HL7 Czech Imaging Order IG
0.1.0-ballot - ballot

HL7 Czech Imaging Order IG, published by HL7 Czech Republic. This guide is not an authorized publication; it is the continuous build for version 0.1.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7-cz/img-order/ and changes regularly. See the Directory of published versions

## Resource Profile: Device Use Statement: Imaging Order (CZ)

Official URL: https://hl7.cz/fhir/img-order/StructureDefinition/cz-deviceUseStatement | Version: 0.1.0-ballot
Draft as of 2025-12-09 | Computable Name: CZ_DeviceUseStatement

This profile represents the constraints applied to the DeviceUseStatement resource for the purpose of this guide. A device used by or implanted on the patient is described in the imaging order as an instance of a Device resource constrained by this profile.

Usages:

- Use this Profile: Bundle: Imaging Order (CZ)
- Refer to this Profile: Composition: Imaging Order (CZ)
- Examples for this Profile: DeviceUseStatement/b29cacfd-b05b-44cf-be5a-8b6d76bdc375

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.

- Key Elements Table
- Differential Table
- Snapshot Table
- Statistics/References
- All

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
DeviceUseStatement |  | 0..* | DeviceUseStatement | Record of use of a device
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
text |  | 0..1 | Narrative | Device usage description This profile does not constrain the narrative in regard to content, language, or traceability to data elements
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
status | ?!Σ | 1..1 | code | active | completed | entered-in-error + Binding: DeviceUseStatementStatus (required): A coded concept indicating the current status of the Device Usage.
subject | Σ | 1..1 | Reference(Patient (CZ core)) | Patient using device
timing[x] | Σ | 1..1 |  | How often the device was used
timing[x]All Types |  |  |  | Content/Rules for all Types
Slices for extension |  |  |  | Content/Rules for all slices
extension:data-absent-reason |  | 0..1 | code | unknown | asked | temp | notasked | masked | unsupported | astext | error URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required): Used to specify why the normally expected content of the data element is missing.
timingTiming |  |  | Timing |
timingPeriod |  |  | Period |
timingDateTime |  |  | dateTime |
device | Σ | 1..1 | Reference(Medical Device (CZ)) | Reference to device used
reasonCode | Σ | 0..* | CodeableConcept | Why is used (code)
reasonReference | Σ | 0..* | Reference(Condition | Observation: Imaging Order (CZ) | Media | DiagnosticReport | DocumentReference) | Why is used (details)
bodySite | Σ | 0..1 | CodeableConcept | Target body site Binding: SNOMEDCTBodyStructures (preferred)
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
DeviceUseStatement.status | Base | required | DeviceUseStatementStatus | 📍4.0.1 | FHIR Std.
DeviceUseStatement.bodySite | Base | preferred | SNOMED CT Body Structures | 📦4.0.1 | FHIR Std.

#### Constraints

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

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
DeviceUseStatement |  |  | DeviceUseStatement |
text |  | 0..1 | Narrative | Device usage description
subject |  | 1..1 | Reference(Patient (CZ core)) | Patient using device
timing[x] |  | 1..1 | Timing, Period, dateTime | How often the device was used
Slices for extension |  |  |  | Content/Rules for all slices
extension:data-absent-reason |  | 0..1 | code | unknown | asked | temp | notasked | masked | unsupported | astext | error URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required): Used to specify why the normally expected content of the data element is missing.
device |  | 1..1 | Reference(Medical Device (CZ)) | Reference to device used
reasonCode |  | 0..* | CodeableConcept | Why is used (code)
reasonReference |  | 0..* | Reference(Condition | Observation: Imaging Order (CZ) | Media | DiagnosticReport | DocumentReference) | Why is used (details)
bodySite |  | 0..1 | CodeableConcept | Target body site Binding: SNOMEDCTBodyStructures (preferred)
Documentation for this format

#### Terminology Bindings (Differential)

Path | Status | Usage | ValueSet | Version | Source
DeviceUseStatement.bodySite | Base | preferred | SNOMED CT Body Structures | 📦4.0.1 | FHIR Std.

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
DeviceUseStatement |  | 0..* | DeviceUseStatement | Record of use of a device
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 Bindings | Purpose
AllLanguages | Max Binding
text |  | 0..1 | Narrative | Device usage description 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 | External identifier for this record
basedOn | Σ | 0..* | Reference(ServiceRequest) | Fulfills plan, proposal or order
status | ?!Σ | 1..1 | code | active | completed | entered-in-error + Binding: DeviceUseStatementStatus (required): A coded concept indicating the current status of the Device Usage.
subject | Σ | 1..1 | Reference(Patient (CZ core)) | Patient using device
derivedFrom | Σ | 0..* | Reference(ServiceRequest | Procedure | Claim | Observation | QuestionnaireResponse | DocumentReference) | Supporting information
timing[x] | Σ | 1..1 |  | How often the device was used
timing[x]All Types |  |  |  | Content/Rules for all Types
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
extension:data-absent-reason |  | 0..1 | code | unknown | asked | temp | notasked | masked | unsupported | astext | error URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required): Used to specify why the normally expected content of the data element is missing.
timingTiming |  |  | Timing |
timingPeriod |  |  | Period |
timingDateTime |  |  | dateTime |
recordedOn | Σ | 0..1 | dateTime | When statement was recorded
source | Σ | 0..1 | Reference(Patient | Practitioner | PractitionerRole | RelatedPerson) | Who made the statement
device | Σ | 1..1 | Reference(Medical Device (CZ)) | Reference to device used
reasonCode | Σ | 0..* | CodeableConcept | Why is used (code)
reasonReference | Σ | 0..* | Reference(Condition | Observation: Imaging Order (CZ) | Media | DiagnosticReport | DocumentReference) | Why is used (details)
bodySite | Σ | 0..1 | CodeableConcept | Target body site Binding: SNOMEDCTBodyStructures (preferred)
note |  | 0..* | Annotation | Addition details (comments, instructions)
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
DeviceUseStatement.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std.
DeviceUseStatement.status | Base | required | DeviceUseStatementStatus | 📍4.0.1 | FHIR Std.
DeviceUseStatement.bodySite | Base | preferred | SNOMED CT Body Structures | 📦4.0.1 | FHIR Std.

#### Constraints

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

Summary

Mandatory: 1 element

Structures

This structure refers to these other structures:

- Patient (CZ core) (https://hl7.cz/fhir/core/StructureDefinition/cz-patient-core)
- Medical Device (CZ) (https://hl7.cz/fhir/core/StructureDefinition/cz-medical-device)
- Observation: Imaging Order (CZ) (https://hl7.cz/fhir/img-order/StructureDefinition/cz-observationImage)

Extensions

This structure refers to these extensions:

- http://hl7.org/fhir/StructureDefinition/data-absent-reason|4.0.1

Key Elements View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
DeviceUseStatement |  | 0..* | DeviceUseStatement | Record of use of a device
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
text |  | 0..1 | Narrative | Device usage description This profile does not constrain the narrative in regard to content, language, or traceability to data elements
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
status | ?!Σ | 1..1 | code | active | completed | entered-in-error + Binding: DeviceUseStatementStatus (required): A coded concept indicating the current status of the Device Usage.
subject | Σ | 1..1 | Reference(Patient (CZ core)) | Patient using device
timing[x] | Σ | 1..1 |  | How often the device was used
timing[x]All Types |  |  |  | Content/Rules for all Types
Slices for extension |  |  |  | Content/Rules for all slices
extension:data-absent-reason |  | 0..1 | code | unknown | asked | temp | notasked | masked | unsupported | astext | error URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required): Used to specify why the normally expected content of the data element is missing.
timingTiming |  |  | Timing |
timingPeriod |  |  | Period |
timingDateTime |  |  | dateTime |
device | Σ | 1..1 | Reference(Medical Device (CZ)) | Reference to device used
reasonCode | Σ | 0..* | CodeableConcept | Why is used (code)
reasonReference | Σ | 0..* | Reference(Condition | Observation: Imaging Order (CZ) | Media | DiagnosticReport | DocumentReference) | Why is used (details)
bodySite | Σ | 0..1 | CodeableConcept | Target body site Binding: SNOMEDCTBodyStructures (preferred)
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
DeviceUseStatement.status | Base | required | DeviceUseStatementStatus | 📍4.0.1 | FHIR Std.
DeviceUseStatement.bodySite | Base | preferred | SNOMED CT Body Structures | 📦4.0.1 | FHIR Std.

#### Constraints

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

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
DeviceUseStatement |  |  | DeviceUseStatement |
text |  | 0..1 | Narrative | Device usage description
subject |  | 1..1 | Reference(Patient (CZ core)) | Patient using device
timing[x] |  | 1..1 | Timing, Period, dateTime | How often the device was used
Slices for extension |  |  |  | Content/Rules for all slices
extension:data-absent-reason |  | 0..1 | code | unknown | asked | temp | notasked | masked | unsupported | astext | error URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required): Used to specify why the normally expected content of the data element is missing.
device |  | 1..1 | Reference(Medical Device (CZ)) | Reference to device used
reasonCode |  | 0..* | CodeableConcept | Why is used (code)
reasonReference |  | 0..* | Reference(Condition | Observation: Imaging Order (CZ) | Media | DiagnosticReport | DocumentReference) | Why is used (details)
bodySite |  | 0..1 | CodeableConcept | Target body site Binding: SNOMEDCTBodyStructures (preferred)
Documentation for this format

#### Terminology Bindings (Differential)

Path | Status | Usage | ValueSet | Version | Source
DeviceUseStatement.bodySite | Base | preferred | SNOMED CT Body Structures | 📦4.0.1 | FHIR Std.

Snapshot View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
DeviceUseStatement |  | 0..* | DeviceUseStatement | Record of use of a device
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 Bindings | Purpose
AllLanguages | Max Binding
text |  | 0..1 | Narrative | Device usage description 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 | External identifier for this record
basedOn | Σ | 0..* | Reference(ServiceRequest) | Fulfills plan, proposal or order
status | ?!Σ | 1..1 | code | active | completed | entered-in-error + Binding: DeviceUseStatementStatus (required): A coded concept indicating the current status of the Device Usage.
subject | Σ | 1..1 | Reference(Patient (CZ core)) | Patient using device
derivedFrom | Σ | 0..* | Reference(ServiceRequest | Procedure | Claim | Observation | QuestionnaireResponse | DocumentReference) | Supporting information
timing[x] | Σ | 1..1 |  | How often the device was used
timing[x]All Types |  |  |  | Content/Rules for all Types
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
extension:data-absent-reason |  | 0..1 | code | unknown | asked | temp | notasked | masked | unsupported | astext | error URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required): Used to specify why the normally expected content of the data element is missing.
timingTiming |  |  | Timing |
timingPeriod |  |  | Period |
timingDateTime |  |  | dateTime |
recordedOn | Σ | 0..1 | dateTime | When statement was recorded
source | Σ | 0..1 | Reference(Patient | Practitioner | PractitionerRole | RelatedPerson) | Who made the statement
device | Σ | 1..1 | Reference(Medical Device (CZ)) | Reference to device used
reasonCode | Σ | 0..* | CodeableConcept | Why is used (code)
reasonReference | Σ | 0..* | Reference(Condition | Observation: Imaging Order (CZ) | Media | DiagnosticReport | DocumentReference) | Why is used (details)
bodySite | Σ | 0..1 | CodeableConcept | Target body site Binding: SNOMEDCTBodyStructures (preferred)
note |  | 0..* | Annotation | Addition details (comments, instructions)
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
DeviceUseStatement.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std.
DeviceUseStatement.status | Base | required | DeviceUseStatementStatus | 📍4.0.1 | FHIR Std.
DeviceUseStatement.bodySite | Base | preferred | SNOMED CT Body Structures | 📦4.0.1 | FHIR Std.

#### Constraints

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

Summary

Mandatory: 1 element

Structures

This structure refers to these other structures:

- Patient (CZ core) (https://hl7.cz/fhir/core/StructureDefinition/cz-patient-core)
- Medical Device (CZ) (https://hl7.cz/fhir/core/StructureDefinition/cz-medical-device)
- Observation: Imaging Order (CZ) (https://hl7.cz/fhir/img-order/StructureDefinition/cz-observationImage)

Extensions

This structure refers to these extensions:

- http://hl7.org/fhir/StructureDefinition/data-absent-reason|4.0.1

Other representations of profile: CSV, Excel, Schematron