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

Plain Language Summary goes here

## Home

Official URL: https://hl7.cz/fhir/img-order/ImplementationGuide/hl7.fhir.cz.img-order | Version: 0.1.0-ballot
Draft as of 2026-03-30 | Computable Name: HL7CzImagingOrderImplementationGuide

### Introduction

This implementation guide is based on FHIR version R4. Specify a set of rules that will be used for HL7 FHIR to define how to represent Imaging Order in the Czech national context, in line with European eHN guidelines.

Its main objective is to define the content components and the preferred structure to be used to construct a imaging order. The purpose of this standard is to define the representation of the imaging order as a patient's medical record for the purpose of electronic exchange of health information between individuals, healthcare providers and infrastructure in the Czech Republic.

This guide does not describe how to exchange this message.

### Scope

This guide is divided into several pages which are listed at the top of each page in the menu bar.

- Home: This page provides the introduction, scope short, references, dependencies, cross version analysis and IP statement for this guide.
- Introduction:
  - Scope and content: This segment contains general information about Imaging order.
  - Background: This segment contains background information about Imaging order.
- Functional:
  - Use cases: This segment contains information about use cases.
  - Workflow: This segment contains information about workflow.
  - Logical models: This segment contains information about logical models.
  - Terminology considerations: This segment contains information about terminology.
- Implementation:
  - Mapping to profiles: This segment contains information about logical model maps to profiles.
  - Examples: This segment contains information about examples.
  - Obligations: This segment contains information about obligations.
  - Implementation notes: This segment contains information for implementation.
- About:
  - Authors: This segment contains informaction about authors.
  - Downloads: This segment contains informaction about downloads.
  - Dependencies: This segment contains informaction about dependencies.
  - Copyright: This segment contains informaction about copyright.
- Artifacts: This page provides a list of the FHIR artifacts defined as part of this implementation guide.

### References

The paper form template for an electronic referral is the paper referral form for Examination/Treatment Type Z. The specifications for the content of the paper referral are provided in `příloha č. 1 v části 2 k vyhlášce č. 444/2024 Sb., o zdravotnické dokumentaci, k 19.2.2025`.

- Related specifications:
  - EHDS Logical Information Models
    - This specification has inspired many of the design patterns defined in this IG.
  - HL7 Czech Laboratory Order IG
    - This specification has many of together design patterns defined in this IG.
  - HL7 Czech Imaging Report IG
    - This specification has many of together design patterns defined in this IG.
  - HL7 Czech Base and Core Implementation Guide
    - Where possible this specification has been aligned with choices made in CZ core.

### Dependencies

IG | Package | FHIR | Comment
--- | --- | --- | ---
HL7 Czech Imaging Order IG | hl7.fhir.cz.img-order#0.1.0-ballot | R4 |
HL7 Terminology (THO) | hl7.terminology.r4#7.1.0 | R4 | Automatically added as a dependency - all IGs depend on HL7 Terminology
FHIR Extensions Pack | hl7.fhir.uv.extensions.r4#5.2.0 | R4 |
HL7 Czech Base and Core FHIR IG | hl7.fhir.cz.core#0.3.0 | R4 |
HL7 Terminology (THO) | hl7.terminology.r4#7.0.1 | R4 |
International Patient Summary Implementation Guide | hl7.fhir.uv.ips#1.1.0 | R4 |
HL7 Terminology (THO) | hl7.terminology.r4#5.0.0 | R4 |
fhir.dicom | fhir.dicom#2022.4.20221006 | R4 |
HL7 Europe Base and Core FHIR IG | hl7.fhir.eu.base#0.1.0 | R4 |
HL7 Terminology (THO) | hl7.terminology.r4#6.5.0 | R4 |
International Patient Summary Implementation Guide | hl7.fhir.uv.ips#2.0.0 | R4 |
International Patient Access | hl7.fhir.uv.ipa#1.1.0 | R4 |
HL7 Terminology (THO) | hl7.terminology.r4#6.2.0 | R4 |
SMART App Launch | hl7.fhir.uv.smart-app-launch#2.0.0 | R4 |
HL7 Europe Extensions | hl7.fhir.eu.extensions.r4#0.1.1 | R4 |
HL7 Czech Terminology Implementation Guide | hl7.fhir.cz.terminology#0.2.0 | R4 |
HL7 Europe Extensions | hl7.fhir.eu.extensions#1.2.0 | R5 |
HL7 Terminology (THO) | hl7.terminology.r5#7.0.1 | R5 |
FHIR Tooling Extensions IG | hl7.fhir.uv.tools.r4#1.1.2 | R4 | for example references

Package hl7.fhir.uv.extensions.r4#5.2.0 This IG defines the global extensions - the ones defined for everyone. These extensions are always in scope wherever FHIR is being used (built Mon, Feb 10, 2025 21:45+1100+11:00)

Package hl7.fhir.uv.ips#1.1.0 International Patient Summary (IPS) FHIR Implementation Guide (built Tue, Nov 22, 2022 03:24+0000+00:00)

Package hl7.fhir.uv.ipa#1.1.0 This IG describes how an application acting on behalf of a patient can access information about the patient from an clinical records system using a FHIR based API. The clinical records system may be supporting a clinical care provider (e.g. a hospital, or a general practitioner), or a health data exchange, including a national health record system. (built Wed, Mar 19, 2025 14:34+0000+00:00)

Package hl7.fhir.eu.extensions.r4#0.1.1 This guide lists the extensions specified for the European REALM. (built Sun, Oct 26, 2025 20:13+0100+01:00)

Package hl7.fhir.eu.base#0.1.0 This guide collects base and core profiles to be used in the European context. It also includes common artifacts, such as the profiles describing the European Health Insurance Card. (built Sun, Oct 26, 2025 21:01+0100+01:00)

Package hl7.fhir.cz.terminology#0.2.0 HL7 Czech Terminology Implementation Guide (built Mon, Feb 2, 2026 07:59+0100+01:00)

Package hl7.fhir.cz.core#0.3.0 HL7 Czech Base and Core Resources Implementation Guide (built Fri, Mar 6, 2026 09:02+0100+01:00)

Package hl7.fhir.eu.extensions#1.2.0 This guide lists the extensions specified for the European REALM. (built Fri, Dec 19, 2025 11:52+0100+01:00)

Package hl7.fhir.uv.tools.r4#1.1.2 This IG defines the extensions that the tools use internally. Some of these extensions are content that are being evaluated for elevation into the main spec, and others are tooling concerns (built Tue, Mar 24, 2026 11:13+1100+11:00)

### Cross Version Analysis

This is an R4 IG. None of the features it uses are changed in R4B, so it can be used as is with R4B systems. Packages for both R4 (hl7.fhir.cz.img-order.r4) and R4B (hl7.fhir.cz.img-order.r4b) are available.

### IP statements

This publication includes IP covered under the following statements.

- ISO maintains the copyright on the country codes, and controls its use carefully. For further details see the ISO 3166 web page: https://www.iso.org/iso-3166-country-codes.html
  Show Usage
  - ISO 3166-1 Codes for the representation of names of countries and their subdivisions — Part 1: Country code: AttachmentImagingOrder2FHIRcz, BodyImagingOrder2FHIRcz... Show 69 more, Bundle/BundleKralikRTG, CZ_Appointment, CZ_BodyHeight, CZ_BodyWeight, CZ_BundleImageOrder, CZ_CarePlanImage, CZ_CompositionImageOrder, CZ_ConditionClinicalQuestion, CZ_ConditionImage, CZ_DeviceUseStatement, CZ_DiagnosisConditionVs, CZ_Flag, CZ_ImagingOrderInformation, CZ_ImagingProcedureVs, CZ_MobilityTypeVs, CZ_MobilityValueVs, CZ_ModalityVs, CZ_ObservationImage, CZ_ObservationUnitsHeightVs, CZ_ObservationUnitsWeightVs, CZ_PatientMobility, HL7CzImagingOrderImplementationGuide, HeaderImagingOrder2FHIRcz, LogCzAdditionalRecipient, LogCzAttachmentsCz, LogCzAuthorOrderCz, LogCzBodyImageOrderCz, LogCzClinicalEventCz, LogCzCoverageBodyCz, LogCzCoverageOrderCz, LogCzDigitalSignatureCz, LogCzDocumentMetadataOrderCz, LogCzHeaderImagingOrderCz, LogCzImageAppointmentCz, LogCzImageOrderInformationCz, LogCzImageSupportingInformationCz, LogCzImagingOrderCz, LogCzOrderDataElementsCz, LogCzOtherSupportingInformationCz, LogCzPayerOrderCz, LogCzPlannedCareOrdersCz, LogCzPresentedFormCz, LogCzRequestedPerformerOrderCz, LogCzSpecimenInformationCz, LogCzSubjectImagingOrderCz, LogEnAdditionalRecipient, LogEnAttachmentsCz, LogEnAuthorOrderCz, LogEnBodyImageOrderCz, LogEnClinicalEventCz, LogEnCoverageBodyCz, LogEnCoverageOrderCz, LogEnDigitalSignatureCz, LogEnDocumentMetadataOrderCz, LogEnHeaderImagingOrderCz, LogEnImageAppointmentCz, LogEnImageOrderInformationCz, LogEnImageSupportingInformationCz, LogEnImagingOrderCz, LogEnOrderDataElementsCz, LogEnOtherSupportingInformationCz, LogEnPayerOrderCz, LogEnPlannedCareOrdersCz, LogEnPresentedFormCz, LogEnRequestedPerformerOrderCz, LogEnSpecimenInformationCz, LogEnSubjectImagingOrderCz, Patient/Mracena and Patient/dd800c46-f71a-4628-b457-6ccaa27dd6bc
- The UCUM codes, UCUM table (regardless of format), and UCUM Specification are copyright 1999-2009, Regenstrief Institute, Inc. and the Unified Codes for Units of Measures (UCUM) Organization. All rights reserved. https://ucum.org/trac/wiki/TermsOfUse
  Show Usage
  - Unified Code for Units of Measure (UCUM): Bundle/BundleKralikRTG, CZ_BodyHeight... Show 7 more, CZ_BodyWeight, CZ_ObservationUnitsHeightVs, CZ_ObservationUnitsWeightVs, Observation/4a38a57a-fdfe-48df-802c-8d7e8e3e1a3b, Observation/ExampleBodyHeight, Observation/ExampleBodyWeight and Observation/e0861d9f-4b04-465f-b15b-cb01e3a8b677
- These codes are excerpted from Digital Imaging and Communications in Medicine (DICOM) Standard, Part 16: Content Mapping Resource, Copyright Â© 2011 by the National Electrical Manufacturers Association.
  Show Usage
  - DICOM Controlled Terminology Definitions: Bundle/BundleKralikRTG, CZ_ImagingOrderInformation... Show 8 more, CZ_ModalityVs, ServiceRequest/158808ba-fcca-480e-8188-dec77920ec3c, ServiceRequest/210db397-977a-47a0-8a2e-febde6f9f92a, ServiceRequest/5ab3e344-4d0c-4786-bab2-7dd0d7b60cd9, ServiceRequest/c8d7d3d8-9007-45a7-8f09-0ae69f7d7fed, ServiceRequest/d6784779-d008-447d-90cf-89d5d53a0f04, ServiceRequest/ded5bee9-8a58-4676-919f-0b8e08eaede4 and ServiceRequest/fea1dbb8-9e16-4e11-beae-c12829c97381
- This material contains content from LOINC. LOINC is copyright © 1995-2020, Regenstrief Institute, Inc. and the Logical Observation Identifiers Names and Codes (LOINC) Committee and is available at no cost under the license. LOINC® is a registered United States trademark of Regenstrief Institute, Inc.
  Show Usage
  - LOINC: Bundle/BundleKralikRTG, CZ_BodyHeight... Show 7 more, CZ_BodyWeight, CZ_CompositionImageOrder, Composition/dbd426a9-d660-4f97-8656-1e39db4a57c9, Observation/4a38a57a-fdfe-48df-802c-8d7e8e3e1a3b, Observation/ExampleBodyHeight, Observation/ExampleBodyWeight and Observation/e0861d9f-4b04-465f-b15b-cb01e3a8b677
- This material contains content that is copyright of SNOMED International. Implementers of these specifications must have the appropriate SNOMED CT Affiliate license - for more information contact https://www.snomed.org/get-snomed or info@snomed.org.
  Show Usage
  - SNOMED Clinical Terms&reg; (SNOMED CT&reg;): Bundle/BundleKralikRTG, CZ_CompositionImageOrder... Show 27 more, CZ_ConditionClinicalQuestion, CZ_ConditionImage, CZ_DeviceUseStatement, CZ_ImagingOrderInformation, CZ_ImagingProcedureVs, CZ_MobilityTypeVs, CZ_MobilityValueVs, CZ_PatientMobility, Composition/dbd426a9-d660-4f97-8656-1e39db4a57c9, Device/711e1d43-d5e4-4cbc-b546-74059db270f6, Device/MRDevice, Device/e33c93c6-3dd0-4595-9f15-63b9302861d1, DeviceUseStatement/b29cacfd-b05b-44cf-be5a-8b6d76bdc375, Observation/4a38a57a-fdfe-48df-802c-8d7e8e3e1a3b, Observation/ExampleBodyHeight, Observation/ExampleBodyWeight, Observation/d70a725d-baa9-4553-a670-2609b0c0219f, Observation/e0861d9f-4b04-465f-b15b-cb01e3a8b677, PractitionerRole/f0ac1e16-61f5-4591-a7eb-1dc586e25349, ServiceRequest/158808ba-fcca-480e-8188-dec77920ec3c, ServiceRequest/210db397-977a-47a0-8a2e-febde6f9f92a, ServiceRequest/5ab3e344-4d0c-4786-bab2-7dd0d7b60cd9, ServiceRequest/c8d7d3d8-9007-45a7-8f09-0ae69f7d7fed, ServiceRequest/cz-imagingorder-example, ServiceRequest/d6784779-d008-447d-90cf-89d5d53a0f04, ServiceRequest/ded5bee9-8a58-4676-919f-0b8e08eaede4 and ServiceRequest/fea1dbb8-9e16-4e11-beae-c12829c97381
- This material derives from the HL7 Terminology (THO). THO is copyright ©1989+ Health Level Seven International and is made available under the CC0 designation. For more licensing information see: https://terminology.hl7.org/license.html
  Show Usage
  - Condition Category Codes: CZ_ConditionImage
  - Observation Category Codes: Bundle/BundleKralikRTG, Observation/4a38a57a-fdfe-48df-802c-8d7e8e3e1a3b, Observation/ExampleBodyHeight, Observation/ExampleBodyWeight and Observation/e0861d9f-4b04-465f-b15b-cb01e3a8b677
  - ActCode: Bundle/BundleKralikRTG and Encounter/db16a37b-d393-4767-bb2e-739f9bff16f9