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 Struct ImagingStudy Profile

Official URL: https://profiles.ihe.net/RO/SMRT/StructureDefinition/struct-imaging-study Version: 0.0.1-current
Active as of 2026-10-18 Computable Name: StructImagingStudy

The SMRT Struct ImagingStudy Profile defines expectations for the FHIR ImagingStudy resource to represent a DICOM RT Structure Set SOP Instance 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: doco
ImagingStudy 0..* SMRTImagingStudy A set of images produced in single study (one or more series of references images)
ImagingStudy.id This element must be supported. This element is included in summaries. 1..1 id Logical id of this artifact
ImagingStudy.implicitRules This element is a modifier element. This element is included in summaries. 0..1 uri A set of rules under which this content was created
ImagingStudy.modifierExtension This element is a modifier element. 0..* Extension Extensions that cannot be ignored
ImagingStudy.Slices for identifier This element must be supported. This element is included in summaries. 1..* Identifier Identifiers for the whole study
Slice: Unordered, Open by pattern:type

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
ImagingStudy.Slices for identifier.identifier:StudyUID This element must be supported. This element is included in summaries. 1..1 Identifier Identifiers for the whole study
ImagingStudy.Slices for identifier.identifier:StudyUID.use This element is a modifier element. This element is included in summaries. 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
ImagingStudy.Slices for identifier.identifier:StudyUID.type This element must be supported. This element is included in summaries. 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:
{
  "coding" : [
    {
      "system" : "http://dicom.nema.org/resources/ontology/DCM",
      "code" : "110180",
      "display" : "Study Instance UID"
    }
  ]
}
ImagingStudy.Slices for identifier.identifier:StudyUID.system This element must be supported. This element is included in summaries. 1..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
ImagingStudy.Slices for identifier.identifier:StudyUID.value This element must be supported. This element is included in summaries. 1..1 string The value that is unique
Example General: 123456
ImagingStudy.status This element is a modifier element. This element must be supported. This element is included in summaries. 1..1 code registered | available | cancelled | entered-in-error | unknown
Binding: ImagingStudyStatus (required): The status of the ImagingStudy.
ImagingStudy.modality This element must be supported. This element is included in summaries. 0..* Coding All series modality if actual acquisition modalities
Binding: Modality (required)
ImagingStudy.subject This element must be supported. This element is included in summaries. 1..1 Reference(Patient) Who or what is the subject of the study
ImagingStudy.Slices for endpoint This element is included in summaries. 1..* Reference(Endpoint) Study access endpoint
Slice: Unordered, Open by profile:$this

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
ImagingStudy.Slices for endpoint.endpoint:dicomEndpoint This element is included in summaries. 1..* Reference(SMRT Endpoint) Study access endpoint
ImagingStudy.series This element must be supported. This element is included in summaries. 1..1 BackboneElement Each study has one or more series of instances
ImagingStudy.series.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
ImagingStudy.series.uid This element must be supported. This element is included in summaries. 1..1 id DICOM Series Instance UID for the series
Example General: 2.16.124.113543.6003.2588828330.45298.17418.2723805630
ImagingStudy.series.modality This element must be supported. This element is included in summaries. 1..1 Coding The modality of the instances in the series
Binding: Modality (required)
Required Pattern:
{
  "system" : "http://dicom.nema.org/resources/ontology/DCM",
  "code" : "RTSTRUCT"
}
ImagingStudy.series.instance This element must be supported. 0..* BackboneElement A single SOP instance from the series
ImagingStudy.series.instance.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
ImagingStudy.series.instance.uid This element must be supported. 1..1 id DICOM SOP Instance UID
Example General: 2.16.124.113543.6003.189642796.63084.16748.2599092903
ImagingStudy.series.instance.sopClass This element must be supported. 1..1 Coding DICOM class type
Binding: RT Struct SOP Class ValueSet (required)

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 required RT Struct SOP Class ValueSet 📦0.0.1-current This IG

Constraints

Id Grade Path(s) Description Expression

This structure is derived from SMRTImagingStudy

NameFlagsCard.TypeDescription & Constraints    Filter: doco
ImagingStudy 0..* SMRTImagingStudy A set of images produced in single study (one or more series of references images)
ImagingStudy.series 1..1 BackboneElement Each study has one or more series of instances
ImagingStudy.series.modality 1..1 Coding The modality of the instances in the series
Required Pattern:
{
  "system" : "http://dicom.nema.org/resources/ontology/DCM",
  "code" : "RTSTRUCT"
}
ImagingStudy.series.instance
ImagingStudy.series.instance.sopClass 1..1 Coding DICOM class type
Binding: RT Struct SOP Class ValueSet (required)

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
ImagingStudy.series.​instance.sopClass Base required RT Struct SOP Class ValueSet 📦0.0.1-current This IG
NameFlagsCard.TypeDescription & Constraints    Filter: doco
ImagingStudy 0..* SMRTImagingStudy A set of images produced in single study (one or more series of references images)
ImagingStudy.id This element must be supported. This element is included in summaries. 1..1 id Logical id of this artifact
ImagingStudy.meta This element is included in summaries. 0..1 Meta Metadata about the resource
ImagingStudy.implicitRules This element is a modifier element. This element is included in summaries. 0..1 uri A set of rules under which this content was created
ImagingStudy.language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
ImagingStudy.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
ImagingStudy.contained 0..* Resource Contained, inline Resources
ImagingStudy.extension 0..* Extension Additional content defined by implementations
ImagingStudy.modifierExtension This element is a modifier element. 0..* Extension Extensions that cannot be ignored
ImagingStudy.Slices for identifier This element must be supported. This element is included in summaries. 1..* Identifier Identifiers for the whole study
Slice: Unordered, Open by pattern:type

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
ImagingStudy.Slices for identifier.identifier:StudyUID This element must be supported. This element is included in summaries. 1..1 Identifier Identifiers for the whole study
ImagingStudy.Slices for identifier.identifier:StudyUID.id 0..1 string Unique id for inter-element referencing
ImagingStudy.Slices for identifier.identifier:StudyUID.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
ImagingStudy.Slices for identifier.identifier:StudyUID.use This element is a modifier element. This element is included in summaries. 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
ImagingStudy.Slices for identifier.identifier:StudyUID.type This element must be supported. This element is included in summaries. 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:
{
  "coding" : [
    {
      "system" : "http://dicom.nema.org/resources/ontology/DCM",
      "code" : "110180",
      "display" : "Study Instance UID"
    }
  ]
}
ImagingStudy.Slices for identifier.identifier:StudyUID.system This element must be supported. This element is included in summaries. 1..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
ImagingStudy.Slices for identifier.identifier:StudyUID.value This element must be supported. This element is included in summaries. 1..1 string The value that is unique
Example General: 123456
ImagingStudy.Slices for identifier.identifier:StudyUID.period This element is included in summaries. 0..1 Period Time period when id is/was valid for use
ImagingStudy.Slices for identifier.identifier:StudyUID.assigner This element is included in summaries. 0..1 Reference(Organization) Organization that issued id (may be just text)
ImagingStudy.status This element is a modifier element. This element must be supported. This element is included in summaries. 1..1 code registered | available | cancelled | entered-in-error | unknown
Binding: ImagingStudyStatus (required): The status of the ImagingStudy.
ImagingStudy.modality This element must be supported. This element is included in summaries. 0..* Coding All series modality if actual acquisition modalities
Binding: Modality (required)
ImagingStudy.subject This element must be supported. This element is included in summaries. 1..1 Reference(Patient) Who or what is the subject of the study
ImagingStudy.encounter This element is included in summaries. 0..1 Reference(Encounter) Encounter with which this imaging study is associated
ImagingStudy.started This element is included in summaries. 0..1 dateTime When the study was started
Example General: 2011-01-01T11:01:20+03:00
ImagingStudy.basedOn This element is included in summaries. 0..* Reference(CarePlan | ServiceRequest | Appointment | AppointmentResponse | Task) Request fulfilled
ImagingStudy.referrer This element is included in summaries. 0..1 Reference(Practitioner | PractitionerRole) Referring physician
ImagingStudy.interpreter This element is included in summaries. 0..* Reference(Practitioner | PractitionerRole) Who interpreted images
ImagingStudy.Slices for endpoint This element is included in summaries. 1..* Reference(Endpoint) Study access endpoint
Slice: Unordered, Open by profile:$this

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
ImagingStudy.Slices for endpoint.endpoint:dicomEndpoint This element is included in summaries. 1..* Reference(SMRT Endpoint) Study access endpoint
ImagingStudy.numberOfSeries This element is included in summaries. 0..1 unsignedInt Number of Study Related Series
ImagingStudy.numberOfInstances This element is included in summaries. 0..1 unsignedInt Number of Study Related Instances
ImagingStudy.procedureReference This element is included in summaries. 0..1 Reference(Procedure) The performed Procedure reference
ImagingStudy.procedureCode This element is included in summaries. 0..* CodeableConcept The performed procedure code
Binding: http://www.rsna.org/RadLex_Playbook.aspx (extensible): The performed procedure type.
ImagingStudy.location This element is included in summaries. 0..1 Reference(Location) Where ImagingStudy occurred
ImagingStudy.reasonCode This element is included in summaries. 0..* CodeableConcept Why the study was requested
Binding: ProcedureReasonCodes (example): The reason for the study.
ImagingStudy.reasonReference This element is included in summaries. 0..* Reference(Condition | Observation | Media | DiagnosticReport | DocumentReference) Why was study performed
ImagingStudy.note This element is included in summaries. 0..* Annotation User-defined comments
ImagingStudy.description This element is included in summaries. 0..1 string Institution-generated description
ImagingStudy.series This element must be supported. This element is included in summaries. 1..1 BackboneElement Each study has one or more series of instances
ImagingStudy.series.id 0..1 string Unique id for inter-element referencing
ImagingStudy.series.extension 0..* Extension Additional content defined by implementations
ImagingStudy.series.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
ImagingStudy.series.uid This element must be supported. This element is included in summaries. 1..1 id DICOM Series Instance UID for the series
Example General: 2.16.124.113543.6003.2588828330.45298.17418.2723805630
ImagingStudy.series.number This element is included in summaries. 0..1 unsignedInt Numeric identifier of this series
Example General: 3
ImagingStudy.series.modality This element must be supported. This element is included in summaries. 1..1 Coding The modality of the instances in the series
Binding: Modality (required)
Required Pattern:
{
  "system" : "http://dicom.nema.org/resources/ontology/DCM",
  "code" : "RTSTRUCT"
}
ImagingStudy.series.description This element is included in summaries. 0..1 string A short human readable summary of the series
Example General: CT Surview 180
ImagingStudy.series.numberOfInstances This element is included in summaries. 0..1 unsignedInt Number of Series Related Instances
ImagingStudy.series.endpoint This element is included in summaries. 0..* Reference(Endpoint) Series access endpoint
ImagingStudy.series.bodySite This element is included in summaries. 0..1 Coding Body part examined
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
ImagingStudy.series.laterality This element is included in summaries. 0..1 Coding Body part laterality
Binding: Laterality (example): Codes describing body site laterality (left, right, etc.).
ImagingStudy.series.specimen This element is included in summaries. 0..* Reference(Specimen) Specimen imaged
ImagingStudy.series.started This element is included in summaries. 0..1 dateTime When the series started
ImagingStudy.series.performer This element is included in summaries. 0..* BackboneElement Who performed the series
ImagingStudy.series.performer.id 0..1 string Unique id for inter-element referencing
ImagingStudy.series.performer.extension 0..* Extension Additional content defined by implementations
ImagingStudy.series.performer.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
ImagingStudy.series.performer.function This element is included in summaries. 0..1 CodeableConcept Type of performance
Binding: ImagingStudySeriesPerformerFunction (extensible): The type of involvement of the performer.
ImagingStudy.series.performer.actor This element is included in summaries. 1..1 Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | Device | RelatedPerson) Who performed the series
ImagingStudy.series.instance This element must be supported. 0..* BackboneElement A single SOP instance from the series
ImagingStudy.series.instance.id 0..1 string Unique id for inter-element referencing
ImagingStudy.series.instance.extension 0..* Extension Additional content defined by implementations
ImagingStudy.series.instance.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
ImagingStudy.series.instance.uid This element must be supported. 1..1 id DICOM SOP Instance UID
Example General: 2.16.124.113543.6003.189642796.63084.16748.2599092903
ImagingStudy.series.instance.sopClass This element must be supported. 1..1 Coding DICOM class type
Binding: RT Struct SOP Class ValueSet (required)
ImagingStudy.series.instance.number 0..1 unsignedInt The number of this instance in the series
Example General: 1
ImagingStudy.series.instance.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 required RT Struct SOP Class ValueSet 📦0.0.1-current This IG

Constraints

Id Grade Path(s) Description Expression

This structure is derived from SMRTImagingStudy

Summary

Mandatory: 1 element

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: doco
ImagingStudy 0..* SMRTImagingStudy A set of images produced in single study (one or more series of references images)
ImagingStudy.id This element must be supported. This element is included in summaries. 1..1 id Logical id of this artifact
ImagingStudy.implicitRules This element is a modifier element. This element is included in summaries. 0..1 uri A set of rules under which this content was created
ImagingStudy.modifierExtension This element is a modifier element. 0..* Extension Extensions that cannot be ignored
ImagingStudy.Slices for identifier This element must be supported. This element is included in summaries. 1..* Identifier Identifiers for the whole study
Slice: Unordered, Open by pattern:type

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
ImagingStudy.Slices for identifier.identifier:StudyUID This element must be supported. This element is included in summaries. 1..1 Identifier Identifiers for the whole study
ImagingStudy.Slices for identifier.identifier:StudyUID.use This element is a modifier element. This element is included in summaries. 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
ImagingStudy.Slices for identifier.identifier:StudyUID.type This element must be supported. This element is included in summaries. 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:
{
  "coding" : [
    {
      "system" : "http://dicom.nema.org/resources/ontology/DCM",
      "code" : "110180",
      "display" : "Study Instance UID"
    }
  ]
}
ImagingStudy.Slices for identifier.identifier:StudyUID.system This element must be supported. This element is included in summaries. 1..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
ImagingStudy.Slices for identifier.identifier:StudyUID.value This element must be supported. This element is included in summaries. 1..1 string The value that is unique
Example General: 123456
ImagingStudy.status This element is a modifier element. This element must be supported. This element is included in summaries. 1..1 code registered | available | cancelled | entered-in-error | unknown
Binding: ImagingStudyStatus (required): The status of the ImagingStudy.
ImagingStudy.modality This element must be supported. This element is included in summaries. 0..* Coding All series modality if actual acquisition modalities
Binding: Modality (required)
ImagingStudy.subject This element must be supported. This element is included in summaries. 1..1 Reference(Patient) Who or what is the subject of the study
ImagingStudy.Slices for endpoint This element is included in summaries. 1..* Reference(Endpoint) Study access endpoint
Slice: Unordered, Open by profile:$this

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
ImagingStudy.Slices for endpoint.endpoint:dicomEndpoint This element is included in summaries. 1..* Reference(SMRT Endpoint) Study access endpoint
ImagingStudy.series This element must be supported. This element is included in summaries. 1..1 BackboneElement Each study has one or more series of instances
ImagingStudy.series.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
ImagingStudy.series.uid This element must be supported. This element is included in summaries. 1..1 id DICOM Series Instance UID for the series
Example General: 2.16.124.113543.6003.2588828330.45298.17418.2723805630
ImagingStudy.series.modality This element must be supported. This element is included in summaries. 1..1 Coding The modality of the instances in the series
Binding: Modality (required)
Required Pattern:
{
  "system" : "http://dicom.nema.org/resources/ontology/DCM",
  "code" : "RTSTRUCT"
}
ImagingStudy.series.instance This element must be supported. 0..* BackboneElement A single SOP instance from the series
ImagingStudy.series.instance.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
ImagingStudy.series.instance.uid This element must be supported. 1..1 id DICOM SOP Instance UID
Example General: 2.16.124.113543.6003.189642796.63084.16748.2599092903
ImagingStudy.series.instance.sopClass This element must be supported. 1..1 Coding DICOM class type
Binding: RT Struct SOP Class ValueSet (required)

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 required RT Struct SOP Class ValueSet 📦0.0.1-current This IG

Constraints

Id Grade Path(s) Description Expression

Differential View

This structure is derived from SMRTImagingStudy

NameFlagsCard.TypeDescription & Constraints    Filter: doco
ImagingStudy 0..* SMRTImagingStudy A set of images produced in single study (one or more series of references images)
ImagingStudy.series 1..1 BackboneElement Each study has one or more series of instances
ImagingStudy.series.modality 1..1 Coding The modality of the instances in the series
Required Pattern:
{
  "system" : "http://dicom.nema.org/resources/ontology/DCM",
  "code" : "RTSTRUCT"
}
ImagingStudy.series.instance
ImagingStudy.series.instance.sopClass 1..1 Coding DICOM class type
Binding: RT Struct SOP Class ValueSet (required)

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
ImagingStudy.series.​instance.sopClass Base required RT Struct SOP Class ValueSet 📦0.0.1-current This IG

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: doco
ImagingStudy 0..* SMRTImagingStudy A set of images produced in single study (one or more series of references images)
ImagingStudy.id This element must be supported. This element is included in summaries. 1..1 id Logical id of this artifact
ImagingStudy.meta This element is included in summaries. 0..1 Meta Metadata about the resource
ImagingStudy.implicitRules This element is a modifier element. This element is included in summaries. 0..1 uri A set of rules under which this content was created
ImagingStudy.language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
ImagingStudy.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
ImagingStudy.contained 0..* Resource Contained, inline Resources
ImagingStudy.extension 0..* Extension Additional content defined by implementations
ImagingStudy.modifierExtension This element is a modifier element. 0..* Extension Extensions that cannot be ignored
ImagingStudy.Slices for identifier This element must be supported. This element is included in summaries. 1..* Identifier Identifiers for the whole study
Slice: Unordered, Open by pattern:type

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
ImagingStudy.Slices for identifier.identifier:StudyUID This element must be supported. This element is included in summaries. 1..1 Identifier Identifiers for the whole study
ImagingStudy.Slices for identifier.identifier:StudyUID.id 0..1 string Unique id for inter-element referencing
ImagingStudy.Slices for identifier.identifier:StudyUID.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
ImagingStudy.Slices for identifier.identifier:StudyUID.use This element is a modifier element. This element is included in summaries. 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
ImagingStudy.Slices for identifier.identifier:StudyUID.type This element must be supported. This element is included in summaries. 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:
{
  "coding" : [
    {
      "system" : "http://dicom.nema.org/resources/ontology/DCM",
      "code" : "110180",
      "display" : "Study Instance UID"
    }
  ]
}
ImagingStudy.Slices for identifier.identifier:StudyUID.system This element must be supported. This element is included in summaries. 1..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
ImagingStudy.Slices for identifier.identifier:StudyUID.value This element must be supported. This element is included in summaries. 1..1 string The value that is unique
Example General: 123456
ImagingStudy.Slices for identifier.identifier:StudyUID.period This element is included in summaries. 0..1 Period Time period when id is/was valid for use
ImagingStudy.Slices for identifier.identifier:StudyUID.assigner This element is included in summaries. 0..1 Reference(Organization) Organization that issued id (may be just text)
ImagingStudy.status This element is a modifier element. This element must be supported. This element is included in summaries. 1..1 code registered | available | cancelled | entered-in-error | unknown
Binding: ImagingStudyStatus (required): The status of the ImagingStudy.
ImagingStudy.modality This element must be supported. This element is included in summaries. 0..* Coding All series modality if actual acquisition modalities
Binding: Modality (required)
ImagingStudy.subject This element must be supported. This element is included in summaries. 1..1 Reference(Patient) Who or what is the subject of the study
ImagingStudy.encounter This element is included in summaries. 0..1 Reference(Encounter) Encounter with which this imaging study is associated
ImagingStudy.started This element is included in summaries. 0..1 dateTime When the study was started
Example General: 2011-01-01T11:01:20+03:00
ImagingStudy.basedOn This element is included in summaries. 0..* Reference(CarePlan | ServiceRequest | Appointment | AppointmentResponse | Task) Request fulfilled
ImagingStudy.referrer This element is included in summaries. 0..1 Reference(Practitioner | PractitionerRole) Referring physician
ImagingStudy.interpreter This element is included in summaries. 0..* Reference(Practitioner | PractitionerRole) Who interpreted images
ImagingStudy.Slices for endpoint This element is included in summaries. 1..* Reference(Endpoint) Study access endpoint
Slice: Unordered, Open by profile:$this

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
ImagingStudy.Slices for endpoint.endpoint:dicomEndpoint This element is included in summaries. 1..* Reference(SMRT Endpoint) Study access endpoint
ImagingStudy.numberOfSeries This element is included in summaries. 0..1 unsignedInt Number of Study Related Series
ImagingStudy.numberOfInstances This element is included in summaries. 0..1 unsignedInt Number of Study Related Instances
ImagingStudy.procedureReference This element is included in summaries. 0..1 Reference(Procedure) The performed Procedure reference
ImagingStudy.procedureCode This element is included in summaries. 0..* CodeableConcept The performed procedure code
Binding: http://www.rsna.org/RadLex_Playbook.aspx (extensible): The performed procedure type.
ImagingStudy.location This element is included in summaries. 0..1 Reference(Location) Where ImagingStudy occurred
ImagingStudy.reasonCode This element is included in summaries. 0..* CodeableConcept Why the study was requested
Binding: ProcedureReasonCodes (example): The reason for the study.
ImagingStudy.reasonReference This element is included in summaries. 0..* Reference(Condition | Observation | Media | DiagnosticReport | DocumentReference) Why was study performed
ImagingStudy.note This element is included in summaries. 0..* Annotation User-defined comments
ImagingStudy.description This element is included in summaries. 0..1 string Institution-generated description
ImagingStudy.series This element must be supported. This element is included in summaries. 1..1 BackboneElement Each study has one or more series of instances
ImagingStudy.series.id 0..1 string Unique id for inter-element referencing
ImagingStudy.series.extension 0..* Extension Additional content defined by implementations
ImagingStudy.series.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
ImagingStudy.series.uid This element must be supported. This element is included in summaries. 1..1 id DICOM Series Instance UID for the series
Example General: 2.16.124.113543.6003.2588828330.45298.17418.2723805630
ImagingStudy.series.number This element is included in summaries. 0..1 unsignedInt Numeric identifier of this series
Example General: 3
ImagingStudy.series.modality This element must be supported. This element is included in summaries. 1..1 Coding The modality of the instances in the series
Binding: Modality (required)
Required Pattern:
{
  "system" : "http://dicom.nema.org/resources/ontology/DCM",
  "code" : "RTSTRUCT"
}
ImagingStudy.series.description This element is included in summaries. 0..1 string A short human readable summary of the series
Example General: CT Surview 180
ImagingStudy.series.numberOfInstances This element is included in summaries. 0..1 unsignedInt Number of Series Related Instances
ImagingStudy.series.endpoint This element is included in summaries. 0..* Reference(Endpoint) Series access endpoint
ImagingStudy.series.bodySite This element is included in summaries. 0..1 Coding Body part examined
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
ImagingStudy.series.laterality This element is included in summaries. 0..1 Coding Body part laterality
Binding: Laterality (example): Codes describing body site laterality (left, right, etc.).
ImagingStudy.series.specimen This element is included in summaries. 0..* Reference(Specimen) Specimen imaged
ImagingStudy.series.started This element is included in summaries. 0..1 dateTime When the series started
ImagingStudy.series.performer This element is included in summaries. 0..* BackboneElement Who performed the series
ImagingStudy.series.performer.id 0..1 string Unique id for inter-element referencing
ImagingStudy.series.performer.extension 0..* Extension Additional content defined by implementations
ImagingStudy.series.performer.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
ImagingStudy.series.performer.function This element is included in summaries. 0..1 CodeableConcept Type of performance
Binding: ImagingStudySeriesPerformerFunction (extensible): The type of involvement of the performer.
ImagingStudy.series.performer.actor This element is included in summaries. 1..1 Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | Device | RelatedPerson) Who performed the series
ImagingStudy.series.instance This element must be supported. 0..* BackboneElement A single SOP instance from the series
ImagingStudy.series.instance.id 0..1 string Unique id for inter-element referencing
ImagingStudy.series.instance.extension 0..* Extension Additional content defined by implementations
ImagingStudy.series.instance.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
ImagingStudy.series.instance.uid This element must be supported. 1..1 id DICOM SOP Instance UID
Example General: 2.16.124.113543.6003.189642796.63084.16748.2599092903
ImagingStudy.series.instance.sopClass This element must be supported. 1..1 Coding DICOM class type
Binding: RT Struct SOP Class ValueSet (required)
ImagingStudy.series.instance.number 0..1 unsignedInt The number of this instance in the series
Example General: 1
ImagingStudy.series.instance.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 required RT Struct SOP Class ValueSet 📦0.0.1-current This IG

Constraints

Id Grade Path(s) Description Expression

This structure is derived from SMRTImagingStudy

Summary

Mandatory: 1 element

 

Other representations of profile: CSV, Excel, Schematron