EU MADO MHD DocumentReference Profile for FHIR Imaging Study Manifest - EU Imaging Manifest and Access (IHE-MADO additions) v1.0.0-ballot

DocumentReference.Slices for extension.extension:bodysite.extension 0..0 Extension
Slice: Unordered, Open by value:url

DocumentReference.Slices for extension.extension:bodysite.url 1..1 uri "https://profiles.ihe.net/RAD/MADO/StructureDefinition/ext-R5-DocumentReference.bodySite"

DocumentReference.Slices for extension.extension:bodysite.value[x] 0..1 CodeableConcept The anatomical region of the patient that is the focus of the imaging manifest, concept field is required.
Binding: ValueSet: Anatomical Region (required)

extension:modality

1..*

Extension: DocumentReference.modality (R5 cross-version)
URL: https://profiles.ihe.net/RAD/MADO/StructureDefinition/ext-R5-DocumentReference.modality

Obligations

Actor

SHALL:able-to-populate

DocumentReference.masterIdentifier This element is included in summaries. 1..1 UniqueIdIdentifier The identifier of the FHIR Imaging Study Manifest.

Slices for identifier

1..*

Identifier

Other identifiers for the document
Slice: Unordered, Open by value:use

Obligations

Actor

SHALL:able-to-populate

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them

identifier:entryUUID

0..*

EntryUUIDIdentifier

Other identifiers for the document

Obligations

Actor

SHOULD:able-to-populate

DocumentReference.status This element is a modifier element. This element is included in summaries. 1..1 code current | superseded | entered-in-error
Binding: MHD DocumentReference status codes (required)

type

1..1

Kind of document (LOINC if possible), see section 6.X.6 of volume 3.
Binding: DocumentTypeValueSet (preferred): Precise type of clinical document.
Required Pattern:

{
  "coding" : [
    {
      "system" : "http://loinc.org",
      "code" : "18748-4"
    }
  ]
}

Obligations

Actor

SHALL:populate

category

1..1

Categorization of document, see section 6.X.6 of volume 3.
Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.

Obligations

Actor

SHALL:populate

Reference(EU MADO Patient)

subject

1..1

Who/what is the subject of the document

Obligations

Actor

SHALL:populate

date

0..1

instant

When this document reference was created

Obligations

Actor

SHALL:able-to-populate

Slices for author

0..*

Who and/or what authored the document (i.e. manifest)
Slice: Unordered, Open by profile:$this.resolve()

Obligations

Actor

SHOULD:able-to-populate

author:source-organization

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them

0..1

Reference(EU MADO Creator Organization)

The organization that generated the manifest.

Obligations

Actor

SHALL:able-to-populate

Reference(EU MADO Creator)

author:source-device

0..1

The device that generated the manifest.

Obligations

Actor

SHALL:able-to-populate

DocumentReference.Slices for relatesTo This element must be supported. This element is included in summaries. 0..* BackboneElement Relationships to other documents
Slice: Unordered, Open by value:code

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them

DocumentReference.Slices for relatesTo.relatesTo:All Slices Content/Rules for all slices

DocumentReference.Slices for relatesTo.relatesTo:All Slices.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized

DocumentReference.Slices for relatesTo.relatesTo:All Slices.code This element is included in summaries. 1..1 code replaces | transforms | signs | appends
Binding: DocumentRelationshipType (required): The type of relationship between documents.

DocumentReference.Slices for relatesTo.relatesTo:All Slices.target This element is included in summaries. 1..1 Reference(DocumentReference) Target of the relationship

relatesTo:kos-reference

0..1

Reference to the DocumentReference resource that contains the DICOM KOS manifest that corresponds to this imaging manifest in FHIR format

Obligations

Actor

SHOULD:able-to-populate

Reference(EU MADO MHD DocumentReference Profile for DICOM KOS Imaging Manifests)

DocumentReference.Slices for relatesTo.relatesTo:kos-reference.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized

DocumentReference.Slices for relatesTo.relatesTo:kos-reference.code This element is included in summaries. 1..1 code replaces | transforms | signs | appends
Binding: DocumentRelationshipType (required): The type of relationship between documents.
Required Pattern: transforms (extensions allowed)

target

1..1

Target of the relationship

Obligations

Actor

SHALL:populate

securityLabel

0..*

Document security-tags
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.

Obligations

Actor

MAY:able-to-populate

DocumentReference.content This element is included in summaries. 1..1 BackboneElement Clinical context of the manifest

DocumentReference.content.Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url

DocumentReference.content.Slices for extension.extension:profile 1..* (Complex) Contains the profile of the referred report
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DocumentReference.content.profile
Constraints: ext-1

DocumentReference.content.Slices for extension.extension:profile.Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
Constraints: ext-1

DocumentReference.content.Slices for extension.extension:profile.Slices for extension Content/Rules for all slices

DocumentReference.content.Slices for extension.extension:profile.Slices for extension.extension:value 1..1 Extension Extension
Constraints: ext-1

DocumentReference.content.Slices for extension.extension:profile.Slices for extension.extension:value.extension 0..0 Extension
Slice: Unordered, Open by value:url
Constraints: ext-1

DocumentReference.content.Slices for extension.extension:profile.Slices for extension.extension:value.url 1..1 uri "value"

DocumentReference.content.Slices for extension.extension:profile.Slices for extension.extension:value.Slices for value[x] 1..1 Code|uri|canonical
Slice: Unordered, Open by type:$this
Binding: R5V3HL7FormatCodesForR4 (0.1.0) (preferred): Document Format Codes.

DocumentReference.content.Slices for extension.extension:profile.Slices for extension.extension:value.Slices for value[x].valueCoding Coding

DocumentReference.content.Slices for extension.extension:profile.Slices for extension.extension:value.Slices for value[x].valueUri uri

DocumentReference.content.Slices for extension.extension:profile.Slices for extension.extension:value.Slices for value[x].valueCanonical canonical(Any)

DocumentReference.content.Slices for extension.extension:profile.Slices for extension.extension:value.Slices for value[x] Content/Rules for all slices

DocumentReference.content.Slices for extension.extension:profile.Slices for extension.extension:value.Slices for value[x].value[x]:valueCanonical 0..1 canonical() Code|uri|canonical
Required Pattern: https://profiles.ihe.net/RAD/MADO/StructureDefinition/MadoFhirBundle (extensions allowed)

DocumentReference.content.Slices for extension.extension:profile.url 1..1 uri "http://hl7.org/fhir/5.0/StructureDefinition/extension-DocumentReference.content.profile"

DocumentReference.content.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized

DocumentReference.content.attachment This element is included in summaries. 1..1 Attachment Where to access the document

DocumentReference.content.attachment.contentType This element is included in summaries. 1..1 code Mime type of the content, with charset etc.
Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed.
Required Pattern: application/fhir+json (extensions allowed)

language

1..1

code

Human language of the content (BCP-47)
Binding: CommonLanguages (preferred): A human language.

Additional Bindings

Purpose

AllLanguages

Max Binding

Example General: en-AU

Obligations

Actor

SHOULD:able-to-populate

DocumentReference.content.attachment.url This element is included in summaries. 1..1 url Uri where the data can be found
Example General: http://www.acme.com/logo-small.png

creation

1..1

dateTime

Date attachment was first created

Obligations

Actor

SHOULD:able-to-populate

format

1..1

Coding

Format/content rules for the document
Binding: IHE_FormatCode_vs (1.5.0) (preferred)

Obligations

Actor

SHOULD:able-to-populate

DocumentReference.content.format.system This element is included in summaries. 0..1 uri Identity of the terminology system
Fixed Value: http://ihe.net/fhir/ihe.formatcode.fhir/CodeSystem/formatcode (no extensions allowed)

DocumentReference.content.format.code This element is included in summaries. 0..1 code Symbol in syntax defined by the system
Fixed Value: urn:ihe:rad:MADO:fhir-manifest:2026 (no extensions allowed)

context

1..1

Clinical context of document

Obligations

Actor

SHOULD:able-to-populate

DocumentReference.context.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized

period

1..1

Period

Time of service that is being documented

Obligations

Actor

SHOULD:able-to-populate

DocumentReference.context.period.start This element is included in summaries. C 1..1 dateTime The start time of the study referred to by the manifest

facilityType

1..1

Kind of facility where patient was seen
Binding: FacilityTypeCodeValueSet (example): XDS Facility Type.

Obligations

Actor

SHOULD:able-to-populate

practiceSetting

1..1

Additional details about where the content was created (e.g. clinical specialty)
Binding: PracticeSettingCodeValueSet (example): Additional details about where the content was created (e.g. clinical specialty).

Obligations

Actor

SHOULD:able-to-populate

sourcePatientInfo

0..1

Reference(Patient)

Patient demographics from source

Obligations

Actor

SHOULD:able-to-populate

Documentation for this format

DocumentReference.context.Slices for related 1..* Reference(Resource) Related identifiers or resources
Slice: Unordered, Open by profile:identifier

DocumentReference.context.Slices for related.related:study-instance-uid This element must be supported. 1..1 MadoReferencedStudyInstanceUidIdentifier (Resource) The Study Instance UID of the imaging study that is the focus of the imaging manifest, represented as an Identifier with a fixed system and a value that corresponds to the Study Instance UID.

DocumentReference.context.Slices for related.related:accession-number This element must be supported. 0..1 MadoReferencedAccessionNumberIdentifier (Resource) The Accession Number of the imaging study that is the focus of the imaging manifest, represented as an Identifier with a fixed system and a value that corresponds to the Accession Number.

Name	Content Creator/Document Source (Imaging Manifest)
DocumentReference
DocumentReference / Slices for extension
DocumentReference / Slices for extension / extension:bodysite	SHALL:able-to-populate
DocumentReference / Slices for extension / extension:modality	SHALL:able-to-populate
DocumentReference / Slices for identifier	SHALL:able-to-populate
DocumentReference / Slices for identifier / identifier:entryUUID	SHOULD:able-to-populate
DocumentReference / type	SHALL:populate
DocumentReference / category	SHALL:populate
DocumentReference / subject	SHALL:populate
DocumentReference / date	SHALL:able-to-populate
DocumentReference / Slices for author	SHOULD:able-to-populate
DocumentReference / Slices for author / author:source-organization	SHALL:able-to-populate
DocumentReference / Slices for author / author:source-device	SHALL:able-to-populate
DocumentReference / Slices for relatesTo
DocumentReference / Slices for relatesTo / relatesTo:kos-reference	SHOULD:able-to-populate
DocumentReference / Slices for relatesTo / relatesTo:kos-reference / target	SHALL:populate
DocumentReference / securityLabel	MAY:able-to-populate
DocumentReference / content
DocumentReference / content / Slices for extension
DocumentReference / content / attachment
DocumentReference / content / attachment / language	SHOULD:able-to-populate
DocumentReference / content / attachment / creation	SHOULD:able-to-populate
DocumentReference / content / format	SHOULD:able-to-populate
DocumentReference / context	SHOULD:able-to-populate
DocumentReference / context / period	SHOULD:able-to-populate
DocumentReference / context / facilityType	SHOULD:able-to-populate
DocumentReference / context / practiceSetting	SHOULD:able-to-populate
DocumentReference / context / sourcePatientInfo	SHOULD:able-to-populate
DocumentReference / context / Slices for related
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
DocumentReference.extension:bodysite.value[x]	Base	required	ValueSet: Anatomical Region	📦1.0.0	Manifest-based Access to DICOM Objects v1.0
DocumentReference.status	Base	required	MHD DocumentReference status codes	📦4.2.3	Mobile access to Health Documents v4.2
DocumentReference.type	Base	preferred	Document Type Value Set	📍4.0.1	FHIR Std.
DocumentReference.category	Base	example	Document Class Value Set	📍4.0.1	FHIR Std.
DocumentReference.relatesTo.code	Base	required	DocumentRelationshipType	📍4.0.1	FHIR Std.
DocumentReference.relatesTo:kos-reference.code	Base	required	DocumentRelationshipType	📍4.0.1	FHIR Std.
DocumentReference.securityLabel	Base	extensible	SecurityLabels	📍4.0.1	FHIR Std.
DocumentReference.content.extension:profile.extension:value.value[x]	Base	preferred	Cross-version ValueSet R5.HL7FormatCodes for use in FHIR R4	📍0.1.0	Extensions for Using Data Elements from FHIR R5 in FHIR R4 v0.1
DocumentReference.content.attachment.contentType	Base	required	MimeType	📍4.0.1	FHIR Std.
DocumentReference.content.attachment.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
DocumentReference.content.format	Base	preferred	IHE ValueSet of Format Codes for use with Document Sharing	📍1.5.0	IHE FormatCode Vocabulary v1.5
DocumentReference.context.facilityType	Base	example	Facility Type Code Value Set	📍4.0.1	FHIR Std.
DocumentReference.context.practiceSetting	Base	example	Practice Setting Code Value Set	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	DocumentReference	If the resource is contained in another resource, it SHALL NOT contain nested Resources	`contained.contained.empty()`
dom-3	error	DocumentReference	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	`contained.where((('#'+id in (%resource.descendants().reference \| %resource.descendants().as(canonical) \| %resource.descendants().as(uri) \| %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4	error	DocumentReference	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	`contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5	error	DocumentReference	If a resource is contained in another resource, it SHALL NOT have a security label	`contained.meta.security.empty()`
dom-6	best practice	DocumentReference	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	ALL elements	All FHIR elements must have a @value or children	`hasValue() or (children().count() > id.count())`
ext-1	error	ALL extensions	Must have either extensions or value[x], not both	`extension.exists() != value.exists()`
mado-docref-1	error	DocumentReference	masterIdentifier, when used, need to be present as an identifier as well	`masterIdentifier.exists() implies identifier.where( %resource.masterIdentifier.system = system and %resource.masterIdentifier.value = value ).exists()`

This structure is derived from MadoFhirDocumentReference

Description & Constraints Filter:

DocumentReference 0..* MadoFhirDocumentReference A reference to a document

DocumentReference.extension 2..* Extension Extension

DocumentReference.Slices for extension Content/Rules for all slices

extension:bodysite

1..*

MadoDocumentReferenceBodySite

Extension: DocumentReference.bodySite

Obligations

Actor

SHALL:able-to-populate

MadoDocumentReferenceModality

extension:modality

1..*

Extension: DocumentReference.modality (R5 cross-version)

Obligations

Actor

SHALL:able-to-populate

identifier

1..*

Identifier

Other identifiers for the document

Obligations

Actor

SHALL:able-to-populate

DocumentReference.Slices for identifier Content/Rules for all slices

identifier:entryUUID

0..*

EntryUUIDIdentifier

Other identifiers for the document

Obligations

Actor

SHOULD:able-to-populate

type

1..1

Kind of document (LOINC if possible), see section 6.X.6 of volume 3.
Required Pattern:

{
  "coding" : [
    {
      "system" : "http://loinc.org",
      "code" : "18748-4"
    }
  ]
}

Obligations

Actor

SHALL:populate

category

1..1

Categorization of document, see section 6.X.6 of volume 3.

Obligations

Actor

SHALL:populate

Reference(EU MADO Patient)

subject

1..1

Who/what is the subject of the document

Obligations

Actor

SHALL:populate

date

0..1

instant

When this document reference was created

Obligations

Actor

SHALL:able-to-populate

author

0..*

Who and/or what authored the document (i.e. manifest)

Obligations

Actor

SHOULD:able-to-populate

author:source-organization

DocumentReference.Slices for author Content/Rules for all slices

0..1

Reference(EU MADO Creator Organization)

The organization that generated the manifest.

Obligations

Actor

SHALL:able-to-populate

Reference(EU MADO Creator)

author:source-device

0..1

The device that generated the manifest.

Obligations

Actor

SHALL:able-to-populate

DocumentReference.Slices for relatesTo Content/Rules for all slices

relatesTo:kos-reference

0..1

Reference to the DocumentReference resource that contains the DICOM KOS manifest that corresponds to this imaging manifest in FHIR format

Obligations

Actor

SHOULD:able-to-populate

Reference(EU MADO MHD DocumentReference Profile for DICOM KOS Imaging Manifests)

target

1..1

Target of the relationship

Obligations

Actor

SHALL:populate

securityLabel

0..*

Document security-tags

Obligations

Actor

MAY:able-to-populate

DocumentReference.content

DocumentReference.content.attachment

language

1..1

code

Human language of the content (BCP-47)

Obligations

Actor

SHOULD:able-to-populate

creation

1..1

dateTime

Date attachment was first created

Obligations

Actor

SHOULD:able-to-populate

format

1..1

Coding

Format/content rules for the document

Obligations

Actor

SHOULD:able-to-populate

context

1..1

Clinical context of document

Obligations

Actor

SHOULD:able-to-populate

period

1..1

Period

Time of service that is being documented

Obligations

Actor

SHOULD:able-to-populate

facilityType

1..1

Kind of facility where patient was seen

Obligations

Actor

SHOULD:able-to-populate

practiceSetting

1..1

Additional details about where the content was created (e.g. clinical specialty)

Obligations

Actor

SHOULD:able-to-populate

sourcePatientInfo

0..1

Reference(Patient)

Patient demographics from source

Obligations

Actor

SHOULD:able-to-populate

Documentation for this format

Name	Content Creator/Document Source (Imaging Manifest)
DocumentReference
DocumentReference / Slices for extension
DocumentReference / Slices for extension / extension:bodysite	SHALL:able-to-populate
DocumentReference / Slices for extension / extension:modality	SHALL:able-to-populate
DocumentReference / identifier	SHALL:able-to-populate
DocumentReference / Slices for identifier
DocumentReference / Slices for identifier / identifier:entryUUID	SHOULD:able-to-populate
DocumentReference / type	SHALL:populate
DocumentReference / category	SHALL:populate
DocumentReference / subject	SHALL:populate
DocumentReference / date	SHALL:able-to-populate
DocumentReference / author	SHOULD:able-to-populate
DocumentReference / Slices for author
DocumentReference / Slices for author / author:source-organization	SHALL:able-to-populate
DocumentReference / Slices for author / author:source-device	SHALL:able-to-populate
DocumentReference / Slices for relatesTo
DocumentReference / Slices for relatesTo / relatesTo:kos-reference	SHOULD:able-to-populate
DocumentReference / Slices for relatesTo / relatesTo:kos-reference / target	SHALL:populate
DocumentReference / securityLabel	MAY:able-to-populate
DocumentReference / content
DocumentReference / content / attachment
DocumentReference / content / attachment / language	SHOULD:able-to-populate
DocumentReference / content / attachment / creation	SHOULD:able-to-populate
DocumentReference / content / format	SHOULD:able-to-populate
DocumentReference / context	SHOULD:able-to-populate
DocumentReference / context / period	SHOULD:able-to-populate
DocumentReference / context / facilityType	SHOULD:able-to-populate
DocumentReference / context / practiceSetting	SHOULD:able-to-populate
DocumentReference / context / sourcePatientInfo	SHOULD:able-to-populate
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
DocumentReference.extension:bodysite.value[x]	Base	required	ValueSet: Anatomical Region	📦1.0.0	Manifest-based Access to DICOM Objects v1.0

Description & Constraints Filter:

DocumentReference C 0..* MadoFhirDocumentReference A reference to a document
Constraints: mado-docref-1

DocumentReference.id This element is included in summaries. 0..1 id Logical id of this artifact

DocumentReference.meta This element is included in summaries. 0..1 Meta Metadata about the resource

DocumentReference.meta.id 0..1 string Unique id for inter-element referencing

DocumentReference.meta.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url

DocumentReference.meta.versionId This element is included in summaries. 0..1 id Version specific identifier

DocumentReference.meta.lastUpdated This element is included in summaries. 0..1 instant When the resource version last changed

DocumentReference.meta.source This element is included in summaries. 0..1 uri Identifies where the resource comes from

DocumentReference.meta.profile This element is included in summaries. 0..* canonical(StructureDefinition) Profiles this resource claims to conform to

DocumentReference.meta.security This element is included in summaries. 0..* Coding Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.

DocumentReference.meta.tag This element is included in summaries. 0..* Coding Tags applied to this resource
Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".

DocumentReference.implicitRules This element is a modifier element. This element is included in summaries. 0..1 uri A set of rules under which this content was created

language

0..1

code

Language of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional Bindings

Purpose

AllLanguages

Max Binding

DocumentReference.text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements

DocumentReference.contained 0..* Resource Contained, inline Resources

extension:bodysite

1..*

(Complex)

Extension: DocumentReference.bodySite
URL: https://profiles.ihe.net/RAD/MADO/StructureDefinition/ext-R5-DocumentReference.bodySite

Obligations

Actor

SHALL:able-to-populate

DocumentReference.Slices for extension.extension:bodysite.id 0..1 string Unique id for inter-element referencing

DocumentReference.Slices for extension.extension:bodysite.extension 0..0 Extension
Slice: Unordered, Open by value:url

DocumentReference.Slices for extension.extension:bodysite.url 1..1 uri "https://profiles.ihe.net/RAD/MADO/StructureDefinition/ext-R5-DocumentReference.bodySite"

extension:modality

1..*

Extension: DocumentReference.modality (R5 cross-version)
URL: https://profiles.ihe.net/RAD/MADO/StructureDefinition/ext-R5-DocumentReference.modality

Obligations

Actor

SHALL:able-to-populate

DocumentReference.masterIdentifier This element is included in summaries. 1..1 UniqueIdIdentifier The identifier of the FHIR Imaging Study Manifest.

Slices for identifier

1..*

Identifier

Other identifiers for the document
Slice: Unordered, Open by value:use

Obligations

Actor

SHALL:able-to-populate

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them

identifier:entryUUID

0..*

EntryUUIDIdentifier

Other identifiers for the document

Obligations

Actor

SHOULD:able-to-populate

type

1..1

Kind of document (LOINC if possible), see section 6.X.6 of volume 3.
Binding: DocumentTypeValueSet (preferred): Precise type of clinical document.
Required Pattern:

{
  "coding" : [
    {
      "system" : "http://loinc.org",
      "code" : "18748-4"
    }
  ]
}

Obligations

Actor

SHALL:populate

category

1..1

Categorization of document, see section 6.X.6 of volume 3.
Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.

Obligations

Actor

SHALL:populate

Reference(EU MADO Patient)

subject

1..1

Who/what is the subject of the document

Obligations

Actor

SHALL:populate

date

0..1

instant

When this document reference was created

Obligations

Actor

SHALL:able-to-populate

Slices for author

0..*

Who and/or what authored the document (i.e. manifest)
Slice: Unordered, Open by profile:$this.resolve()

Obligations

Actor

SHOULD:able-to-populate

author:source-organization

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them

0..1

Reference(EU MADO Creator Organization)

The organization that generated the manifest.

Obligations

Actor

SHALL:able-to-populate

Reference(EU MADO Creator)

author:source-device

0..1

The device that generated the manifest.

Obligations

Actor

SHALL:able-to-populate

DocumentReference.authenticator 0..1 Reference(Practitioner | PractitionerRole | Organization) Who/what authenticated the document (i.e. manifest)

DocumentReference.custodian 0..1 Reference(Organization) Organization which maintains the document (i.e. manifest)

DocumentReference.Slices for relatesTo.relatesTo:All Slices Content/Rules for all slices

DocumentReference.Slices for relatesTo.relatesTo:All Slices.id 0..1 string Unique id for inter-element referencing

DocumentReference.Slices for relatesTo.relatesTo:All Slices.extension 0..* Extension Additional content defined by implementations

DocumentReference.Slices for relatesTo.relatesTo:All Slices.target This element is included in summaries. 1..1 Reference(DocumentReference) Target of the relationship

relatesTo:kos-reference

0..1

Reference to the DocumentReference resource that contains the DICOM KOS manifest that corresponds to this imaging manifest in FHIR format

Obligations

Actor

SHOULD:able-to-populate

Reference(EU MADO MHD DocumentReference Profile for DICOM KOS Imaging Manifests)

DocumentReference.Slices for relatesTo.relatesTo:kos-reference.id 0..1 string Unique id for inter-element referencing

DocumentReference.Slices for relatesTo.relatesTo:kos-reference.extension 0..* Extension Additional content defined by implementations

target

1..1

Target of the relationship

Obligations

Actor

SHALL:populate

DocumentReference.description This element is included in summaries. 0..1 string Human-readable description

securityLabel

0..*

Document security-tags
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.

Obligations

Actor

MAY:able-to-populate