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Modern healthcare is supported by medical devices and information systems that capture, manage, exchange, process and present clinical, operational, research and public health data. This occurs at scales from individual clinics and hospital departments, up to networks of hospitals and regional or national healthcare systems. This document presents a portfolio of standards that have been selected as being mature, fit for purpose and most appropriate to address use cases related to the clinical imaging domain. It should be noted, however, that achieving full interoperability within a given environment or set of systems is a large endeavor of which the selection of underlying standards is an important component, but just one component. This work reflects the experience and learning of the international community in developing interoperability standards in the clinical imaging domain, including representatives of DICOM® (Digital Imaging and Communication in Medicine), IHE Radiology (Integrating the Healthcare Enterprise), and ISO/TC215, Health Informatics. The document is the European adoption of ISO 21860:2020, Health Informatics - Reference Standards Portfolio (RSP) - Clinical imaging, which has been prepared by Technical Committee ISO/TC 215 "Health Informatics". The responsible German committee is Working Committee NA 176-02-02 AA "Interoperabilität" ("Interoperability") at DIN Standards Committee Health Technologies (NAGesuTech).