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Narrative

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Source1

{
  "resourceType": "DocumentReference",
  "id": "mado-documentreference-kos--2047166866",
  "text": {
    "status": "extensions",
    "div": "<!-- snip (see above) -->"
  },
  "extension": [
    {
      "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-DocumentReference.modality",
      "valueCodeableConcept": {
        "coding": [
          {
            "system": "http://dicom.nema.org/resources/ontology/DCM",
            "code": "CT"
          }
        ]
      }
    }
  ],
  "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-mrn--1097192655",
    "type": "Patient",
    "display": "John DOE"
  },
  "date": "2022-08-22T08:31:17.658+02:00",
  "description": "Imaging Manifest for Imaging Study: Head CT on CT of Head (urn:oid:1.2.250.1.59.40211.22756022.2.1.101)",
  "content": [
    {
      "extension": [
        {
          "extension": [
            {
              "url": "value[x]",
              "valueUri": "https://profiles.ihe.net/RAD/MADO/StructureDefinition/MadoFhirBundle"
            }
          ],
          "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-DocumentReference.content.profile"
        }
      ],
      "attachment": {
        "contentType": "application/dicom",
        "url": "Binary/dicom-kos-mado--2047166866",
        "title": "KOS Imaging Manifest for Imaging Study",
        "creation": "2026-06-19T17:00:57+02:00"
      },
      "format": {
        "system": "http://dicom.nema.org/resources/CodeSystem/DICOM_UIDs",
        "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"
    },
    "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"
        }
      }
    ]
  }
}