Shared Managament of Radiation Treatments
0.0.1-current - ci-build International flag

Shared Managament of Radiation Treatments, published by IHE Radiation Oncology Technical Committee. This guide is not an authorized publication; it is the continuous build for version 0.0.1-current built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/IHE/RO.SMRT/ and changes regularly. See the Directory of published versions

Resource Profile: SMRT ImagingStudy Profile

Official URL: https://profiles.ihe.net/RO/SMRT/StructureDefinition/smrt-imaging-study Version: 0.0.1-current
Active as of 2026-09-10 Computable Name: SMRTImagingStudy

The SMRT ImagingStudy Profile defines expectations for the FHIR ImagingStudy resource to represent DICOM SOP Instances (such as RT (Ion) Plan, RT Structure Set, RT Dose, etc.) exchanged within SMRT workflows.

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. ImagingStudy 0..* ImagingStudy A set of images produced in single study (one or more series of references images)
... id SΣ 1..1 id Logical id of this artifact
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... Slices for identifier SΣ 1..* Identifier Identifiers for the whole study
Slice: Unordered, Open by pattern:type
.... identifier:StudyUID SΣ 1..1 Identifier Identifiers for the whole study
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
..... type SΣ 1..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://dicom.nema.org/resources/ontology/DCM
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 110180
....... display 1..1 string Representation defined by the system
Fixed Value: Study Instance UID
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... system SΣ 1..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
..... value SΣ 1..1 string The value that is unique
Example General: 123456
... status ?!SΣ 1..1 code registered | available | cancelled | entered-in-error | unknown
Binding: ImagingStudyStatus (required): The status of the ImagingStudy.
... modality SΣ 0..* Coding All series modality if actual acquisition modalities
Binding: Modality . (required)
... subject SΣ 1..1 Reference(Patient) Who or what is the subject of the study
... Slices for endpoint Σ 1..* Reference(Endpoint) Study access endpoint
Slice: Unordered, Open by profile:$this
.... endpoint:dicomEndpoint Σ 1..* Reference(SMRT Endpoint) Study access endpoint
... series SΣ 0..* BackboneElement Each study has one or more series of instances
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... uid SΣ 1..1 id DICOM Series Instance UID for the series
Example General: 2.16.124.113543.6003.2588828330.45298.17418.2723805630
.... modality SΣ 1..1 Coding The modality of the instances in the series
Binding: Modality . (required)
.... instance S 0..* BackboneElement A single SOP instance from the series
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... uid S 1..1 id DICOM SOP Instance UID
Example General: 2.16.124.113543.6003.189642796.63084.16748.2599092903
..... sopClass S 1..1 Coding DICOM class type
Binding: http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1 (extensible): The sopClass for the instance.

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
ImagingStudy.identifier:StudyUID.​use Base required IdentifierUse 📍4.0.1 FHIR Std.
ImagingStudy.identifier:StudyUID.​type Base extensible IdentifierType 📍4.0.1 FHIR Std.
ImagingStudy.status Base required ImagingStudyStatus 📍4.0.1 FHIR Std.
ImagingStudy.modality Base required Modality . ⏿2025.3.20250714 tx.fhir.org
ImagingStudy.series.​modality Base required Modality . ⏿2025.3.20250714 tx.fhir.org
ImagingStudy.series.​instance.sopClass Base extensible http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1 Not State Unknown

Constraints

Id Grade Path(s) Description Expression

This structure is derived from ImagingStudy

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. ImagingStudy 0..* ImagingStudy A set of images produced in single study (one or more series of references images)
... id S 1..1 id Logical id of this artifact
... Slices for identifier S 1..* Identifier Identifiers for the whole study
Slice: Unordered, Open by pattern:type
.... identifier:StudyUID S 1..1 Identifier Identifiers for the whole study
..... type S 1..1 CodeableConcept Description of identifier
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://dicom.nema.org/resources/ontology/DCM
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 110180
....... display 1..1 string Representation defined by the system
Fixed Value: Study Instance UID
..... system S 1..1 uri The namespace for the identifier value
..... value S 1..1 string The value that is unique
... status S 1..1 code registered | available | cancelled | entered-in-error | unknown
... modality S 0..* Coding All series modality if actual acquisition modalities
Binding: Modality . (required)
... subject S 1..1 Reference(Patient) Who or what is the subject of the study
... Slices for endpoint 1..* Reference(Endpoint) Study access endpoint
Slice: Unordered, Open by profile:$this
.... endpoint:dicomEndpoint 1..* Reference(SMRT Endpoint) Study access endpoint
... series S 0..* BackboneElement Each study has one or more series of instances
.... uid S 1..1 id DICOM Series Instance UID for the series
.... modality S 1..1 Coding The modality of the instances in the series
Binding: Modality . (required)
.... instance S 0..* BackboneElement A single SOP instance from the series
..... uid S 1..1 id DICOM SOP Instance UID
..... sopClass S 1..1 Coding DICOM class type

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
ImagingStudy.modality Base required Modality . ⏿2025.3.20250714 tx.fhir.org
ImagingStudy.series.​modality Base required Modality . ⏿2025.3.20250714 tx.fhir.org
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. ImagingStudy 0..* ImagingStudy A set of images produced in single study (one or more series of references images)
... id SΣ 1..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 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 BindingsPurpose
AllLanguages Max Binding
... 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
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... Slices for identifier SΣ 1..* Identifier Identifiers for the whole study
Slice: Unordered, Open by pattern:type
.... identifier:StudyUID SΣ 1..1 Identifier Identifiers for the whole study
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
..... type SΣ 1..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://dicom.nema.org/resources/ontology/DCM
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 110180
....... display 1..1 string Representation defined by the system
Fixed Value: Study Instance UID
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... system SΣ 1..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
..... value SΣ 1..1 string The value that is unique
Example General: 123456
..... period Σ 0..1 Period Time period when id is/was valid for use
..... assigner Σ 0..1 Reference(Organization) Organization that issued id (may be just text)
... status ?!SΣ 1..1 code registered | available | cancelled | entered-in-error | unknown
Binding: ImagingStudyStatus (required): The status of the ImagingStudy.
... modality SΣ 0..* Coding All series modality if actual acquisition modalities
Binding: Modality . (required)
... subject SΣ 1..1 Reference(Patient) Who or what is the subject of the study
... encounter Σ 0..1 Reference(Encounter) Encounter with which this imaging study is associated
... started Σ 0..1 dateTime When the study was started
Example General: 2011-01-01T11:01:20+03:00
... basedOn Σ 0..* Reference(CarePlan | ServiceRequest | Appointment | AppointmentResponse | Task) Request fulfilled
... referrer Σ 0..1 Reference(Practitioner | PractitionerRole) Referring physician
... interpreter Σ 0..* Reference(Practitioner | PractitionerRole) Who interpreted images
... Slices for endpoint Σ 1..* Reference(Endpoint) Study access endpoint
Slice: Unordered, Open by profile:$this
.... endpoint:dicomEndpoint Σ 1..* Reference(SMRT Endpoint) Study access endpoint
... numberOfSeries Σ 0..1 unsignedInt Number of Study Related Series
... numberOfInstances Σ 0..1 unsignedInt Number of Study Related Instances
... procedureReference Σ 0..1 Reference(Procedure) The performed Procedure reference
... procedureCode Σ 0..* CodeableConcept The performed procedure code
Binding: http://www.rsna.org/RadLex_Playbook.aspx (extensible): The performed procedure type.
... location Σ 0..1 Reference(Location) Where ImagingStudy occurred
... reasonCode Σ 0..* CodeableConcept Why the study was requested
Binding: ProcedureReasonCodes (example): The reason for the study.
... reasonReference Σ 0..* Reference(Condition | Observation | Media | DiagnosticReport | DocumentReference) Why was study performed
... note Σ 0..* Annotation User-defined comments
... description Σ 0..1 string Institution-generated description
... series SΣ 0..* BackboneElement Each study has one or more series of instances
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... uid SΣ 1..1 id DICOM Series Instance UID for the series
Example General: 2.16.124.113543.6003.2588828330.45298.17418.2723805630
.... number Σ 0..1 unsignedInt Numeric identifier of this series
Example General: 3
.... modality SΣ 1..1 Coding The modality of the instances in the series
Binding: Modality . (required)
.... description Σ 0..1 string A short human readable summary of the series
Example General: CT Surview 180
.... numberOfInstances Σ 0..1 unsignedInt Number of Series Related Instances
.... endpoint Σ 0..* Reference(Endpoint) Series access endpoint
.... bodySite Σ 0..1 Coding Body part examined
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
.... laterality Σ 0..1 Coding Body part laterality
Binding: Laterality (example): Codes describing body site laterality (left, right, etc.).
.... specimen Σ 0..* Reference(Specimen) Specimen imaged
.... started Σ 0..1 dateTime When the series started
.... performer Σ 0..* BackboneElement Who performed the series
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... function Σ 0..1 CodeableConcept Type of performance
Binding: ImagingStudySeriesPerformerFunction (extensible): The type of involvement of the performer.
..... actor Σ 1..1 Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | Device | RelatedPerson) Who performed the series
.... instance S 0..* BackboneElement A single SOP instance from the series
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... uid S 1..1 id DICOM SOP Instance UID
Example General: 2.16.124.113543.6003.189642796.63084.16748.2599092903
..... sopClass S 1..1 Coding DICOM class type
Binding: http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1 (extensible): The sopClass for the instance.
..... number 0..1 unsignedInt The number of this instance in the series
Example General: 1
..... title 0..1 string Description of instance

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
ImagingStudy.language Base preferred Common Languages 📍4.0.1 FHIR Std.
ImagingStudy.identifier:StudyUID.​use Base required IdentifierUse 📍4.0.1 FHIR Std.
ImagingStudy.identifier:StudyUID.​type Base extensible IdentifierType 📍4.0.1 FHIR Std.
ImagingStudy.status Base required ImagingStudyStatus 📍4.0.1 FHIR Std.
ImagingStudy.modality Base required Modality . ⏿2025.3.20250714 tx.fhir.org
ImagingStudy.procedureCode Base extensible http://www.rsna.org/RadLex_Playbook.aspx Not State Unknown
ImagingStudy.reasonCode Base example Procedure Reason Codes 📍4.0.1 FHIR Std.
ImagingStudy.series.​modality Base required Modality . ⏿2025.3.20250714 tx.fhir.org
ImagingStudy.series.​bodySite Base example SNOMED CT Body Structures 📍4.0.1 FHIR Std.
ImagingStudy.series.​laterality Base example Laterality 📍4.0.1 FHIR Std.
ImagingStudy.series.​performer.function Base extensible ImagingStudy series performer function 📍4.0.1 FHIR Std.
ImagingStudy.series.​instance.sopClass Base extensible http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1 Not State Unknown

Constraints

Id Grade Path(s) Description Expression

This structure is derived from ImagingStudy

Summary

Mandatory: 8 elements
Must-Support: 15 elements

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of ImagingStudy.identifier
  • The element 1 is sliced based on the value of ImagingStudy.endpoint

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. ImagingStudy 0..* ImagingStudy A set of images produced in single study (one or more series of references images)
... id SΣ 1..1 id Logical id of this artifact
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... Slices for identifier SΣ 1..* Identifier Identifiers for the whole study
Slice: Unordered, Open by pattern:type
.... identifier:StudyUID SΣ 1..1 Identifier Identifiers for the whole study
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
..... type SΣ 1..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://dicom.nema.org/resources/ontology/DCM
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 110180
....... display 1..1 string Representation defined by the system
Fixed Value: Study Instance UID
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... system SΣ 1..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
..... value SΣ 1..1 string The value that is unique
Example General: 123456
... status ?!SΣ 1..1 code registered | available | cancelled | entered-in-error | unknown
Binding: ImagingStudyStatus (required): The status of the ImagingStudy.
... modality SΣ 0..* Coding All series modality if actual acquisition modalities
Binding: Modality . (required)
... subject SΣ 1..1 Reference(Patient) Who or what is the subject of the study
... Slices for endpoint Σ 1..* Reference(Endpoint) Study access endpoint
Slice: Unordered, Open by profile:$this
.... endpoint:dicomEndpoint Σ 1..* Reference(SMRT Endpoint) Study access endpoint
... series SΣ 0..* BackboneElement Each study has one or more series of instances
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... uid SΣ 1..1 id DICOM Series Instance UID for the series
Example General: 2.16.124.113543.6003.2588828330.45298.17418.2723805630
.... modality SΣ 1..1 Coding The modality of the instances in the series
Binding: Modality . (required)
.... instance S 0..* BackboneElement A single SOP instance from the series
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... uid S 1..1 id DICOM SOP Instance UID
Example General: 2.16.124.113543.6003.189642796.63084.16748.2599092903
..... sopClass S 1..1 Coding DICOM class type
Binding: http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1 (extensible): The sopClass for the instance.

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
ImagingStudy.identifier:StudyUID.​use Base required IdentifierUse 📍4.0.1 FHIR Std.
ImagingStudy.identifier:StudyUID.​type Base extensible IdentifierType 📍4.0.1 FHIR Std.
ImagingStudy.status Base required ImagingStudyStatus 📍4.0.1 FHIR Std.
ImagingStudy.modality Base required Modality . ⏿2025.3.20250714 tx.fhir.org
ImagingStudy.series.​modality Base required Modality . ⏿2025.3.20250714 tx.fhir.org
ImagingStudy.series.​instance.sopClass Base extensible http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1 Not State Unknown

Constraints

Id Grade Path(s) Description Expression

Differential View

This structure is derived from ImagingStudy

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. ImagingStudy 0..* ImagingStudy A set of images produced in single study (one or more series of references images)
... id S 1..1 id Logical id of this artifact
... Slices for identifier S 1..* Identifier Identifiers for the whole study
Slice: Unordered, Open by pattern:type
.... identifier:StudyUID S 1..1 Identifier Identifiers for the whole study
..... type S 1..1 CodeableConcept Description of identifier
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://dicom.nema.org/resources/ontology/DCM
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 110180
....... display 1..1 string Representation defined by the system
Fixed Value: Study Instance UID
..... system S 1..1 uri The namespace for the identifier value
..... value S 1..1 string The value that is unique
... status S 1..1 code registered | available | cancelled | entered-in-error | unknown
... modality S 0..* Coding All series modality if actual acquisition modalities
Binding: Modality . (required)
... subject S 1..1 Reference(Patient) Who or what is the subject of the study
... Slices for endpoint 1..* Reference(Endpoint) Study access endpoint
Slice: Unordered, Open by profile:$this
.... endpoint:dicomEndpoint 1..* Reference(SMRT Endpoint) Study access endpoint
... series S 0..* BackboneElement Each study has one or more series of instances
.... uid S 1..1 id DICOM Series Instance UID for the series
.... modality S 1..1 Coding The modality of the instances in the series
Binding: Modality . (required)
.... instance S 0..* BackboneElement A single SOP instance from the series
..... uid S 1..1 id DICOM SOP Instance UID
..... sopClass S 1..1 Coding DICOM class type

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
ImagingStudy.modality Base required Modality . ⏿2025.3.20250714 tx.fhir.org
ImagingStudy.series.​modality Base required Modality . ⏿2025.3.20250714 tx.fhir.org

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. ImagingStudy 0..* ImagingStudy A set of images produced in single study (one or more series of references images)
... id SΣ 1..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 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 BindingsPurpose
AllLanguages Max Binding
... 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
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... Slices for identifier SΣ 1..* Identifier Identifiers for the whole study
Slice: Unordered, Open by pattern:type
.... identifier:StudyUID SΣ 1..1 Identifier Identifiers for the whole study
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
..... type SΣ 1..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://dicom.nema.org/resources/ontology/DCM
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 110180
....... display 1..1 string Representation defined by the system
Fixed Value: Study Instance UID
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... system SΣ 1..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
..... value SΣ 1..1 string The value that is unique
Example General: 123456
..... period Σ 0..1 Period Time period when id is/was valid for use
..... assigner Σ 0..1 Reference(Organization) Organization that issued id (may be just text)
... status ?!SΣ 1..1 code registered | available | cancelled | entered-in-error | unknown
Binding: ImagingStudyStatus (required): The status of the ImagingStudy.
... modality SΣ 0..* Coding All series modality if actual acquisition modalities
Binding: Modality . (required)
... subject SΣ 1..1 Reference(Patient) Who or what is the subject of the study
... encounter Σ 0..1 Reference(Encounter) Encounter with which this imaging study is associated
... started Σ 0..1 dateTime When the study was started
Example General: 2011-01-01T11:01:20+03:00
... basedOn Σ 0..* Reference(CarePlan | ServiceRequest | Appointment | AppointmentResponse | Task) Request fulfilled
... referrer Σ 0..1 Reference(Practitioner | PractitionerRole) Referring physician
... interpreter Σ 0..* Reference(Practitioner | PractitionerRole) Who interpreted images
... Slices for endpoint Σ 1..* Reference(Endpoint) Study access endpoint
Slice: Unordered, Open by profile:$this
.... endpoint:dicomEndpoint Σ 1..* Reference(SMRT Endpoint) Study access endpoint
... numberOfSeries Σ 0..1 unsignedInt Number of Study Related Series
... numberOfInstances Σ 0..1 unsignedInt Number of Study Related Instances
... procedureReference Σ 0..1 Reference(Procedure) The performed Procedure reference
... procedureCode Σ 0..* CodeableConcept The performed procedure code
Binding: http://www.rsna.org/RadLex_Playbook.aspx (extensible): The performed procedure type.
... location Σ 0..1 Reference(Location) Where ImagingStudy occurred
... reasonCode Σ 0..* CodeableConcept Why the study was requested
Binding: ProcedureReasonCodes (example): The reason for the study.
... reasonReference Σ 0..* Reference(Condition | Observation | Media | DiagnosticReport | DocumentReference) Why was study performed
... note Σ 0..* Annotation User-defined comments
... description Σ 0..1 string Institution-generated description
... series SΣ 0..* BackboneElement Each study has one or more series of instances
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... uid SΣ 1..1 id DICOM Series Instance UID for the series
Example General: 2.16.124.113543.6003.2588828330.45298.17418.2723805630
.... number Σ 0..1 unsignedInt Numeric identifier of this series
Example General: 3
.... modality SΣ 1..1 Coding The modality of the instances in the series
Binding: Modality . (required)
.... description Σ 0..1 string A short human readable summary of the series
Example General: CT Surview 180
.... numberOfInstances Σ 0..1 unsignedInt Number of Series Related Instances
.... endpoint Σ 0..* Reference(Endpoint) Series access endpoint
.... bodySite Σ 0..1 Coding Body part examined
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
.... laterality Σ 0..1 Coding Body part laterality
Binding: Laterality (example): Codes describing body site laterality (left, right, etc.).
.... specimen Σ 0..* Reference(Specimen) Specimen imaged
.... started Σ 0..1 dateTime When the series started
.... performer Σ 0..* BackboneElement Who performed the series
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... function Σ 0..1 CodeableConcept Type of performance
Binding: ImagingStudySeriesPerformerFunction (extensible): The type of involvement of the performer.
..... actor Σ 1..1 Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | Device | RelatedPerson) Who performed the series
.... instance S 0..* BackboneElement A single SOP instance from the series
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... uid S 1..1 id DICOM SOP Instance UID
Example General: 2.16.124.113543.6003.189642796.63084.16748.2599092903
..... sopClass S 1..1 Coding DICOM class type
Binding: http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1 (extensible): The sopClass for the instance.
..... number 0..1 unsignedInt The number of this instance in the series
Example General: 1
..... title 0..1 string Description of instance

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
ImagingStudy.language Base preferred Common Languages 📍4.0.1 FHIR Std.
ImagingStudy.identifier:StudyUID.​use Base required IdentifierUse 📍4.0.1 FHIR Std.
ImagingStudy.identifier:StudyUID.​type Base extensible IdentifierType 📍4.0.1 FHIR Std.
ImagingStudy.status Base required ImagingStudyStatus 📍4.0.1 FHIR Std.
ImagingStudy.modality Base required Modality . ⏿2025.3.20250714 tx.fhir.org
ImagingStudy.procedureCode Base extensible http://www.rsna.org/RadLex_Playbook.aspx Not State Unknown
ImagingStudy.reasonCode Base example Procedure Reason Codes 📍4.0.1 FHIR Std.
ImagingStudy.series.​modality Base required Modality . ⏿2025.3.20250714 tx.fhir.org
ImagingStudy.series.​bodySite Base example SNOMED CT Body Structures 📍4.0.1 FHIR Std.
ImagingStudy.series.​laterality Base example Laterality 📍4.0.1 FHIR Std.
ImagingStudy.series.​performer.function Base extensible ImagingStudy series performer function 📍4.0.1 FHIR Std.
ImagingStudy.series.​instance.sopClass Base extensible http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1 Not State Unknown

Constraints

Id Grade Path(s) Description Expression

This structure is derived from ImagingStudy

Summary

Mandatory: 8 elements
Must-Support: 15 elements

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of ImagingStudy.identifier
  • The element 1 is sliced based on the value of ImagingStudy.endpoint

 

Other representations of profile: CSV, Excel, Schematron