Manifest-based Access to DICOM Objects (MADO) Profile (FHIR-R5 elements)
0.2.1-build - ci-build 150

Manifest-based Access to DICOM Objects (MADO) Profile (FHIR-R5 elements), 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

Manifest Envelop

Part of the information related to accessing the content is part of the envelop in which the manifest is distributed. In the case of using , the envelop used in a DocumentReference.

The Profile for document reference to publish EHDS imaging manifests is documented in the ImManifestDocumentReference.

The figure below shows the ImManifestDocumentReference most relevant restrictions and its relationship with the manifests.

manifest-envelop.drawio.png
Figure: IHE-MHD envelop

The main choices illustrated in the figure are:

  • The ImManifestDocumentReference requires to refer to either a FHIR manifest or KOS manifest or both.
  • A FHIR manifest is represented as a FHIR json encoded FHIR Bundle following the profile ImImagingStudyManifest. This Bundle contains the ImagingStudy resource as well other resources such as the Patient and various Endpoints.
  • A KOS manifest is represented as a DICOM encoded DICOM instance following the MADO KOS profile.

The FHIR-manifest can be losslessly translated into the KOS-manifest and vice-versa allowing applications to change the representation when needed.

Imaging specific search parameters include:

Name Type Description Expression
date-image-acquired date Allows searches on the time the image was acquired.  
date-manifest-created date Allows searches on the time the manifest was created.  
bodysite token The body site studied DocumentReference.bodySite.concept
modality token The modality used DocumentReference.modality

General IHE-MHD defined search parameters are:

Name Type Description Expression
author reference Who and/or what authored the document DocumentReference.author
author.given & author.family string This parameters, of type string, specify the name parts of the author person, which is associated with the DocumentReference Resource, or in Document Sharing nomenclature, the author of the Document Entry. See ITI TF-2x: Appendix Z.2 for use of the string data type. This use of author.given and author.family follows the FHIR Chaining Parameters search methodology.  
category token This parameter, of type token, specifies the general classification of the DocumentReference Resource, or in Document Sharing nomenclature, the classCode of the Document Entry. See ITI TF-2x: Appendix Z.2 for additional constraints on the use of the token search parameter type. DocumentReference.category
creation date Date attachment was first created DocumentReference.content.attachment.creation
date date When this document reference was created DocumentReference.date
event-code token This parameter, of type token, specifies the main clinical acts documented by the DocumentReference Resource, or in Document Sharing nomenclature, the eventCodeList of the Document Entry. See ITI TF-2x: Appendix Z.2 for additional constraints on the use of the token search parameter type. DocumentReference.event.concept
format-code token Format code content rules for the (DocumentReference.content.profile.value.ofType(Coding))  
facility token Kind of facility where patient was; or in Document Sharing nomenclature, the healthcareFacilityTypeCode of the Document Entry. See ITI TF-2x: Appendix Z.2 for additional constraints on the use of the token search parameter type. DocumentReference.facilityType
identifier token Identifier of the attachment binary DocumentReference.identifier  
patient reference Who/what is the subject of the DocumentReference DocumentReference.subject.where(resolve() is Patient)
patient.identifier token This parameter, of type token, specifies an identifier associated with the patient to which the DocumentReference Resource is assigned. See ITI TF-2x: Appendix Z.2 for additional constraints on the use of the token search parameter type. This use of patient.identifier follows the FHIR Chaining Parameters search methodology.  
period date the time of service that is being documented by the DocumentReference. The period search parameter specifies an interval which the time of service overlaps. DocumentReference.period
relatesto reference represents other identifiers associated with the DocumentReference Resource, or in Document Sharing nomenclature, the referenceIdList of the Document Entry. DocumentReference.relatesTo.target
security-label token Document security-tags DocumentReference.securityLabel
setting token the specific practice setting of the DocumentReference Resource, or in Document Sharing nomenclature, the practiceSettingCode of the Document Entry. DocumentReference.practiceSetting
status token The status of the DocumentReference Resource DocumentReference.status
type token Kind of document (LOINC if possible) DocumentReference.type