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

Artifacts Summary

This page provides a list of the FHIR artifacts defined as part of this implementation guide.

Behavior: Capability Statements

The following artifacts define the specific capabilities that different types of systems are expected to have in order to comply with this implementation guide. Systems conforming to this implementation guide are expected to declare conformance to one or more of the following capability statements.

SMART Imaging Access Server

Requirements for a SMART Imaging Access FHIR endpoint.

Structures: Resource Profiles

These define constraints on FHIR resources for systems conforming to this implementation guide.

SMART ImagingStudy

An ImagingStudy returned by a SMART Imaging Access server, with a DICOM Study Instance UID identifier and at least one WADO-RS Endpoint for retrieving its DICOM data.

SMART WADO-RS Endpoint

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.

Example: Example Instances

These are example instances that show what data produced and consumed by systems conforming with this implementation guide might look like.

Example Patient

A patient with an MRN, as known to the Clinical FHIR Server.

ImagingStudy search response

What an app receives from GET [imaging-base]/ImagingStudy?patient=...&_include=ImagingStudy:endpoint.

ImagingStudy search with a response-local capability Endpoint

An authorized search response containing a CT study and an Endpoint specific to the requesting SMART token. The ImagingStudy references the Endpoint's urn:uuid fullUrl. The client resolves that reference within this Bundle, appends the study path to Endpoint.address, and presents the same SMART access token when retrieving DICOM data. The retrieval service validates the token, the capability, and their binding. The URL and UUID are illustrative values.

ImagingStudy with contained Endpoint

A CT study whose WADO-RS Endpoint is contained in the resource.

ImagingStudy with external Endpoint

An MR study that references a standalone WADO-RS Endpoint resource.

Standalone WADO-RS Endpoint

A WADO-RS Endpoint published as its own resource and shared by many studies.