Manifest-based Access to DICOM Objects (IHE-MADO) - EU Extensions
0.2.1-build - ci-build 150

Manifest-based Access to DICOM Objects (IHE-MADO) - EU Extensions, published by HL7 Europe. This guide is not an authorized publication; it is the continuous build for version 0.2.1-build built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7-eu/imaging-manifest/ and changes regularly. See the Directory of published versions

EHDS logical model mapping

The following tables describe the way the Xt-EHR logical model Xt-EHR Medical Images has been mapped onto the FHIR profiles and DICOM fields used in this specification.

Ongoing alignment: The Xt-EHR logical models are under active revision and continuous refinement. Updates from Xt-EHR will be progressively incorporated into this Implementation Guide to maintain alignment with the evolving EHDS specifications.

EHDSImagingStudy

The following table shows the mapping from EHDSImagingStudy logical model elements to FHIR profiles.

Mapping Context
EHDSImagingStudy → FHIR Profiles (R4)
EHDSImagingStudy (Logical Model) Target FHIR Resource Target DICOM elements Rationale
Element Resource Element DICOM KOS Rationale
header Basic metadata for this information
header.subject EuMadoComposition subject Patient Module
header.subject EuMadoImagingStudy subject Patient Module
header.identifier EuMadoImagingStudy identifier[study-instance-uid] Study Instance UID (0020,000D)
header.author[x] EuMadoComposition author[source-organization] Institution Name (0008,0080),
header.author[x] EuMadoComposition author[source-device] Manufacturer (0008,0070),
header.date EuMadoComposition date Instance Creation Date, Instance Creation Time
header.status EuMadoComposition status
header.source NA - not relevant for MADO
header.language EuMadoComposition language
modality EuMadoImagingStudy modality SR: EV(111028,DCM,"Image Library") -> EV(121139, DCM, "Modality")
bodySite EuMadoImagingStudy extension[anatomicalRegion] SR: EV(111028,DCM,"Image Library") -> EV(123014, DCM, "Target Region")
encounter NA - not supported for MADO
started EuMadoImagingStudy started Study Date (0008,0020) & StudyTime (008,0030)
basedOn EuMadoImagingStudy basedOn[order] AccessionNumber (0008,0050) & Issuer of Accession Number Sequence (0008,0051)
numberOfSeries EuMadoImagingStudy numberOfSeries SR: EV(111028,DCM,"Image Library") -> EV (131565, DCM, "Number of Study Related Series")
numberOfInstances EuMadoImagingStudy numberOfInstances DICOM KOS – calculate from content
description EuMadoImagingStudy description Study Description (0008,1030)
studyCustodian EuMadoImagingStudy custodian DICOM KOS – Not supported
studyEndpoint EuMadoImagingStudy endpoint[webviewer] DisplayURI (0040,E012)
series EuMadoImagingStudy series SR: EV(111028,DCM,"Image Library") -> EV(126200,DCM,"Image Library Group")
series.seriesUid EuMadoImagingStudy series.uid SR: EV(111028,DCM,"Image Library") -> EV(126200,DCM,"Image Library Group") -> EV(112002, DCM, "Series Instance UID")
series.number EuMadoImagingStudy series.number SR: EV(111028,DCM,"Image Library") -> EV(126200,DCM,"Image Library Group") -> EV (113607, DCM, "Series Number")
series.seriesModality EuMadoImagingStudy series.modality SR: EV(111028,DCM,"Image Library") -> EV(126200,DCM,"Image Library Group") -> EV (121139, DCM, "Modality")
series.description EuMadoImagingStudy series.description SR: EV(111028,DCM,"Image Library") -> EV(126200,DCM,"Image Library Group") -> EV (131563, DCM, "Series Description")
series.numberOfInstances EuMadoImagingStudy series.numberOfInstances SR: EV(111028,DCM,"Image Library") -> EV(126200,DCM,"Image Library Group") -> EV (131564, DCM, "Number of Series Related Instances")
series.seriesEndpoint EuMadoImagingStudy series.endpoint[wado] CurrentRequestedProcedureEvidenceSequence (0040,8375) -> ReferencedSeriesSequence (0008,1115) -> RetrieveUrl (0008,1190)
series.bodySite EuMadoImagingStudy series.bodySite SR: EV(111028,DCM,"Image Library") -> EV(126200,DCM,"Image Library Group") -> EV (123014, DCM, "Target Region")
series.specimen EuMadoImagingStudy series.specimen DICOM KOS – Not supported
series.started EuMadoImagingStudy series.started SR: EV(111028,DCM,"Image Library") -> EV(126200,DCM,"Image Library Group") -> EV (131561, DCM, "Series Date") & EV (131562, DCM, "Series Time")
series.instancesInTheSeries EuMadoImagingStudy series.instance SR: EV(111028,DCM,"Image Library") -> EV(126200,DCM,"Image Library Group") -> Image Library Entry (IMAGE or COMPOSITE) -> Referenced SOP Sequence (0008,1199) -> Referenced SOP Instance UID (0008,1150)
series.instancesInTheSeries.instanceTitle EuMadoImagingStudy series.instance.title SR: EV(111028,DCM,"Image Library") -> EV(126200,DCM,"Image Library Group") -> Image Library Entry (COMPOSITE) EV (113012, DCM, "Key Object Description")
series.instancesInTheSeries.instanceUid EuMadoImagingStudy series.instance.uid Key Object Document -> Current Requested Procedure Evidence Sequence (0040,A375) -> Referenced Series Sequence (0008,1115) -> Referenced SOP Sequence (0008,1199) -> Referenced SOP Instance UID (0008,1155)
series.instancesInTheSeries.sopClass EuMadoImagingStudy series.instance.sopClass Key Object Document -> Current Requested Procedure Evidence Sequence (0040,A375) -> Referenced Series Sequence (0008,1115) -> Referenced SOP Sequence (0008,1199) -> Referenced SOP Class UID (0008,1150)
series.instancesInTheSeries.instanceNumber EuMadoImagingStudy series.instance.number SR: EV(111028,DCM,"Image Library") -> EV(126200,DCM,"Image Library Group") -> Image Library Entry (IMAGE) -> EV (113609, DCM, "Instance Number")
series.instancesInTheSeries.numberOfFrames EuMadoImagingStudy series.instance.extension[number-of-frames] SR: EV(111028,DCM,"Image Library") -> EV(126200,DCM,"Image Library Group") -> Image Library Entry (IMAGE) -> EV (121140, DCM, "Number of Frames")
series.instancesInTheSeries.keyImage This is implemented by locating the KOS object instances, downloading them usign WADO and inspecting the content.
series.instancesInTheSeries.keyImage.flag EuMadoImagingStudy series.instance.extension[ko-document-title] SR: EV(111028,DCM,"Image Library") -> EV(126200,DCM,"Image Library Group") -> Image Library Entry (COMPOSITE) EV (121144, DCM, "Document Title")
series.instancesInTheSeries.keyImage.reason EuMadoImagingStudy series.instance.title SR: EV(111028,DCM,"Image Library") -> EV(126200,DCM,"Image Library Group") -> Image Library Entry (COMPOSITE) EV (113012, DCM, "Key Object Description")
series.instancesInTheSeries.keyImage.seriesUID See DICOM info on refered instance
series.instancesInTheSeries.keyImage.instanceUID See DICOM info on refered instance

EHDSPatient

The following table shows the mapping from EHDSPatient logical model elements to FHIR profiles.

Mapping Context
EHDSPatient → FHIR Profiles (R4)
EHDSPatient (Logical Model) Target FHIR Resource Target DICOM elements Rationale
Element Resource Element DICOM KOS Rationale
identifier EuMadoPatient identifier Patient ID (0010,0020) & Type of Patient ID (0010,0022) & Issuer of Patient ID Qualifiers Sequence (0010,0026)
name EuMadoPatient name Patient Name (0010,0010)
dateOfBirth EuMadoPatient birthDate Patient Birth Date (0010,0030)
deceased[x] EuMadoPatient deceased[x]
administrativeGender EuMadoPatient gender Patient Sex (0010,0040)
address EuMadoPatient address
telecom EuMadoPatient telecom