0.1.0 - ci-build
MADO, published by Example Publisher. 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/oijauregui/MADO-through-FHIR-Publisher/ and changes regularly. See the Directory of published versions
The MADO profile defines the following namespaces:
Namespace | URI | Description |
---|---|---|
MADO | http://ihe.net/fhir/mado |
Base namespace for MADO FHIR resources |
MADO-KOS | http://ihe.net/mado/dicom/kos |
Namespace for DICOM KOS manifest definitions |
The following concept domains are defined for the MADO profile:
Concept Domain | Description | Binding |
---|---|---|
ManifestType | Types of imaging manifests | Required |
RetrievalMethod | Methods for retrieving imaging content | Extensible |
StudyPurpose | Purpose codes for imaging studies | Preferred |
Format Code | Description | MIME Type |
---|---|---|
urn:ihe:mado:kos:2025 | DICOM Key Object Selection Manifest | application/dicom |
urn:ihe:mado:fhir:2025 | FHIR-based Imaging Manifest | application/fhir+json |
Act Code | Display Name | Definition |
---|---|---|
MADO-MANIFEST | Imaging Manifest | A manifest document that references imaging studies and instances |
MADO-RETRIEVE | Manifest-based Retrieval | Retrieval of imaging content based on manifest information |
Role Code | Display Name | Definition |
---|---|---|
MANIFEST-CREATOR | Manifest Creator | System or person responsible for creating imaging manifests |
MANIFEST-CONSUMER | Manifest Consumer | System that processes and acts upon imaging manifests |
The following metadata elements support searching for imaging study manifests:
Metadata Element | Description | Type |
---|---|---|
patient-id | Patient identifier | Identifier |
study-uid | Study instance UID | Identifier |
modality | Imaging modality | CodeableConcept |
study-date | Study acquisition date | Date |
manifest-type | Type of manifest | CodeableConcept |
The MADO profile utilizes DICOM Key Object Selection (KOS) documents as one format for imaging manifests. These documents follow the DICOM Structured Report framework.
DICOM manifests shall support appropriate display mechanisms for human-readable presentation of manifest content.
Imaging Manifest: A document that contains references to one or more imaging studies, series, or instances, along with relevant metadata for retrieval and processing.
Key Object Selection (KOS): A DICOM object that identifies and describes a set of DICOM objects (studies, series, instances) for a specific purpose.
Manifest Consumer: An entity that processes imaging manifests to facilitate subsequent imaging retrieval operations.
####### 7.3.1.1.1.1 Referenced Standards
####### 7.3.1.1.1.2 IOD Definition
The Key Object Selection Document IOD for MADO purposes shall include the following modules:
IE | Module | Reference | Usage |
---|---|---|---|
Patient | Patient | C.7.1.1 | M |
Study | General Study | C.7.2.1 | M |
Series | Key Object Document Series | C.17.6.1 | M |
Equipment | General Equipment | C.7.5.1 | M |
Document | Key Object Document | C.17.6.2 | M |
Document | SR Document Content | C.17.3 | M |
Document | SOP Common | C.12.1 | M |
Legend: M = Mandatory, U = User Defined, C = Conditional
####### 7.4.1.1.1.1 Referenced Standards
####### 7.4.1.1.1.2 Module Definition
Attribute Name | Tag | Type | Attribute Description |
---|---|---|---|
Patient's Name | (0010,0010) | 2 | Patient's full name |
Patient ID | (0010,0020) | 2 | Primary identifier for the patient |
Patient's Birth Date | (0010,0030) | 2 | Patient's date of birth |
Patient's Sex | (0010,0040) | 2 | Patient's sex |
Type Legend: 1 = Required, 2 = Required if known, 3 = Optional
Additional MADO Requirements:
####### 7.4.1.2.1.1 Referenced Standards
####### 7.4.1.2.1.2 Module Definition
Attribute Name | Tag | Type | Attribute Description |
---|---|---|---|
Study Instance UID | (0020,000D) | 1 | Unique identifier for the Study |
Study Date | (0008,0020) | 2 | Date the Study started |
Study Time | (0008,0030) | 2 | Time the Study started |
Referring Physician's Name | (0008,0090) | 2 | Name of the physician referring the patient |
Study ID | (0020,0010) | 2 | User or equipment generated Study identifier |
Accession Number | (0008,0050) | 2 | RIS generated number identifying the order |
Study Description | (0008,1030) | 3 | User-defined description of the Study |
MADO Requirements:
####### 7.4.1.3.1.1 Referenced Standards
####### 7.4.1.3.1.2 Module Definition
Attribute Name | Tag | Type | Attribute Description |
---|---|---|---|
Modality | (0008,0060) | 1 | Type of equipment that originally acquired the data |
Series Instance UID | (0020,000E) | 1 | Unique identifier of the Series |
Series Number | (0020,0011) | 1 | A number that identifies this Series |
MADO Specifications:
####### 7.4.1.4.1.1 Referenced Standards
####### 7.4.1.4.1.2 Module Definition
Attribute Name | Tag | Type | Attribute Description |
---|---|---|---|
Manufacturer | (0008,0070) | 2 | Manufacturer of the equipment |
Institution Name | (0008,0080) | 3 | Institution where equipment is located |
Software Versions | (0018,1020) | 3 | Manufacturer's software versions |
MADO Requirements:
####### 7.4.1.5.1.1 Referenced Standards
####### 7.4.1.5.1.2 Module Definition
Attribute Name | Tag | Type | Attribute Description |
---|---|---|---|
Instance Number | (0020,0013) | 1 | A number that identifies this KO Document |
Content Date | (0008,0023) | 1 | Date the document content creation |
Content Time | (0008,0033) | 1 | Time the document content creation |
Referenced Request Sequence | (0040,A370) | 1C | Sequence of Items referencing requests |
Current Requested Procedure Evidence Sequence | (0040,A375) | 1 | Evidence sequence for current procedure |
Current Requested Procedure Evidence Sequence Items:
Attribute Name | Tag | Type | Attribute Description |
---|---|---|---|
Study Instance UID | (0020,000D) | 1 | UID of the referenced Study |
Referenced Series Sequence | (0008,1115) | 1 | Sequence of referenced Series |
Referenced Series Sequence Items:
Attribute Name | Tag | Type | Attribute Description |
---|---|---|---|
Series Instance UID | (0020,000E) | 1 | UID of the referenced Series |
Referenced SOP Sequence | (0008,1140) | 1C | Sequence of referenced SOP Instances |
Referenced SOP Sequence Items:
Attribute Name | Tag | Type | Attribute Description |
---|---|---|---|
Referenced SOP Class UID | (0008,1150) | 1 | SOP Class UID of referenced object |
Referenced SOP Instance UID | (0008,1155) | 1 | SOP Instance UID of referenced object |
MADO Specifications:
####### 7.4.1.6.1.1 Referenced Standards
####### 7.4.1.6.1.2 Module Definition
Attribute Name | Tag | Type | Attribute Description |
---|---|---|---|
Value Type | (0040,A040) | 1 | Type of value stored in this content item |
Concept Name Code Sequence | (0040,A043) | 1 | Coded concept name of this content item |
Content Sequence | (0040,A730) | 1C | Sequence of content items |
MADO Content Structure:
####### 7.4.1.7.1.1 Referenced Standards
####### 7.4.1.7.1.2 Module Definition
Attribute Name | Tag | Type | Attribute Description |
---|---|---|---|
SOP Class UID | (0008,0016) | 1 | Uniquely identifies the SOP Class |
SOP Instance UID | (0008,0018) | 1 | Uniquely identifies the SOP Instance |
Specific Character Set | (0008,0005) | 1C | Character set used for text values |
Instance Creation Date | (0008,0012) | 3 | Date the SOP Instance was created |
Instance Creation Time | (0008,0013) | 3 | Time the SOP Instance was created |
MADO Requirements:
The MADO profile supports FHIR-based manifests using the following resource types:
The ImagingStudy resource is used to represent imaging studies referenced in FHIR-based manifests.
Key Elements:
identifier
: Study identifiers including Study Instance UIDstatus
: Status of the imaging studysubject
: Reference to the Patientencounter
: Reference to the encounter contextstarted
: Date/time when study was startedseries
: Series within the studyendpoint
: DICOM endpoints for retrievalThe List resource serves as the primary manifest container for FHIR-based implementations.
Key Elements:
status
: Status of the manifest listmode
: Mode of the list (typically "working")title
: Human-readable title for the manifestcode
: Code identifying this as an imaging manifestsubject
: Reference to the Patientdate
: Date the manifest was createdsource
: Creator of the manifestentry
: References to ImagingStudy resourcesThe Endpoint resource defines DICOM endpoints for image retrieval.
Key Elements:
status
: Endpoint statusconnectionType
: Type of connection (e.g., DICOM WADO-RS)address
: Base URL for the endpointpayloadType
: Supported payload typesThis section defines the mapping between DICOM KOS-based manifests and FHIR-based manifests to enable interoperability between the two formats.
DICOM Element | FHIR Element | Mapping Notes |
---|---|---|
Patient ID (0010,0020) | Patient.identifier | Direct mapping |
Study Instance UID (0020,000D) | ImagingStudy.identifier | Use DICOM UID format |
Series Instance UID (0020,000E) | ImagingStudy.series.uid | Direct mapping |
SOP Instance UID (0008,0018) | ImagingStudy.series.instance.uid | Direct mapping |
Study Date (0008,0020) | ImagingStudy.started | Convert to FHIR dateTime |
Referring Physician (0008,0090) | ImagingStudy.referrer | Map to Practitioner reference |
FHIR Element | DICOM Element | Mapping Notes |
---|---|---|
Patient.identifier | Patient ID (0010,0020) | Use primary identifier |
ImagingStudy.identifier | Study Instance UID (0020,000D) | Extract DICOM UID |
ImagingStudy.series.uid | Series Instance UID (0020,000E) | Direct mapping |
ImagingStudy.series.instance.uid | SOP Instance UID (0008,0018) | Direct mapping |
ImagingStudy.started | Study Date/Time (0008,0020/0030) | Convert from FHIR dateTime |