EU Imaging Manifest and Access (IHE-MADO additions)
1.0.0-ballot - ballot 150

This page is part of the EU Manifest-based Access to DICOM Objects (EU-MADO) (v1.0.0-ballot: STU 1 Ballot 1) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

: MADO EU MHD DocumentReference - FHIR manifest

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix loinc: <http://loinc.org/rdf#> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix sct: <http://snomed.info/id/> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

<http://hl7.org/fhir/DocumentReference/docref-fhir-example> a fhir:DocumentReference ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:Resource.id [ fhir:value "docref-fhir-example"] ;
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "http://hl7.eu/fhir/imaging-manifest/StructureDefinition/EuMadoFhirDocumentReference" ;
       fhir:index -1 ;
       fhir:link <http://hl7.eu/fhir/imaging-manifest/StructureDefinition/EuMadoFhirDocumentReference>
     ]
  ] ;
  fhir:Resource.language [ fhir:value "en"] ;
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "extensions" ] ;
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: DocumentReference docref-fhir-example</b></p><a name=\"docref-fhir-example\"> </a><a name=\"hcdocref-fhir-example\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-EuMadoFhirDocumentReference.html\">EU MADO MHD DocumentReference Profile for FHIR Imaging Study Manifest</a></p></div><p><b>Extension: DocumentReference.modality (R5 cross-version)</b>: <span title=\"Codes:{http://dicom.nema.org/resources/ontology/DCM CT}\">Computed Tomography</span></p><p><b>Extension: DocumentReference.bodySite</b>: <span title=\"Codes:{http://snomed.info/sct 774007}\">Structure of head and/or neck</span></p><p><b>masterIdentifier</b>: <a href=\"http://terminology.hl7.org/7.1.0/NamingSystem-uri.html\" title=\"As defined by RFC 3986 (http://www.ietf.org/rfc/rfc3986.txt)(with many schemes defined in many RFCs). For OIDs and UUIDs, use the URN form (urn:oid:(note: lowercase) and urn:uuid:). See http://www.ietf.org/rfc/rfc3001.txt and http://www.ietf.org/rfc/rfc4122.txt #xD;#xA;#xD;#xA;This oid is used as an identifier II.root to indicate the the extension is an absolute URI (technically, an IRI). Typically, this is used for OIDs and GUIDs. Note that when this OID is used with OIDs and GUIDs, the II.extension should start with urn:oid or urn:uuid: #xD;#xA;#xD;#xA;Note that this OID is created to aid with interconversion between CDA and FHIR - FHIR uses urn:ietf:rfc:3986 as equivalent to this OID. URIs as identifiers appear more commonly in FHIR.#xD;#xA;#xD;#xA;This OID may also be used in CD.codeSystem.\">Uniform Resource Identifier (URI)</a>/urn:uuid:11111111-1111-1111-1111-111111110001 (use: usual)</p><p><b>identifier</b>: <a href=\"http://terminology.hl7.org/7.1.0/NamingSystem-uri.html\" title=\"As defined by RFC 3986 (http://www.ietf.org/rfc/rfc3986.txt)(with many schemes defined in many RFCs). For OIDs and UUIDs, use the URN form (urn:oid:(note: lowercase) and urn:uuid:). See http://www.ietf.org/rfc/rfc3001.txt and http://www.ietf.org/rfc/rfc4122.txt #xD;#xA;#xD;#xA;This oid is used as an identifier II.root to indicate the the extension is an absolute URI (technically, an IRI). Typically, this is used for OIDs and GUIDs. Note that when this OID is used with OIDs and GUIDs, the II.extension should start with urn:oid or urn:uuid: #xD;#xA;#xD;#xA;Note that this OID is created to aid with interconversion between CDA and FHIR - FHIR uses urn:ietf:rfc:3986 as equivalent to this OID. URIs as identifiers appear more commonly in FHIR.#xD;#xA;#xD;#xA;This OID may also be used in CD.codeSystem.\">Uniform Resource Identifier (URI)</a>/urn:uuid:11111111-1111-1111-1111-111111110001 (use: usual)</p><p><b>status</b>: Current</p><p><b>type</b>: <span title=\"Codes:{http://loinc.org 18748-4}\">Diagnostic imaging Study</span></p><p><b>category</b>: <span title=\"Codes:{http://hl7.eu/fhir/eu-health-data-api/CodeSystem/eehrxf-document-priority-category-cs Medical-Imaging}\">Medical-Imaging</span></p><p><b>subject</b>: <a href=\"Patient-pat-mado-example.html\">John DOE</a></p><p><b>date</b>: 2026-08-21 14:15:32+0200</p><p><b>author</b>: </p><ul><li><a href=\"Device-device-mado-creator.html\">IHEeu imaging converter</a></li><li><a href=\"Organization-org-mado-creator.html\">Example Hospital</a></li></ul><h3>RelatesTos</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Code</b></td><td><b>Target</b></td></tr><tr><td style=\"display: none\">*</td><td>Transforms</td><td><a href=\"DocumentReference-docref-kos-example.html\">DICOM KOS manifest</a></td></tr></table><p><b>description</b>: Imaging Manifest for Imaging Study: Head CT (urn:oid:1.2.250.1.59.40211.22756022.2.1.101)</p><blockquote><p><b>content</b></p><blockquote><p><b>R5: Content profile rules for the document (new)</b></p><ul><li>value: <a href=\"https://profiles.ihe.net/RAD/MADO/1.0.0/StructureDefinition-MadoFhirBundle.html\">MADO FHIR Imaging Study Manifest Bundle</a></li></ul></blockquote><h3>Attachments</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>ContentType</b></td><td><b>Language</b></td><td><b>Url</b></td><td><b>Title</b></td><td><b>Creation</b></td></tr><tr><td style=\"display: none\">*</td><td>application/fhir+json</td><td>English</td><td><a href=\"Bundle-bundle-mado-example.html\">Bundle: identifier = http://example.org/fhir/document-ids#mado-doc-0001; type = document; timestamp = 2026-08-21 14:15:32+0200</a></td><td>FHIR Imaging Manifest for Imaging Study</td><td>2026-08-21 14:15:32+0200</td></tr></table><p><b>format</b>: <a href=\"https://profiles.ihe.net/fhir/ihe.formatcode.fhir/1.5.0/CodeSystem-formatcode.html#formatcode-urn.58ihe.58rad.58MADO.58fhir-manifest.582026\">IHE Format Code set for use with Document Sharing: urn:ihe:rad:MADO:fhir-manifest:2026</a> (RAD MADO)</p></blockquote><blockquote><p><b>context</b></p><p><b>period</b>: 2022-08-22 08:31:17+0200 --&gt; (ongoing)</p><p><b>facilityType</b>: <span title=\"Codes:{http://snomed.info/sct 22232009}\">Hospital</span></p><p><b>practiceSetting</b>: <span title=\"Codes:{http://snomed.info/sct 394914008}\">Radiology</span></p><p><b>related</b>: </p><ul><li>Identifier: Study Instance UID/urn:oid:1.2.250.1.59.40211.22756022.2.1.101</li><li>Identifier: Accession Number/1731954284869428</li></ul></blockquote></div>"
  ] ;
  fhir:DomainResource.extension [
     fhir:index -1 ;
     fhir:Extension.url [ fhir:value "https://profiles.ihe.net/RAD/MADO/StructureDefinition/ext-R5-DocumentReference.modality" ] ;
     fhir:Extension.valueCodeableConcept [
       fhir:CodeableConcept.coding [
         fhir:index -1 ;
         fhir:Coding.system [ fhir:value "http://dicom.nema.org/resources/ontology/DCM" ] ;
         fhir:Coding.code [ fhir:value "CT" ]
       ]
     ]
  ], [
     fhir:index -1 ;
     fhir:Extension.url [ fhir:value "https://profiles.ihe.net/RAD/MADO/StructureDefinition/ext-R5-DocumentReference.bodySite" ] ;
     fhir:Extension.valueCodeableConcept [
       fhir:CodeableConcept.coding [
         fhir:index -1 ;
         a sct:774007 ;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
         fhir:Coding.code [ fhir:value "774007" ] ;
         fhir:Coding.display [ fhir:value "Structure of head and/or neck" ]
       ]
     ]
  ] ;
  fhir:DocumentReference.masterIdentifier [
     fhir:Identifier.use [ fhir:value "usual" ] ;
     fhir:Identifier.system [ fhir:value "urn:ietf:rfc:3986" ] ;
     fhir:Identifier.value [ fhir:value "urn:uuid:11111111-1111-1111-1111-111111110001" ]
  ] ;
  fhir:DocumentReference.identifier [
     fhir:index -1 ;
     fhir:Identifier.use [ fhir:value "usual" ] ;
     fhir:Identifier.system [ fhir:value "urn:ietf:rfc:3986" ] ;
     fhir:Identifier.value [ fhir:value "urn:uuid:11111111-1111-1111-1111-111111110001" ]
  ] ;
  fhir:DocumentReference.status [ fhir:value "current"] ;
  fhir:DocumentReference.type [
     fhir:CodeableConcept.coding [
       fhir:index -1 ;
       a loinc:18748-4 ;
       fhir:Coding.system [ fhir:value "http://loinc.org" ] ;
       fhir:Coding.code [ fhir:value "18748-4" ] ;
       fhir:Coding.display [ fhir:value "Diagnostic imaging Study" ]
     ]
  ] ;
  fhir:DocumentReference.category [
     fhir:index -1 ;
     fhir:CodeableConcept.coding [
       fhir:index -1 ;
       fhir:Coding.system [ fhir:value "http://hl7.eu/fhir/eu-health-data-api/CodeSystem/eehrxf-document-priority-category-cs" ] ;
       fhir:Coding.code [ fhir:value "Medical-Imaging" ] ;
       fhir:Coding.display [ fhir:value "Medical-Imaging" ]
     ]
  ] ;
  fhir:DocumentReference.subject [
     fhir:link <http://hl7.org/fhir/Patient/pat-mado-example> ;
     fhir:Reference.reference [ fhir:value "Patient/pat-mado-example" ] ;
     fhir:Reference.display [ fhir:value "John DOE" ]
  ] ;
  fhir:DocumentReference.date [ fhir:value "2026-08-21T14:15:32+02:00"^^xsd:dateTime] ;
  fhir:DocumentReference.author [
     fhir:index -1 ;
     fhir:link <http://hl7.org/fhir/Device/device-mado-creator> ;
     fhir:Reference.reference [ fhir:value "Device/device-mado-creator" ] ;
     fhir:Reference.display [ fhir:value "IHEeu imaging converter" ]
  ], [
     fhir:index -1 ;
     fhir:link <http://hl7.org/fhir/Organization/org-mado-creator> ;
     fhir:Reference.reference [ fhir:value "Organization/org-mado-creator" ] ;
     fhir:Reference.display [ fhir:value "Example Hospital" ]
  ] ;
  fhir:DocumentReference.relatesTo [
     fhir:index -1 ;
     fhir:DocumentReference.relatesTo.code [ fhir:value "transforms" ] ;
     fhir:DocumentReference.relatesTo.target [
       fhir:link <http://hl7.org/fhir/DocumentReference/docref-kos-example> ;
       fhir:Reference.reference [ fhir:value "DocumentReference/docref-kos-example" ] ;
       fhir:Reference.display [ fhir:value "DICOM KOS manifest" ]
     ]
  ] ;
  fhir:DocumentReference.description [ fhir:value "Imaging Manifest for Imaging Study: Head CT (urn:oid:1.2.250.1.59.40211.22756022.2.1.101)"] ;
  fhir:DocumentReference.content [
     fhir:index -1 ;
     fhir:Element.extension [
       fhir:index -1 ;
       fhir:Element.extension [
         fhir:index -1 ;
         fhir:Extension.url [ fhir:value "value" ] ;
         fhir:Extension.valueCanonical [
           fhir:value "https://profiles.ihe.net/RAD/MADO/StructureDefinition/MadoFhirBundle" ;
           fhir:link <https://profiles.ihe.net/RAD/MADO/StructureDefinition/MadoFhirBundle>
         ]
       ] ;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/5.0/StructureDefinition/extension-DocumentReference.content.profile" ]
     ] ;
     fhir:DocumentReference.content.attachment [
       fhir:Attachment.contentType [ fhir:value "application/fhir+json" ] ;
       fhir:Attachment.language [ fhir:value "en" ] ;
       fhir:Attachment.url [ fhir:value "Bundle/bundle-mado-example" ] ;
       fhir:Attachment.title [ fhir:value "FHIR Imaging Manifest for Imaging Study" ] ;
       fhir:Attachment.creation [ fhir:value "2026-08-21T14:15:32+02:00"^^xsd:dateTime ]
     ] ;
     fhir:DocumentReference.content.format [
       fhir:Coding.system [ fhir:value "http://ihe.net/fhir/ihe.formatcode.fhir/CodeSystem/formatcode" ] ;
       fhir:Coding.code [ fhir:value "urn:ihe:rad:MADO:fhir-manifest:2026" ]
     ]
  ] ;
  fhir:DocumentReference.context [
     fhir:DocumentReference.context.period [
       fhir:Period.start [ fhir:value "2022-08-22T08:31:17+02:00"^^xsd:dateTime ]
     ] ;
     fhir:DocumentReference.context.facilityType [
       fhir:CodeableConcept.coding [
         fhir:index -1 ;
         a sct:22232009 ;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
         fhir:Coding.code [ fhir:value "22232009" ] ;
         fhir:Coding.display [ fhir:value "Hospital" ]
       ]
     ] ;
     fhir:DocumentReference.context.practiceSetting [
       fhir:CodeableConcept.coding [
         fhir:index -1 ;
         a sct:394914008 ;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
         fhir:Coding.code [ fhir:value "394914008" ] ;
         fhir:Coding.display [ fhir:value "Radiology" ]
       ]
     ] ;
     fhir:DocumentReference.context.related [
       fhir:index -1 ;
       fhir:Reference.type [ fhir:value "ImagingStudy" ] ;
       fhir:Reference.identifier [
         fhir:Identifier.type [
           fhir:CodeableConcept.coding [
             fhir:index -1 ;
             fhir:Coding.system [ fhir:value "http://dicom.nema.org/resources/ontology/DCM" ] ;
             fhir:Coding.code [ fhir:value "110180" ] ;
             fhir:Coding.display [ fhir:value "Study Instance UID" ]
           ]
         ] ;
         fhir:Identifier.system [ fhir:value "urn:dicom:uid" ] ;
         fhir:Identifier.value [ fhir:value "urn:oid:1.2.250.1.59.40211.22756022.2.1.101" ]
       ]
     ], [
       fhir:index -1 ;
       fhir:Reference.type [ fhir:value "ServiceRequest" ] ;
       fhir:Reference.identifier [
         fhir:Identifier.type [
           fhir:CodeableConcept.coding [
             fhir:index -1 ;
             fhir:Coding.system [ fhir:value "http://dicom.nema.org/resources/ontology/DCM" ] ;
             fhir:Coding.code [ fhir:value "121022" ] ;
             fhir:Coding.display [ fhir:value "Accession Number" ]
           ], [
             fhir:index -1 ;
             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v2-0203" ] ;
             fhir:Coding.code [ fhir:value "ACSN" ] ;
             fhir:Coding.display [ fhir:value "Accession ID" ]
           ]
         ] ;
         fhir:Identifier.system [ fhir:value "http://example.org/fhir/ris-ids" ] ;
         fhir:Identifier.value [ fhir:value "1731954284869428" ]
       ]
     ]
  ] .

<http://hl7.org/fhir/Patient/pat-mado-example> a fhir:Patient .

<http://hl7.org/fhir/Device/device-mado-creator> a fhir:Device .

<http://hl7.org/fhir/Organization/org-mado-creator> a fhir:Organization .

<http://hl7.org/fhir/DocumentReference/docref-kos-example> a fhir:DocumentReference .

# - ontology header ------------------------------------------------------------

<http://hl7.org/fhir/DocumentReference/docref-fhir-example.ttl> a owl:Ontology ;
  owl:imports fhir:fhir.ttl ;
  owl:versionIRI <http://build.fhir.org/DocumentReference/docref-fhir-example.ttl> .