Manifest-based Access to DICOM Objects (MADO)
1.0.0 - trial-use

Manifest-based Access to DICOM Objects (MADO) - Downloaded Version 1.0.0 See the Directory of published versions

## : DocumentReference Example for FHIR Imaging Study Manifest - TTL Representation

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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/DocumentReferenceFHIR> a fhir:DocumentReference ;
      fhir:nodeRole fhir:treeRoot ;
      fhir:Resource.id [ fhir:value "DocumentReferenceFHIR"] ;
      fhir:Resource.meta [
         fhir:Meta.profile [
           fhir:value "https://profiles.ihe.net/RAD/MADO/StructureDefinition/MadoFhirDocumentReference" ;
           fhir:index 0 ;
           fhir:link <https://profiles.ihe.net/RAD/MADO/StructureDefinition/MadoFhirDocumentReference>
         ]
      ] ;
      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 DocumentReferenceFHIR</b></p><a name=\"DocumentReferenceFHIR\"> </a><a name=\"hcDocumentReferenceFHIR\"> </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-MadoFhirDocumentReference.html\">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 MR}\">Magnetic Resonance</span></p><p><b>Extension: DocumentReference.bodySite</b>: <span title=\"Codes:{http://snomed.info/sct 61685007}\">Lower limb structure</span></p><p><b>masterIdentifier</b>: <code>http://www.example.com/identifiers/documentreference</code>/koewopfwjqoddasf (use: usual, )</p><p><b>identifier</b>: <code>http://www.example.com/identifiers/documentreference</code>/koewopfwjqoddasf (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://loinc.org 18748-4}\">Diagnostic imaging study</span></p><p><b>subject</b>: <a href=\"Patient-ExamplePatient.html\">Pietje Puk  Male, DoB Unknown ( Medical Record number: PID_666 (use: official, ))</a></p><p><b>date</b>: 2025-05-08 00:00:00+0000</p><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-DocumentReferenceKOS.html\">DocumentReference: extension = Magnetic Resonance,Lower limb structure; masterIdentifier = urn:dicom:uid#DICOM Unique Id#1.2.392.200140.2.1.1.1.2.799008771.2076.1519721309.448 (use: usual, ); identifier = urn:dicom:uid#DICOM Unique Id#1.2.392.200140.2.1.1.1.2.799008771.2076.1519721309.448 (use: usual, ); status = current; type = Diagnostic imaging study; category = Diagnostic imaging study; date = 2025-05-08 00:00:00+0000</a></td></tr></table><blockquote><p><b>content</b></p><blockquote><p><b>R5: Content profile rules for the document (new)</b></p><ul><li>value: <a href=\"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>Creation</b></td></tr><tr><td style=\"display: none\">*</td><td>application/fhir+json</td><td>German (Germany)</td><td>Bundle/fhir-manifest-bundle</td><td>2025-05-08 00:00:00+0000</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>: 2018-02-27 09:48:29+0100 --&gt; (ongoing)</p><p><b>facilityType</b>: <span title=\"Codes:{http://snomed.info/sct 79491001}\">Hospital-based radiology facility</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/1.2.392.200140.2.1.1.1.2.799008771.2076.1519721309.448</li><li>Identifier: Accession Id/2017092101</li></ul></blockquote></div>"
      ] ;
      fhir:DomainResource.extension [
         fhir:index 0 ;
         fhir:Extension.url [ fhir:value "https://profiles.ihe.net/RAD/MADO/StructureDefinition/ext-R5-DocumentReference.modality" ] ;
         fhir:Extension.valueCodeableConcept [
           fhir:CodeableConcept.coding [
             fhir:index 0 ;
             fhir:Coding.system [ fhir:value "http://dicom.nema.org/resources/ontology/DCM" ] ;
             fhir:Coding.code [ fhir:value "MR" ]
           ]
         ]
      ], [
         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 0 ;
             a sct:61685007 ;
             fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
             fhir:Coding.code [ fhir:value "61685007" ]
           ]
         ]
      ] ;
      fhir:DocumentReference.masterIdentifier [
         fhir:Identifier.use [ fhir:value "usual" ] ;
         fhir:Identifier.system [ fhir:value "http://www.example.com/identifiers/documentreference" ] ;
         fhir:Identifier.value [ fhir:value "koewopfwjqoddasf" ]
      ] ;
      fhir:DocumentReference.identifier [
         fhir:index 0 ;
         fhir:Identifier.use [ fhir:value "usual" ] ;
         fhir:Identifier.system [ fhir:value "http://www.example.com/identifiers/documentreference" ] ;
         fhir:Identifier.value [ fhir:value "koewopfwjqoddasf" ]
      ] ;
      fhir:DocumentReference.status [ fhir:value "current"] ;
      fhir:DocumentReference.type [
         fhir:CodeableConcept.coding [
           fhir:index 0 ;
           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 0 ;
         fhir:CodeableConcept.coding [
           fhir:index 0 ;
           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.subject [
         fhir:link <http://hl7.org/fhir/Patient/ExamplePatient> ;
         fhir:Reference.reference [ fhir:value "Patient/ExamplePatient" ]
      ] ;
      fhir:DocumentReference.date [ fhir:value "2025-05-08T00:00:00Z"^^xsd:dateTime] ;
      fhir:DocumentReference.relatesTo [
         fhir:index 0 ;
         fhir:DocumentReference.relatesTo.code [ fhir:value "transforms" ] ;
         fhir:DocumentReference.relatesTo.target [
           fhir:link <http://hl7.org/fhir/DocumentReference/DocumentReferenceKOS> ;
           fhir:Reference.reference [ fhir:value "DocumentReference/DocumentReferenceKOS" ]
         ]
      ] ;
      fhir:DocumentReference.content [
         fhir:index 0 ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Element.extension [
             fhir:index 0 ;
             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 "de-DE" ] ;
           fhir:Attachment.url [ fhir:value "Bundle/fhir-manifest-bundle" ] ;
           fhir:Attachment.creation [ fhir:value "2025-05-08T00:00:00Z"^^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 "2018-02-27T09:48:29+01:00"^^xsd:dateTime ]
         ] ;
         fhir:DocumentReference.context.facilityType [
           fhir:CodeableConcept.coding [
             fhir:index 0 ;
             a sct:79491001 ;
             fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
             fhir:Coding.code [ fhir:value "79491001" ] ;
             fhir:Coding.display [ fhir:value "Hospital-based radiology facility" ]
           ]
         ] ;
         fhir:DocumentReference.context.practiceSetting [
           fhir:CodeableConcept.coding [
             fhir:index 0 ;
             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 0 ;
           fhir:Reference.identifier [
             fhir:Identifier.type [
               fhir:CodeableConcept.coding [
                 fhir:index 0 ;
                 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 "1.2.392.200140.2.1.1.1.2.799008771.2076.1519721309.448" ]
           ]
         ], [
           fhir:index 1 ;
           fhir:Reference.identifier [
             fhir:Identifier.type [
               fhir:CodeableConcept.coding [
                 fhir:index 0 ;
                 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: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:Identifier.system [ fhir:value "http://hospital.org/acc" ] ;
             fhir:Identifier.value [ fhir:value "2017092101" ]
           ]
         ]
      ] .

    <http://hl7.org/fhir/Patient/ExamplePatient> a fhir:Patient .

    <http://hl7.org/fhir/DocumentReference/DocumentReferenceKOS> a fhir:DocumentReference .

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

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