FHIRsmith: DocumentReference/DocumentReference-docref-kos-example.json

FHIR IG analytics

Package	hl7.fhir.eu.imaging-manifest
Resource Type	DocumentReference
Id	DocumentReference-docref-kos-example.json
FHIR Version	R4

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Narrative

Note: links and images are rebased to the (stated) source

Generated Narrative: DocumentReference docref-kos-example

Profile: EU MADO MHD DocumentReference Profile for DICOM KOS Imaging Manifests

Extension: DocumentReference.modality (R5 cross-version): Computed Tomography

Extension: DocumentReference.bodySite: Structure of head and/or neck

masterIdentifier: Uniform Resource Identifier (URI)/urn:uuid:11111111-1111-1111-1111-111111110002 (use: usual, )

identifier: Uniform Resource Identifier (URI)/urn:uuid:11111111-1111-1111-1111-111111110002 (use: usual, )

status: Current

type: Diagnostic imaging Study

category: Medical-Imaging

subject: John DOE

date: 2026-08-21 14:15:32+0200

author:

RelatesTos

Code

Target

Transforms

FHIR manifest

description: DICOM KOS Imaging Manifest for Imaging Study: Head CT (urn:oid:1.2.250.1.59.40211.22756022.2.1.101)

content
Attachments
- ContentType Language Url Title Creation
* application/dicom English Binary: application/dicom (28 bytes base64) KOS Imaging Manifest for Imaging Study 2026-08-21 14:15:32+0200
format: DCMUID: 1.2.840.10008.5.1.4.1.1.88.59 (Key Object Selection Document)

context
period: 2022-08-22 08:31:17+0200 --> (ongoing)
facilityType: Hospital
practiceSetting: Radiology
related:
Identifier: Study Instance UID/urn:oid:1.2.250.1.59.40211.22756022.2.1.101
Identifier: Accession Number/1731954284869428

Source1

{
  "resourceType": "DocumentReference",
  "id": "docref-kos-example",
  "meta": {
    "profile": [
      "http://hl7.eu/fhir/imaging-manifest/StructureDefinition/EuMadoDicomKosDocumentReference"
    ]
  },
  "text": {
    "status": "extensions",
    "div": "<!-- snip (see above) -->"
  },
  "extension": [
    {
      "url": "https://profiles.ihe.net/RAD/MADO/StructureDefinition/ext-R5-DocumentReference.modality",
      "valueCodeableConcept": {
        "coding": [
          {
            "system": "http://dicom.nema.org/resources/ontology/DCM",
            "code": "CT"
          }
        ]
      }
    },
    {
      "url": "https://profiles.ihe.net/RAD/MADO/StructureDefinition/ext-R5-DocumentReference.bodySite",
      "valueCodeableConcept": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "774007",
            "display": "Structure of head and/or neck"
          }
        ]
      }
    }
  ],
  "masterIdentifier": {
    "use": "usual",
    "system": "urn:ietf:rfc:3986",
    "value": "urn:uuid:11111111-1111-1111-1111-111111110002"
  },
  "identifier": [
    {
      "use": "usual",
      "system": "urn:ietf:rfc:3986",
      "value": "urn:uuid:11111111-1111-1111-1111-111111110002"
    }
  ],
  "status": "current",
  "type": {
    "coding": [
      {
        "system": "http://loinc.org",
        "code": "18748-4",
        "display": "Diagnostic imaging Study"
      }
    ]
  },
  "category": [
    {
      "coding": [
        {
          "system": "http://hl7.eu/fhir/eu-health-data-api/CodeSystem/eehrxf-document-priority-category-cs",
          "code": "Medical-Imaging",
          "display": "Medical-Imaging"
        }
      ]
    }
  ],
  "subject": {
    "reference": "Patient/pat-mado-example",
    "display": "John DOE"
  },
  "date": "2026-08-21T14:15:32+02:00",
  "author": [
    {
      "reference": "Device/device-mado-creator",
      "display": "IHEeu imaging converter"
    },
    {
      "reference": "Organization/org-mado-creator",
      "display": "Example Hospital"
    }
  ],
  "relatesTo": [
    {
      "code": "transforms",
      "target": {
        "reference": "DocumentReference/docref-fhir-example",
        "display": "FHIR manifest"
      }
    }
  ],
  "description": "DICOM KOS Imaging Manifest for Imaging Study: Head CT (urn:oid:1.2.250.1.59.40211.22756022.2.1.101)",
  "content": [
    {
      "attachment": {
        "contentType": "application/dicom",
        "language": "en",
        "url": "Binary/kos-binary-example",
        "title": "KOS Imaging Manifest for Imaging Study",
        "creation": "2026-08-21T14:15:32+02:00"
      },
      "format": {
        "system": "http://dicom.nema.org/resources/ontology/DCMUID",
        "code": "1.2.840.10008.5.1.4.1.1.88.59",
        "display": "Key Object Selection Document"
      }
    }
  ],
  "context": {
    "period": {
      "start": "2022-08-22T08:31:17+02:00"
    },
    "facilityType": {
      "coding": [
        {
          "system": "http://snomed.info/sct",
          "code": "22232009",
          "display": "Hospital"
        }
      ]
    },
    "practiceSetting": {
      "coding": [
        {
          "system": "http://snomed.info/sct",
          "code": "394914008",
          "display": "Radiology"
        }
      ]
    },
    "related": [
      {
        "type": "ImagingStudy",
        "identifier": {
          "type": {
            "coding": [
              {
                "system": "http://dicom.nema.org/resources/ontology/DCM",
                "code": "110180",
                "display": "Study Instance UID"
              }
            ]
          },
          "system": "urn:dicom:uid",
          "value": "urn:oid:1.2.250.1.59.40211.22756022.2.1.101"
        }
      },
      {
        "type": "ServiceRequest",
        "identifier": {
          "type": {
            "coding": [
              {
                "system": "http://dicom.nema.org/resources/ontology/DCM",
                "code": "121022",
                "display": "Accession Number"
              },
              {
                "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                "code": "ACSN",
                "display": "Accession ID"
              }
            ]
          },
          "system": "http://example.org/fhir/ris-ids",
          "value": "1731954284869428"
        }
      }
    ]
  }
}