EU Imaging Manifest and Access (IHE-MADO additions)
1.0.0-ballot - ballot
150
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
<DocumentReference xmlns="http://hl7.org/fhir">
<id value="docref-kos-example"/>
<meta>
<profile
value="http://hl7.eu/fhir/imaging-manifest/StructureDefinition/EuMadoDicomKosDocumentReference"/>
</meta>
<language value="en"/>
<text>
<status value="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: DocumentReference docref-kos-example</b></p><a name="docref-kos-example"> </a><a name="hcdocref-kos-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-EuMadoDicomKosDocumentReference.html">EU MADO MHD DocumentReference Profile for DICOM KOS Imaging Manifests</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
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:
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.
This OID may also be used in CD.codeSystem.">Uniform Resource Identifier (URI)</a>/urn:uuid:11111111-1111-1111-1111-111111110002 (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
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:
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.
This OID may also be used in CD.codeSystem.">Uniform Resource Identifier (URI)</a>/urn:uuid:11111111-1111-1111-1111-111111110002 (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-fhir-example.html">FHIR manifest</a></td></tr></table><p><b>description</b>: DICOM KOS 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><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/dicom</td><td>English</td><td><a href="Binary-kos-binary-example.html">Binary: application/dicom (28 bytes base64)</a></td><td>KOS Imaging Manifest for Imaging Study</td><td>2026-08-21 14:15:32+0200</td></tr></table><p><b>format</b>: DCMUID: 1.2.840.10008.5.1.4.1.1.88.59 (Key Object Selection Document)</p></blockquote><blockquote><p><b>context</b></p><p><b>period</b>: 2022-08-22 08:31:17+0200 --> (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>
</text>
<extension
url="https://profiles.ihe.net/RAD/MADO/StructureDefinition/ext-R5-DocumentReference.modality">
<valueCodeableConcept>
<coding>
<system value="http://dicom.nema.org/resources/ontology/DCM"/>
<code value="CT"/>
</coding>
</valueCodeableConcept>
</extension>
<extension
url="https://profiles.ihe.net/RAD/MADO/StructureDefinition/ext-R5-DocumentReference.bodySite">
<valueCodeableConcept>
<coding>
<system value="http://snomed.info/sct"/>
<code value="774007"/>
<display value="Structure of head and/or neck"/>
</coding>
</valueCodeableConcept>
</extension>
<masterIdentifier>
<use value="usual"/>
<system value="urn:ietf:rfc:3986"/>
<value value="urn:uuid:11111111-1111-1111-1111-111111110002"/>
</masterIdentifier>
<identifier>
<use value="usual"/>
<system value="urn:ietf:rfc:3986"/>
<value value="urn:uuid:11111111-1111-1111-1111-111111110002"/>
</identifier>
<status value="current"/>
<type>
<coding>
<system value="http://loinc.org"/>
<code value="18748-4"/>
<display value="Diagnostic imaging Study"/>
</coding>
</type>
<category>
<coding>
<system
value="http://hl7.eu/fhir/eu-health-data-api/CodeSystem/eehrxf-document-priority-category-cs"/>
<code value="Medical-Imaging"/>
<display value="Medical-Imaging"/>
</coding>
</category>
<subject>🔗
<reference value="Patient/pat-mado-example"/>
<display value="John DOE"/>
</subject>
<date value="2026-08-21T14:15:32+02:00"/>
<author>🔗
<reference value="Device/device-mado-creator"/>
<display value="IHEeu imaging converter"/>
</author>
<author>🔗
<reference value="Organization/org-mado-creator"/>
<display value="Example Hospital"/>
</author>
<relatesTo>
<code value="transforms"/>
<target>🔗
<reference value="DocumentReference/docref-fhir-example"/>
<display value="FHIR manifest"/>
</target>
</relatesTo>
<description
value="DICOM KOS Imaging Manifest for Imaging Study: Head CT (urn:oid:1.2.250.1.59.40211.22756022.2.1.101)"/>
<content>
<attachment>
<contentType value="application/dicom"/>
<language value="en"/>
<url value="Binary/kos-binary-example"/>
<title value="KOS Imaging Manifest for Imaging Study"/>
<creation value="2026-08-21T14:15:32+02:00"/>
</attachment>
<format>
<system value="http://dicom.nema.org/resources/ontology/DCMUID"/>
<code value="1.2.840.10008.5.1.4.1.1.88.59"/>
<display value="Key Object Selection Document"/>
</format>
</content>
<context>
<period>
<start value="2022-08-22T08:31:17+02:00"/>
</period>
<facilityType>
<coding>
<system value="http://snomed.info/sct"/>
<code value="22232009"/>
<display value="Hospital"/>
</coding>
</facilityType>
<practiceSetting>
<coding>
<system value="http://snomed.info/sct"/>
<code value="394914008"/>
<display value="Radiology"/>
</coding>
</practiceSetting>
<related>
<type value="ImagingStudy"/>
<identifier>
<type>
<coding>
<system value="http://dicom.nema.org/resources/ontology/DCM"/>
<code value="110180"/>
<display value="Study Instance UID"/>
</coding>
</type>
<system value="urn:dicom:uid"/>
<value value="urn:oid:1.2.250.1.59.40211.22756022.2.1.101"/>
</identifier>
</related>
<related>
<type value="ServiceRequest"/>
<identifier>
<type>
<coding>
<system value="http://dicom.nema.org/resources/ontology/DCM"/>
<code value="121022"/>
<display value="Accession Number"/>
</coding>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="ACSN"/>
<display value="Accession ID"/>
</coding>
</type>
<system value="http://example.org/fhir/ris-ids"/>
<value value="1731954284869428"/>
</identifier>
</related>
</context>
</DocumentReference>
IG © 2025+ HL7 Europe.
Package hl7.fhir.eu.imaging-manifest#1.0.0-ballot based on FHIR 4.0.1.
Generated
2026-10-16
