description: MADO specific profile for the IHE-MHD Document Reference for MADO DICOM KOS Manifests that includes the MADO specific content format, the extensions\nrelated to body-site and modality, and the definition on where `StudyInstanceUID` and `AccessionNumber` are stored. \n\nThis profile requires `context.period` and copies most of the restrictions defined in the [MHD DocumentReference Comprehensive](https://profiles.ihe.net/ITI/MHD/StructureDefinition-IHE.MHD.Comprehensive.DocumentReference.html) \nprofiles (except `securityLabel`).\n
package_name: ihe.rad.mado
derivation: constraint
name: MadoDicomKosDocumentReference
type: DocumentReference
elements:
  category: {short: 'Categorization of document, see section 6.X.6 of volume 3.', index: 8}
  content:
    short: Clinical context of the manifest
    index: 19
    elements:
      attachment:
        elements:
          contentType:
            pattern: {type: Code, value: application/dicom}
            index: 20
          language: {index: 21}
          creation: {index: 22}
        required: [language, creation]
      format:
        pattern:
          type: Coding
          value: {code: 1.2.840.10008.5.1.4.1.1.88.59, system: 'http://dicom.nema.org/resources/ontology/DCMUID', display: Key Object Selection Document}
        index: 23
  type: {short: 'Kind of document (LOINC if possible), see section 6.X.6 of volume 3.', index: 7}
  author:
    short: Who and/or what authored the document (i.e. manifest)
    index: 10
    slicing:
      rules: open
      ordered: false
      discriminator:
      - {path: $this.resolve(), type: profile}
      min: null
      slices:
        source-organization:
          match: {}
          schema:
            type: Reference
            short: The organization that generated the manifest.
            refers: ['https://profiles.ihe.net/RAD/MADO/StructureDefinition/MadoCreatorOrganization']
            index: 11
          min: 0
          max: 1
        source-device:
          match: {}
          schema:
            type: Reference
            short: The device that generated the manifest.
            refers: ['https://profiles.ihe.net/RAD/MADO/StructureDefinition/MadoCreator']
            index: 12
          min: 0
          max: 1
  extension:
    index: 0
    slicing:
      rules: open
      ordered: false
      discriminator:
      - {path: url, type: value}
      min: 1
      slices:
        bodysite:
          match: {url: null}
          schema:
            short: The anatomical region of the patient that is the focus of the imaging manifest, concept field is required.
            type: Extension
            mustSupport: true
            url: https://profiles.ihe.net/RAD/MADO/StructureDefinition/ext-R5-DocumentReference.bodySite
            index: 1
            elements:
              value:
                choices: []
                index: 3
        modality:
          match: {url: null}
          schema: {type: Extension, mustSupport: true, url: 'https://profiles.ihe.net/RAD/MADO/StructureDefinition/ext-R5-DocumentReference.modality', index: 4}
          min: 1
  masterIdentifier: {short: The SOP Instance UID of the DICOM KOS manifest., index: 5}
  custodian: {short: Organization which maintains the document (i.e. manifest), index: 14}
  identifier: {index: 6}
  relatesTo:
    index: 15
    slicing:
      rules: open
      ordered: false
      discriminator:
      - {path: code, type: value}
      min: null
      slices:
        fhir-reference:
          match: {code: transforms}
          schema:
            short: Reference to the DocumentReference resource that contains the FHIR Imaging Study Manifest that corresponds to this imaging manifest in DICOM KOS format
            index: 16
            elements:
              code:
                pattern: {type: Code, value: transforms}
                index: 17
              target:
                type: Reference
                refers: ['https://profiles.ihe.net/RAD/MADO/StructureDefinition/MadoFhirDocumentReference']
                index: 18
  context:
    index: 24
    elements:
      event: {short: 'Main clinical acts documented, could include the study procedure codes.', index: 25}
      period:
        index: 26
        elements:
          start: {short: The start time of the study referred to by the manifest, index: 27}
        required: [start]
      facilityType: {index: 28}
      practiceSetting: {index: 29}
      related:
        index: 30
        slicing:
          rules: open
          ordered: false
          discriminator:
          - {path: identifier, type: profile}
          min: 1
          slices:
            study-instance-uid:
              match: {}
              schema:
                short: 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.
                refers: ['http://hl7.org/fhir/StructureDefinition/Resource|4.0.1']
                type: Reference
                mustSupport: true
                _required: true
                index: 31
              min: 1
              max: 1
            accession-number:
              match: {}
              schema:
                short: 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.
                refers: ['http://hl7.org/fhir/StructureDefinition/Resource|4.0.1']
                type: Reference
                mustSupport: true
                index: 32
              min: 0
              max: 1
    required: [related, practiceSetting, period, facilityType]
  subject: {index: 9}
  authenticator: {short: Who/what authenticated the document (i.e. manifest), index: 13}
package_version: 1.0.0
extensions:
  bodysite:
    url: https://profiles.ihe.net/RAD/MADO/StructureDefinition/ext-R5-DocumentReference.bodySite
    short: The anatomical region of the patient that is the focus of the imaging manifest, concept field is required.
    type: Extension
    mustSupport: true
    index: 1
    elements:
      value:
        choices: []
        index: 3
  modality: {url: 'https://profiles.ihe.net/RAD/MADO/StructureDefinition/ext-R5-DocumentReference.modality', min: 1, type: Extension, mustSupport: true, index: 4}
class: profile
kind: resource
url: https://profiles.ihe.net/RAD/MADO/StructureDefinition/MadoDicomKosDocumentReference
base: https://profiles.ihe.net/ITI/MHD/StructureDefinition/IHE.MHD.Minimal.DocumentReference
version: 1.0.0
required: [extension, context, identifier, subject, type, category]