SMART Imaging Access
0.1.0 - ci-build International flag

SMART Imaging Access, published by Argonaut Project. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/argonautproject/smart-imaging/ and changes regularly. See the Directory of published versions

Resource Profile: SMART ImagingStudy

Official URL: http://fhir.org/argonaut/smart-imaging/StructureDefinition/smart-imaging-study Version: 0.1.0
Draft as of 2026-08-21 Computable Name: SmartImagingStudy

An ImagingStudy as returned by a SMART Imaging Access server.

Guarantees the two things an app needs from every study: the DICOM Study Instance UID (as an identifier) and at least one WADO-RS Endpoint from which the study's DICOM data can be retrieved.

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)
... 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 value:system
.... identifier:dicomUid SΣ 1..1 Identifier DICOM Study Instance UID
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
..... system Σ 1..1 uri The namespace for the identifier value
Fixed Value: urn:dicom:uid
..... value Σ 1..1 string The value that is unique
Example General: 123456
... modality SΣ 1..* Coding All series modality if actual acquisition modalities
Binding: AcquisitionModality . (extensible): Type of acquired data in the instance.
... subject SΣ 1..1 Reference(Patient) The patient this study belongs to
... started SΣ 0..1 dateTime When the study was started
Example General: 2011-01-01T11:01:20+03:00
... endpoint SΣ 1..* Reference(SMART WADO-RS Endpoint) WADO-RS endpoint(s) for retrieving this study's DICOM data
... numberOfSeries SΣ 0..1 unsignedInt Number of Study Related Series
... numberOfInstances SΣ 0..1 unsignedInt Number of Study Related Instances
... 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
.... number SΣ 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: AcquisitionModality . (extensible): Type of acquired data in the instance.
.... numberOfInstances SΣ 0..1 unsignedInt Number of Series Related Instances
.... 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.
..... number S 0..1 unsignedInt The number of this instance in the series
Example General: 1

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
ImagingStudy.identifier:dicomUid.​use Base required IdentifierUse 📍4.0.1 FHIR Std.
ImagingStudy.status Base required ImagingStudyStatus 📍4.0.1 FHIR Std.
ImagingStudy.modality Base extensible AcquisitionModality . ⏿2025.3.20250714 tx.fhir.org
ImagingStudy.series.​modality Base extensible AcquisitionModality . ⏿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
dom-2 error ImagingStudy If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error ImagingStudy If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error ImagingStudy If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error ImagingStudy If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice ImagingStudy A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

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)
... Slices for identifier S 1..* Identifier Identifiers for the whole study
Slice: Unordered, Open by value:system
.... identifier:dicomUid S 1..1 Identifier DICOM Study Instance UID
..... system 1..1 uri The namespace for the identifier value
Fixed Value: urn:dicom:uid
..... value 1..1 string The value that is unique
... status S 1..1 code registered | available | cancelled | entered-in-error | unknown
... modality S 1..* Coding All series modality if actual acquisition modalities
... started S 0..1 dateTime When the study was started
... endpoint S 1..* Reference(SMART WADO-RS Endpoint) WADO-RS endpoint(s) for retrieving this study's DICOM data
... numberOfSeries S 0..1 unsignedInt Number of Study Related Series
... numberOfInstances S 0..1 unsignedInt Number of Study Related Instances
... 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
.... number S 0..1 unsignedInt Numeric identifier of this series
.... modality S 1..1 Coding The modality of the instances in the series
.... numberOfInstances S 0..1 unsignedInt Number of Series Related Instances
.... 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
..... number S 0..1 unsignedInt The number of this instance in the series

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. ImagingStudy 0..* ImagingStudy A set of images produced in single study (one or more series of references images)
... id Σ 0..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 value:system
.... identifier:dicomUid SΣ 1..1 Identifier DICOM Study Instance UID
..... 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 Σ 0..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.
..... system Σ 1..1 uri The namespace for the identifier value
Fixed Value: urn:dicom:uid
..... value Σ 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 1..* Coding All series modality if actual acquisition modalities
Binding: AcquisitionModality . (extensible): Type of acquired data in the instance.
... subject SΣ 1..1 Reference(Patient) The patient this study belongs to
... encounter Σ 0..1 Reference(Encounter) Encounter with which this imaging study is associated
... started SΣ 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
... endpoint SΣ 1..* Reference(SMART WADO-RS Endpoint) WADO-RS endpoint(s) for retrieving this study's DICOM data
... numberOfSeries SΣ 0..1 unsignedInt Number of Study Related Series
... numberOfInstances SΣ 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 SΣ 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: AcquisitionModality . (extensible): Type of acquired data in the instance.
.... description Σ 0..1 string A short human readable summary of the series
Example General: CT Surview 180
.... numberOfInstances SΣ 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 S 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:dicomUid.​use Base required IdentifierUse 📍4.0.1 FHIR Std.
ImagingStudy.identifier:dicomUid.​type Base extensible IdentifierType 📍4.0.1 FHIR Std.
ImagingStudy.status Base required ImagingStudyStatus 📍4.0.1 FHIR Std.
ImagingStudy.modality Base extensible AcquisitionModality . ⏿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 extensible AcquisitionModality . ⏿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
dom-2 error ImagingStudy If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error ImagingStudy If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error ImagingStudy If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error ImagingStudy If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice ImagingStudy A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

This structure is derived from ImagingStudy

Summary

Mandatory: 6 elements
Must-Support: 18 elements
Fixed: 1 element

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

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)
... 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 value:system
.... identifier:dicomUid SΣ 1..1 Identifier DICOM Study Instance UID
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
..... system Σ 1..1 uri The namespace for the identifier value
Fixed Value: urn:dicom:uid
..... value Σ 1..1 string The value that is unique
Example General: 123456
... modality SΣ 1..* Coding All series modality if actual acquisition modalities
Binding: AcquisitionModality . (extensible): Type of acquired data in the instance.
... subject SΣ 1..1 Reference(Patient) The patient this study belongs to
... started SΣ 0..1 dateTime When the study was started
Example General: 2011-01-01T11:01:20+03:00
... endpoint SΣ 1..* Reference(SMART WADO-RS Endpoint) WADO-RS endpoint(s) for retrieving this study's DICOM data
... numberOfSeries SΣ 0..1 unsignedInt Number of Study Related Series
... numberOfInstances SΣ 0..1 unsignedInt Number of Study Related Instances
... 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
.... number SΣ 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: AcquisitionModality . (extensible): Type of acquired data in the instance.
.... numberOfInstances SΣ 0..1 unsignedInt Number of Series Related Instances
.... 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.
..... number S 0..1 unsignedInt The number of this instance in the series
Example General: 1

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
ImagingStudy.identifier:dicomUid.​use Base required IdentifierUse 📍4.0.1 FHIR Std.
ImagingStudy.status Base required ImagingStudyStatus 📍4.0.1 FHIR Std.
ImagingStudy.modality Base extensible AcquisitionModality . ⏿2025.3.20250714 tx.fhir.org
ImagingStudy.series.​modality Base extensible AcquisitionModality . ⏿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
dom-2 error ImagingStudy If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error ImagingStudy If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error ImagingStudy If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error ImagingStudy If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice ImagingStudy A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

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)
... Slices for identifier S 1..* Identifier Identifiers for the whole study
Slice: Unordered, Open by value:system
.... identifier:dicomUid S 1..1 Identifier DICOM Study Instance UID
..... system 1..1 uri The namespace for the identifier value
Fixed Value: urn:dicom:uid
..... value 1..1 string The value that is unique
... status S 1..1 code registered | available | cancelled | entered-in-error | unknown
... modality S 1..* Coding All series modality if actual acquisition modalities
... started S 0..1 dateTime When the study was started
... endpoint S 1..* Reference(SMART WADO-RS Endpoint) WADO-RS endpoint(s) for retrieving this study's DICOM data
... numberOfSeries S 0..1 unsignedInt Number of Study Related Series
... numberOfInstances S 0..1 unsignedInt Number of Study Related Instances
... 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
.... number S 0..1 unsignedInt Numeric identifier of this series
.... modality S 1..1 Coding The modality of the instances in the series
.... numberOfInstances S 0..1 unsignedInt Number of Series Related Instances
.... 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
..... number S 0..1 unsignedInt The number of this instance in the series

doco Documentation for this format

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 Σ 0..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 value:system
.... identifier:dicomUid SΣ 1..1 Identifier DICOM Study Instance UID
..... 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 Σ 0..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.
..... system Σ 1..1 uri The namespace for the identifier value
Fixed Value: urn:dicom:uid
..... value Σ 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 1..* Coding All series modality if actual acquisition modalities
Binding: AcquisitionModality . (extensible): Type of acquired data in the instance.
... subject SΣ 1..1 Reference(Patient) The patient this study belongs to
... encounter Σ 0..1 Reference(Encounter) Encounter with which this imaging study is associated
... started SΣ 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
... endpoint SΣ 1..* Reference(SMART WADO-RS Endpoint) WADO-RS endpoint(s) for retrieving this study's DICOM data
... numberOfSeries SΣ 0..1 unsignedInt Number of Study Related Series
... numberOfInstances SΣ 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 SΣ 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: AcquisitionModality . (extensible): Type of acquired data in the instance.
.... description Σ 0..1 string A short human readable summary of the series
Example General: CT Surview 180
.... numberOfInstances SΣ 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 S 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:dicomUid.​use Base required IdentifierUse 📍4.0.1 FHIR Std.
ImagingStudy.identifier:dicomUid.​type Base extensible IdentifierType 📍4.0.1 FHIR Std.
ImagingStudy.status Base required ImagingStudyStatus 📍4.0.1 FHIR Std.
ImagingStudy.modality Base extensible AcquisitionModality . ⏿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 extensible AcquisitionModality . ⏿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
dom-2 error ImagingStudy If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error ImagingStudy If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error ImagingStudy If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error ImagingStudy If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice ImagingStudy A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

This structure is derived from ImagingStudy

Summary

Mandatory: 6 elements
Must-Support: 18 elements
Fixed: 1 element

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

 

Other representations of profile: CSV, Excel, Schematron