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 WADO-RS Endpoint

Official URL: http://fhir.org/argonaut/smart-imaging/StructureDefinition/smart-wado-endpoint Version: 0.1.0
Draft as of 2026-09-23 Computable Name: SmartWadoEndpoint

A DICOM WADO-RS endpoint referenced from a SMART ImagingStudy.

The address is a WADO-RS base URL: the app appends /studies/{Study Instance UID} (and optionally deeper paths) and presents the same SMART access token used for the authorized FHIR request.

The address may be a capability URL carrying study-specific permissions bound to that token. For these response-specific Endpoints, servers SHOULD use a Bundle entry with a urn:uuid:... fullUrl, referenced by ImagingStudy.endpoint. The UUID identifies the Endpoint within the response; address remains the HTTPS retrieval base URL. See Finding studies.

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
.. Endpoint 0..* Endpoint The technical details of an endpoint that can be used for electronic services
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... status ?!SΣ 1..1 code active | suspended | error | off | entered-in-error | test
Binding: EndpointStatus (required): The status of the endpoint.
.... 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://terminology.hl7.org/CodeSystem/endpoint-connection-type
.... version 0..1 string Version of the system - if relevant
.... code 1..1 code Symbol in syntax defined by the system
Fixed Value: dicom-wado-rs
.... display 0..1 string Representation defined by the system
.... userSelected 0..1 boolean If this coding was chosen directly by the user
... payloadType Σ 1..* CodeableConcept The type of content that may be used at this endpoint (e.g. XDS Discharge summaries)
Binding: EndpointPayloadType (example)
... address SΣ 1..1 url WADO-RS base URL (append /studies/{uid} to retrieve)

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Endpoint.status Base required EndpointStatus 📍4.0.1 FHIR Std.
Endpoint.connectionType Base extensible Endpoint Connection Type 📍4.0.1 FHIR Std.
Endpoint.payloadType Base example Endpoint Payload Type 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error Endpoint If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Endpoint 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 Endpoint 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 Endpoint If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Endpoint 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 Endpoint

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Endpoint 0..* Endpoint The technical details of an endpoint that can be used for electronic services
... status S 1..1 code active | suspended | error | off | entered-in-error | test
... connectionType S 1..1 Coding Protocol/Profile/Standard to be used with this endpoint connection
Required Pattern: At least the following
.... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/endpoint-connection-type
.... code 1..1 code Symbol in syntax defined by the system
Fixed Value: dicom-wado-rs
... address S 1..1 url WADO-RS base URL (append /studies/{uid} to retrieve)

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Endpoint 0..* Endpoint The technical details of an endpoint that can be used for electronic services
... 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
... 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
... identifier Σ 0..* Identifier Identifies this endpoint across multiple systems
... status ?!SΣ 1..1 code active | suspended | error | off | entered-in-error | test
Binding: EndpointStatus (required): The status of the endpoint.
... connectionType SΣ 1..1 Coding Protocol/Profile/Standard to be used with this endpoint connection
Binding: EndpointConnectionType (extensible)
Required Pattern: At least the following
.... 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://terminology.hl7.org/CodeSystem/endpoint-connection-type
.... version 0..1 string Version of the system - if relevant
.... code 1..1 code Symbol in syntax defined by the system
Fixed Value: dicom-wado-rs
.... display 0..1 string Representation defined by the system
.... userSelected 0..1 boolean If this coding was chosen directly by the user
... name Σ 0..1 string A name that this endpoint can be identified by
... managingOrganization Σ 0..1 Reference(Organization) Organization that manages this endpoint (might not be the organization that exposes the endpoint)
... contact 0..* ContactPoint Contact details for source (e.g. troubleshooting)
... period Σ 0..1 Period Interval the endpoint is expected to be operational
... payloadType Σ 1..* CodeableConcept The type of content that may be used at this endpoint (e.g. XDS Discharge summaries)
Binding: EndpointPayloadType (example)
... payloadMimeType Σ 0..* code Mimetype to send. If not specified, the content could be anything (including no payload, if the connectionType defined this)
Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed.
... address SΣ 1..1 url WADO-RS base URL (append /studies/{uid} to retrieve)
... header 0..* string Usage depends on the channel type

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Endpoint.language Base preferred Common Languages 📍4.0.1 FHIR Std.
Endpoint.status Base required EndpointStatus 📍4.0.1 FHIR Std.
Endpoint.connectionType Base extensible Endpoint Connection Type 📍4.0.1 FHIR Std.
Endpoint.payloadType Base example Endpoint Payload Type 📍4.0.1 FHIR Std.
Endpoint.payloadMimeType Base required MimeType 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error Endpoint If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Endpoint 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 Endpoint 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 Endpoint If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Endpoint 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 Endpoint

Summary

Must-Support: 3 elements

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Endpoint 0..* Endpoint The technical details of an endpoint that can be used for electronic services
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... status ?!SΣ 1..1 code active | suspended | error | off | entered-in-error | test
Binding: EndpointStatus (required): The status of the endpoint.
.... 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://terminology.hl7.org/CodeSystem/endpoint-connection-type
.... version 0..1 string Version of the system - if relevant
.... code 1..1 code Symbol in syntax defined by the system
Fixed Value: dicom-wado-rs
.... display 0..1 string Representation defined by the system
.... userSelected 0..1 boolean If this coding was chosen directly by the user
... payloadType Σ 1..* CodeableConcept The type of content that may be used at this endpoint (e.g. XDS Discharge summaries)
Binding: EndpointPayloadType (example)
... address SΣ 1..1 url WADO-RS base URL (append /studies/{uid} to retrieve)

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Endpoint.status Base required EndpointStatus 📍4.0.1 FHIR Std.
Endpoint.connectionType Base extensible Endpoint Connection Type 📍4.0.1 FHIR Std.
Endpoint.payloadType Base example Endpoint Payload Type 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error Endpoint If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Endpoint 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 Endpoint 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 Endpoint If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Endpoint 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 Endpoint

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Endpoint 0..* Endpoint The technical details of an endpoint that can be used for electronic services
... status S 1..1 code active | suspended | error | off | entered-in-error | test
... connectionType S 1..1 Coding Protocol/Profile/Standard to be used with this endpoint connection
Required Pattern: At least the following
.... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/endpoint-connection-type
.... code 1..1 code Symbol in syntax defined by the system
Fixed Value: dicom-wado-rs
... address S 1..1 url WADO-RS base URL (append /studies/{uid} to retrieve)

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Endpoint 0..* Endpoint The technical details of an endpoint that can be used for electronic services
... 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
... 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
... identifier Σ 0..* Identifier Identifies this endpoint across multiple systems
... status ?!SΣ 1..1 code active | suspended | error | off | entered-in-error | test
Binding: EndpointStatus (required): The status of the endpoint.
... connectionType SΣ 1..1 Coding Protocol/Profile/Standard to be used with this endpoint connection
Binding: EndpointConnectionType (extensible)
Required Pattern: At least the following
.... 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://terminology.hl7.org/CodeSystem/endpoint-connection-type
.... version 0..1 string Version of the system - if relevant
.... code 1..1 code Symbol in syntax defined by the system
Fixed Value: dicom-wado-rs
.... display 0..1 string Representation defined by the system
.... userSelected 0..1 boolean If this coding was chosen directly by the user
... name Σ 0..1 string A name that this endpoint can be identified by
... managingOrganization Σ 0..1 Reference(Organization) Organization that manages this endpoint (might not be the organization that exposes the endpoint)
... contact 0..* ContactPoint Contact details for source (e.g. troubleshooting)
... period Σ 0..1 Period Interval the endpoint is expected to be operational
... payloadType Σ 1..* CodeableConcept The type of content that may be used at this endpoint (e.g. XDS Discharge summaries)
Binding: EndpointPayloadType (example)
... payloadMimeType Σ 0..* code Mimetype to send. If not specified, the content could be anything (including no payload, if the connectionType defined this)
Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed.
... address SΣ 1..1 url WADO-RS base URL (append /studies/{uid} to retrieve)
... header 0..* string Usage depends on the channel type

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Endpoint.language Base preferred Common Languages 📍4.0.1 FHIR Std.
Endpoint.status Base required EndpointStatus 📍4.0.1 FHIR Std.
Endpoint.connectionType Base extensible Endpoint Connection Type 📍4.0.1 FHIR Std.
Endpoint.payloadType Base example Endpoint Payload Type 📍4.0.1 FHIR Std.
Endpoint.payloadMimeType Base required MimeType 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error Endpoint If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Endpoint 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 Endpoint 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 Endpoint If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Endpoint 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 Endpoint

Summary

Must-Support: 3 elements

 

Other representations of profile: CSV, Excel, Schematron