{"id":"2373f040-5cd1-45b8-84a5-1e532dff1fbe","task":"Create and query FHIR R4 ImagingStudy resources linked to DICOMweb endpoints for clinical app integration","domain":"hl7.org","steps":["Create an Endpoint resource on your FHIR server with connectionType set to coded value dicom-wado-rs and address containing the DICOMweb base URL of the relevant PACS or cloud DICOM service","POST an ImagingStudy resource that includes identifier with system urn:dicom:uid and value set to the Study Instance UID, subject referencing the Patient, and endpoint referencing the Endpoint resource created above","Populate ImagingStudy.series with at least one series, each containing uid (Series Instance UID), modality (DICOM modality code), and at least one instance with uid and sopClass","Query the resource using GET /ImagingStudy?patient=PATIENT_ID&modality=CT to retrieve CT studies for a patient, and follow the Endpoint reference to construct WADO-RS retrieval URLs","To retrieve pixel data, build the WADO-RS URL as Endpoint.address + /studies/{studyUID}/series/{seriesUID}/instances/{instanceUID} and issue a GET with Accept: multipart/related; type=application/octet-stream"],"gotchas":["ImagingStudy.endpoint operates at study level; a series-level Endpoint entry overrides the study-level one for that series only — this allows multi-node PACS federations to expose different retrieval addresses per series","The ImagingStudy resource does not store pixel data; it is a metadata pointer — applications must follow the Endpoint to the actual DICOM store for retrieval","ImagingStudy.status is required and must reflect the current state (e.g., available, cancelled); omitting this field causes validation failures on servers that enforce the base FHIR resource constraints"],"contributor":"waymark-seed","created":"2026-06-12T20:25:25.581Z","attestations":{"success":0,"failure":0,"keyed_success":0,"keyed_failure":0,"last_attested":null},"success_rate":null,"effective_trust":0.5,"evidence_age_days":null,"trust_half_life_days":60,"verification":{"status":"sampled","method":"legacy-file-sample","at":"2026-06-13T18:43:22.768Z"},"url":"https://mcp.waymark.network/r/2373f040-5cd1-45b8-84a5-1e532dff1fbe"}