1.0.0	1.0.1-current	Values Differ

Structure

Name	L Flags	L Card.	L Type	L Description & Constraints	R Flags	R Card.	R Type	R Description & Constraints	Comments
DocumentReference	C	0..*	MinimalDocumentReference	A reference to a document Constraints: mado-docref-1	C	0..*	MinimalDocumentReference	A reference to a document Constraints: mado-docref-1
id	Σ	0..1	id	Logical id of this artifact	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource	Σ	0..1	Meta	Metadata about the resource
id		0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
versionId	Σ	0..1	id	Version specific identifier	Σ	0..1	id	Version specific identifier
lastUpdated	Σ	0..1	instant	When the resource version last changed	Σ	0..1	instant	When the resource version last changed
source	Σ	0..1	uri	Identifies where the resource comes from	Σ	0..1	uri	Identifies where the resource comes from
profile	Σ	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to	Σ	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to
security	Σ	0..*	Coding	Security Labels applied to this resource Binding: ?? (extensible): Security Labels from the Healthcare Privacy and Security Classification System.	Σ	0..*	Coding	Security Labels applied to this resource Binding: ?? (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
tag	Σ	0..*	Coding	Tags applied to this resource Binding: ?? (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".	Σ	0..*	Coding	Tags applied to this resource Binding: ?? (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: ?? (preferred): A human language. Additional Bindings Purpose ?? Max Binding		0..1	code	Language of the resource content Binding: ?? (preferred): A human language. Additional Bindings Purpose ?? Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources		0..*	Resource	Contained, inline Resources
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url		1..*	Extension	Extension Slice: Unordered, Open by value:url
modifierExtension	?!	0..0		Extension	?!	0..0		Extension
masterIdentifier	Σ	1..1	??	The identifier of the FHIR Imaging Study Manifest.	Σ	1..1	??	The identifier of the FHIR Imaging Study Manifest.
Slices for identifier	SΣ	1..*	Identifier	Other identifiers for the document Slice: Unordered, Open by value:use	SΣ	1..*	Identifier	Other identifiers for the document Slice: Unordered, Open by value:use
status	?!Σ	1..1	code	current | superseded | entered-in-error Binding: ?? (required)	?!Σ	1..1	code	current | superseded | entered-in-error Binding: ?? (required)
docStatus	Σ	0..0		preliminary | final | amended | entered-in-error Binding: ?? (required): Status of the underlying document.	Σ	0..0		preliminary | final | amended | entered-in-error Binding: ?? (required): Status of the underlying document.
type	SΣ	1..1	CodeableConcept	Kind of document (LOINC if possible), see section 6.X.6 of volume 3. Binding: ?? (preferred): Precise type of clinical document.	SΣ	1..1	CodeableConcept	Kind of document (LOINC if possible), see section 6.X.6 of volume 3. Binding: ?? (preferred): Precise type of clinical document.
category	SΣ	1..1	CodeableConcept	Categorization of document, see section 6.X.6 of volume 3. Binding: ?? (example): High-level kind of a clinical document at a macro level.	SΣ	1..1	CodeableConcept	Categorization of document, see section 6.X.6 of volume 3. Binding: ?? (example): High-level kind of a clinical document at a macro level.
subject	SΣ	1..1	Reference(Patient)	Who/what is the subject of the document	SΣ	1..1	Reference(Patient)	Who/what is the subject of the document
date	SΣ	0..1	instant	When this document reference was created	SΣ	0..1	instant	When this document reference was created
Slices for author	SΣ	0..*	Reference(Practitioner | PractitionerRole | Organization | Device | Patient | RelatedPerson)	Who and/or what authored the document (i.e. manifest) Slice: Unordered, Open by profile:$this.resolve()	SΣ	0..*	Reference(Practitioner | PractitionerRole | Organization | Device | Patient | RelatedPerson)	Who and/or what authored the document (i.e. manifest) Slice: Unordered, Open by profile:$this.resolve()
authenticator		0..1	Reference(Practitioner | PractitionerRole | Organization)	Who/what authenticated the document (i.e. manifest)		0..1	Reference(Practitioner | PractitionerRole | Organization)	Who/what authenticated the document (i.e. manifest)
custodian		0..1	Reference(Organization)	Organization which maintains the document (i.e. manifest)		0..1	Reference(Organization)	Organization which maintains the document (i.e. manifest)
Slices for relatesTo	SΣ	0..*	BackboneElement	Relationships to other documents Slice: Unordered, Open by value:code	SΣ	0..*	BackboneElement	Relationships to other documents Slice: Unordered, Open by value:code
id		0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	1..1	code	replaces | transforms | signs | appends Binding: ?? (required): The type of relationship between documents.	Σ	1..1	code	replaces | transforms | signs | appends Binding: ?? (required): The type of relationship between documents.
target	Σ	1..1	Reference(DocumentReference)	Target of the relationship	Σ	1..1	Reference(DocumentReference)	Target of the relationship
description	Σ	0..1	string	Human-readable description	Σ	0..1	string	Human-readable description
securityLabel	SΣ	0..*	CodeableConcept	Document security-tags Binding: ?? (extensible): Security Labels from the Healthcare Privacy and Security Classification System.	SΣ	0..*	CodeableConcept	Document security-tags Binding: ?? (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
content	Σ	1..1	BackboneElement	Clinical context of the manifest	Σ	1..1	BackboneElement	Clinical context of the manifest
id		0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url		1..*	Extension	Extension Slice: Unordered, Open by value:url
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
attachment	Σ	1..1	Attachment	Where to access the document	Σ	1..1	Attachment	Where to access the document
id		0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
contentType	Σ	1..1	code	Mime type of the content, with charset etc. Binding: ?? (required): The mime type of an attachment. Any valid mime type is allowed. Required Pattern: application/fhir+json	Σ	1..1	code	Mime type of the content, with charset etc. Binding: ?? (required): The mime type of an attachment. Any valid mime type is allowed. Required Pattern: application/fhir+json
language	SΣ	1..1	code	Human language of the content (BCP-47) Binding: ?? (preferred): A human language. Additional Bindings Purpose ?? Max Binding Example General: en-AU	SΣ	1..1	code	Human language of the content (BCP-47) Binding: ?? (preferred): A human language. Additional Bindings Purpose ?? Max Binding Example General: en-AU
data		0..0		Data inline, base64ed		0..0		Data inline, base64ed
url	Σ	1..1	url	Uri where the data can be found Example General: http://www.acme.com/logo-small.png	Σ	1..1	url	Uri where the data can be found Example General: http://www.acme.com/logo-small.png
size	Σ	0..1	unsignedInt	Number of bytes of content (if url provided)	Σ	0..1	unsignedInt	Number of bytes of content (if url provided)
hash	Σ	0..1	base64Binary	Hash of the data (sha-1, base64ed)	Σ	0..1	base64Binary	Hash of the data (sha-1, base64ed)
title	Σ	0..1	string	Label to display in place of the data Example General: Official Corporate Logo	Σ	0..1	string	Label to display in place of the data Example General: Official Corporate Logo
creation	SΣ	1..1	dateTime	Date attachment was first created	SΣ	1..1	dateTime	Date attachment was first created
format	SΣ	1..1	Coding	Format/content rules for the document Binding: ?? (preferred)	SΣ	1..1	Coding	Format/content rules for the document Binding: ?? (preferred)
id		0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	0..1	uri	Identity of the terminology system Fixed Value: http://ihe.net/fhir/ihe.formatcode.fhir/CodeSystem/formatcode	Σ	0..1	uri	Identity of the terminology system Fixed Value: http://ihe.net/fhir/ihe.formatcode.fhir/CodeSystem/formatcode
version	Σ	0..1	string	Version of the system - if relevant	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system Fixed Value: urn:ihe:rad:MADO:fhir-manifest:2026	Σ	0..1	code	Symbol in syntax defined by the system Fixed Value: urn:ihe:rad:MADO:fhir-manifest:2026
display	Σ	0..1	string	Representation defined by the system	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user	Σ	0..1	boolean	If this coding was chosen directly by the user
context	Σ	1..1	BackboneElement	Clinical context of document	Σ	1..1	BackboneElement	Clinical context of document
id		0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
encounter		0..*	Reference(Encounter | EpisodeOfCare)	Context of the document content		0..*	Reference(Encounter | EpisodeOfCare)	Context of the document content
event		0..*	CodeableConcept	Main clinical acts documented, could include the study procedure codes. Binding: ?? (example): This list of codes represents the main clinical acts being documented.		0..*	CodeableConcept	Main clinical acts documented, could include the study procedure codes. Binding: ?? (example): This list of codes represents the main clinical acts being documented.
period	SΣ	1..1	Period	Time of service that is being documented	SΣ	1..1	Period	Time of service that is being documented
id		0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
start	ΣC	1..1	dateTime	The start time of the study referred to by the manifest	ΣC	1..1	dateTime	The start time of the study referred to by the manifest
end	ΣC	0..1	dateTime	End time with inclusive boundary, if not ongoing	ΣC	0..1	dateTime	End time with inclusive boundary, if not ongoing
facilityType	S	1..1	CodeableConcept	Kind of facility where patient was seen Binding: ?? (example): XDS Facility Type.	S	1..1	CodeableConcept	Kind of facility where patient was seen Binding: ?? (example): XDS Facility Type.
practiceSetting	S	1..1	CodeableConcept	Additional details about where the content was created (e.g. clinical specialty) Binding: ?? (example): Additional details about where the content was created (e.g. clinical specialty).	S	1..1	CodeableConcept	Additional details about where the content was created (e.g. clinical specialty) Binding: ?? (example): Additional details about where the content was created (e.g. clinical specialty).
sourcePatientInfo	S	0..1	Reference(Patient)	Patient demographics from source	S	0..1	Reference(Patient)	Patient demographics from source
id		0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ?? (extensible): Aa resource (or, for logical models, the URI of the logical model).	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ?? (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource	Σ	0..1	string	Text alternative for the resource
Slices for related		1..*	Reference(Resource)	Related identifiers or resources Slice: Unordered, Open by profile:identifier		1..*	Reference(Resource)	Related identifiers or resources Slice: Unordered, Open by profile:identifier
Documentation for this format