HL7 Czech Imaging Report 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/ and changes regularly. See the Directory of published versions

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• Mappings
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Resource Profile: Diagnostic Report: Imaging Report (CZ)

Diagnostic Report used to represent an entry of a Imaging Report, including its context, for the scope of the Czech national interoperability project.

Usages:

• Derived from this Profile: Diagnostic Report: Obligations
• Use this Profile: Bundle: Imaging Report (CZ)
• Refer to this Profile: Medication Administration: Imaging Report (CZ), Care plan: Imaging Report (CZ), Composition: Imaging Report (CZ), Condition: Imaging Report (CZ)... Show 3 more, Procedure: Imaging Report (CZ), Imaging Study (CZ) and Document DiagnosticReport Reference
• Examples for this Profile: DiagnosticReport/8a4c6711-6192-4519-a085-77fcf36d81c3, DiagnosticReport/9c23deff-bf1d-46f6-bd0e-005e52b42121 and DiagnosticReport/bd3e7b78-bfaa-428e-9168-8cd29cf54aba

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
DiagnosticReport	C	0..*	DiagnosticReport	Imaging Report DiagnosticReport This profile also imposes the profile DiagnosticReport: Imaging Report Constraints: presentedform-01
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:artifactVersion		0..1	string	Business version of the artifact URL: http://hl7.org/fhir/StructureDefinition/artifact-version
extension:supportingInfo		0..*	base64Binary, boolean, canonical(), code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, Reference(), SampledData, Signature, Timing, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage, Meta	Additional information supporting the diagnostic report URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.supportingInfo Constraints: ext-1
extension:composition		1..1	(Complex)	Reference to a Composition resource for the DiagnosticReport structure URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition Constraints: ext-1
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition"
value[x]		0..1	Reference(Composition: Imaging Report (CZ) | Composition)	Reference to a Composition resource for the DiagnosticReport structure
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
basedOn		0..*	Reference(Service Request: Imaging Report (CZ))	What was requested
status	?!Σ	1..1	code	Status of this report Binding: DiagnosticReportStatus (required): The status of the diagnostic report.
Slices for category	Σ	1..*	CodeableConcept	Service category Slice: Unordered, Open by value:$this Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections.
category:diagnostic-service	Σ	0..1	CodeableConcept	Service category Binding: DiagnosticServiceSectionCodes (required)
category:document-category	Σ	1..1	CodeableConcept	Document Category Binding: Kategorie dokumentů (required)
coding	Σ	0..*	Coding	Code defined by a terminology system Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 18726-0
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
code	Σ	1..1	CodeableConcept	Name/Code for this diagnostic report Binding: Typy dokumentů obrazového komplementu (required)
subject	Σ	1..1	Reference(Patient (CZ core) | Patient | Group | Location | Device: Performer/Observer (CZ) | Medical Device (CZ))	The subject of the report - usually, but not always, the patient
encounter	Σ	0..1	Reference(Encounter (CZ))	Health care event when test ordered
effective[x]	Σ	0..1		Clinically relevant time/time-period for report.
effectiveDateTime			dateTime
effectivePeriod			Period
performer	Σ	0..*	Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | Organization (CZ core) | CareTeam)	Responsible Diagnostic Service.
resultsInterpreter	Σ	0..*	Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | Organization (CZ core) | CareTeam)	Primary result interpreter
specimen		0..*	Reference(Specimen (CZ))	Specimens this report is based on.
result		0..*	Reference(Observation: Imaging Report (CZ))	results
presentedForm		1..*	Attachment	Entire report as issued
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
DiagnosticReport.status	Base	required	DiagnosticReportStatus	📍4.0.1	FHIR Std.
DiagnosticReport.category	Base	example	Diagnostic Service Section Codes	📍4.0.1	FHIR Std.
DiagnosticReport.category:diagnostic-service	Base	required	Diagnostic Service Section Codes	📦4.0.1	FHIR Std.
DiagnosticReport.category:document-category	Base	required	Kategorie dokumentů	📦0.1.1	HL7 Czech Terminology Implementation Guide vnull
DiagnosticReport.code	Base	required	Typy dokumentů obrazového komplementu	📦0.1.1	HL7 Czech Terminology Implementation Guide vnull

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	DiagnosticReport	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	DiagnosticReport	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	DiagnosticReport	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	DiagnosticReport	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	DiagnosticReport	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()
presentedform-01	warning	DiagnosticReport	At least one of presented form has PDF format	presentedForm.where(contentType = 'application/pdf').count() > 0

This structure is derived from DiagnosticReport

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
DiagnosticReport	C	0..*	DiagnosticReport	Imaging Report DiagnosticReport This profile also imposes the profile DiagnosticReport: Imaging Report Constraints: presentedform-01
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:artifactVersion		0..1	string	Business version of the artifact URL: http://hl7.org/fhir/StructureDefinition/artifact-version
extension:supportingInfo		0..*	base64Binary, boolean, canonical(), code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, Reference(), SampledData, Signature, Timing, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage, Meta	Additional information supporting the diagnostic report URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.supportingInfo
extension:composition		1..1	(Complex)	Reference to a Composition resource for the DiagnosticReport structure URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition
extension		0..0		Extension
value[x]		0..1	Reference(Composition: Imaging Report (CZ) | Composition)	Reference to a Composition resource for the DiagnosticReport structure
basedOn		0..*	Reference(Service Request: Imaging Report (CZ))	What was requested
status		1..1	code	Status of this report
Slices for category		1..*	CodeableConcept	Service category Slice: Unordered, Open by value:$this
category:diagnostic-service		0..1	CodeableConcept	Service category Binding: DiagnosticServiceSectionCodes (required)
category:document-category		1..1	CodeableConcept	Document Category Binding: Kategorie dokumentů (required)
coding		0..*	Coding	Code defined by a terminology system Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 18726-0
code		1..1	CodeableConcept	Name/Code for this diagnostic report Binding: Typy dokumentů obrazového komplementu (required)
subject		1..1	Reference(Patient (CZ core) | Patient | Group | Location | Device: Performer/Observer (CZ) | Medical Device (CZ))	The subject of the report - usually, but not always, the patient
encounter		0..1	Reference(Encounter (CZ))	Health care event when test ordered
effective[x]		0..1	dateTime, Period	Clinically relevant time/time-period for report.
performer		0..*	Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | Organization (CZ core) | CareTeam)	Responsible Diagnostic Service.
resultsInterpreter		0..*	Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | Organization (CZ core) | CareTeam)	Primary result interpreter
specimen		0..*	Reference(Specimen (CZ))	Specimens this report is based on.
result		0..*	Reference(Observation: Imaging Report (CZ))	results
imagingStudy		0..0		Reference to full details of imaging associated with the diagnostic report
presentedForm		1..*	Attachment	Entire report as issued
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
DiagnosticReport.category:diagnostic-service	Base	required	Diagnostic Service Section Codes	📦4.0.1	FHIR Std.
DiagnosticReport.category:document-category	Base	required	Kategorie dokumentů	📦0.1.1	HL7 Czech Terminology Implementation Guide vnull
DiagnosticReport.code	Base	required	Typy dokumentů obrazového komplementu	📦0.1.1	HL7 Czech Terminology Implementation Guide vnull

Constraints

Id	Grade	Path(s)	Description	Expression
presentedform-01	warning	DiagnosticReport	At least one of presented form has PDF format	presentedForm.where(contentType = 'application/pdf').count() > 0

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
DiagnosticReport	C	0..*	DiagnosticReport	Imaging Report DiagnosticReport This profile also imposes the profile DiagnosticReport: Imaging Report Constraints: presentedform-01
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	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:artifactVersion		0..1	string	Business version of the artifact URL: http://hl7.org/fhir/StructureDefinition/artifact-version
extension:supportingInfo		0..*	base64Binary, boolean, canonical(), code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, Reference(), SampledData, Signature, Timing, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage, Meta	Additional information supporting the diagnostic report URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.supportingInfo Constraints: ext-1
extension:composition		1..1	(Complex)	Reference to a Composition resource for the DiagnosticReport structure URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition Constraints: ext-1
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition"
value[x]		0..1	Reference(Composition: Imaging Report (CZ) | Composition)	Reference to a Composition resource for the DiagnosticReport structure
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Business identifier for report
basedOn		0..*	Reference(Service Request: Imaging Report (CZ))	What was requested
status	?!Σ	1..1	code	Status of this report Binding: DiagnosticReportStatus (required): The status of the diagnostic report.
Slices for category	Σ	1..*	CodeableConcept	Service category Slice: Unordered, Open by value:$this Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections.
category:diagnostic-service	Σ	0..1	CodeableConcept	Service category Binding: DiagnosticServiceSectionCodes (required)
category:document-category	Σ	1..1	CodeableConcept	Document Category Binding: Kategorie dokumentů (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 18726-0
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
code	Σ	1..1	CodeableConcept	Name/Code for this diagnostic report Binding: Typy dokumentů obrazového komplementu (required)
subject	Σ	1..1	Reference(Patient (CZ core) | Patient | Group | Location | Device: Performer/Observer (CZ) | Medical Device (CZ))	The subject of the report - usually, but not always, the patient
encounter	Σ	0..1	Reference(Encounter (CZ))	Health care event when test ordered
effective[x]	Σ	0..1		Clinically relevant time/time-period for report.
effectiveDateTime			dateTime
effectivePeriod			Period
issued	Σ	0..1	instant	DateTime this version was made
performer	Σ	0..*	Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | Organization (CZ core) | CareTeam)	Responsible Diagnostic Service.
resultsInterpreter	Σ	0..*	Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | Organization (CZ core) | CareTeam)	Primary result interpreter
specimen		0..*	Reference(Specimen (CZ))	Specimens this report is based on.
result		0..*	Reference(Observation: Imaging Report (CZ))	results
media	Σ	0..*	BackboneElement	Key images associated with this report
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
comment		0..1	string	Comment about the image (e.g. explanation)
link	Σ	1..1	Reference(Media)	Reference to the image source
conclusion		0..1	string	Clinical conclusion (interpretation) of test results
conclusionCode		0..*	CodeableConcept	Codes for the clinical conclusion of test results Binding: SNOMEDCTClinicalFindings (example): Diagnosis codes provided as adjuncts to the report.
presentedForm		1..*	Attachment	Entire report as issued
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
DiagnosticReport.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
DiagnosticReport.status	Base	required	DiagnosticReportStatus	📍4.0.1	FHIR Std.
DiagnosticReport.category	Base	example	Diagnostic Service Section Codes	📍4.0.1	FHIR Std.
DiagnosticReport.category:diagnostic-service	Base	required	Diagnostic Service Section Codes	📦4.0.1	FHIR Std.
DiagnosticReport.category:document-category	Base	required	Kategorie dokumentů	📦0.1.1	HL7 Czech Terminology Implementation Guide vnull
DiagnosticReport.code	Base	required	Typy dokumentů obrazového komplementu	📦0.1.1	HL7 Czech Terminology Implementation Guide vnull
DiagnosticReport.conclusionCode	Base	example	SNOMED CT Clinical Findings	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	DiagnosticReport	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	DiagnosticReport	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	DiagnosticReport	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	DiagnosticReport	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	DiagnosticReport	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()
presentedform-01	warning	DiagnosticReport	At least one of presented form has PDF format	presentedForm.where(contentType = 'application/pdf').count() > 0

This structure is derived from DiagnosticReport

Summary

Mandatory: 6 elements
Prohibited: 2 elements

Structures

This structure refers to these other structures:

• Composition: Imaging Report (CZ) (https://hl7.cz/fhir/img/StructureDefinition/cz-composition-imaging)
• Service Request: Imaging Report (CZ) (https://hl7.cz/fhir/img/StructureDefinition/cz-imagingOrderInformation)
• Patient (CZ core) (https://hl7.cz/fhir/core/StructureDefinition/cz-patient-core)
• Device: Performer/Observer (CZ) (https://hl7.cz/fhir/core/StructureDefinition/cz-device-observer)
• Medical Device (CZ) (https://hl7.cz/fhir/core/StructureDefinition/cz-medical-device)
• Encounter (CZ) (https://hl7.cz/fhir/core/StructureDefinition/cz-encounter)
• Practitioner (CZ core) (https://hl7.cz/fhir/core/StructureDefinition/cz-practitioner-core)
• Practitioner Role (CZ core) (https://hl7.cz/fhir/core/StructureDefinition/cz-practitionerrole-core)
• Organization (CZ core) (https://hl7.cz/fhir/core/StructureDefinition/cz-organization-core)
• Specimen (CZ) (https://hl7.cz/fhir/core/StructureDefinition/cz-specimen)
• Observation: Imaging Report (CZ) (https://hl7.cz/fhir/img/StructureDefinition/cz-observation-result-imaging)

Extensions

This structure refers to these extensions:

• http://hl7.org/fhir/StructureDefinition/artifact-version|5.3.0-ballot
• http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.supportingInfo
• http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of DiagnosticReport.category

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
DiagnosticReport	C	0..*	DiagnosticReport	Imaging Report DiagnosticReport This profile also imposes the profile DiagnosticReport: Imaging Report Constraints: presentedform-01
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:artifactVersion		0..1	string	Business version of the artifact URL: http://hl7.org/fhir/StructureDefinition/artifact-version
extension:supportingInfo		0..*	base64Binary, boolean, canonical(), code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, Reference(), SampledData, Signature, Timing, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage, Meta	Additional information supporting the diagnostic report URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.supportingInfo Constraints: ext-1
extension:composition		1..1	(Complex)	Reference to a Composition resource for the DiagnosticReport structure URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition Constraints: ext-1
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition"
value[x]		0..1	Reference(Composition: Imaging Report (CZ) | Composition)	Reference to a Composition resource for the DiagnosticReport structure
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
basedOn		0..*	Reference(Service Request: Imaging Report (CZ))	What was requested
status	?!Σ	1..1	code	Status of this report Binding: DiagnosticReportStatus (required): The status of the diagnostic report.
Slices for category	Σ	1..*	CodeableConcept	Service category Slice: Unordered, Open by value:$this Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections.
category:diagnostic-service	Σ	0..1	CodeableConcept	Service category Binding: DiagnosticServiceSectionCodes (required)
category:document-category	Σ	1..1	CodeableConcept	Document Category Binding: Kategorie dokumentů (required)
coding	Σ	0..*	Coding	Code defined by a terminology system Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 18726-0
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
code	Σ	1..1	CodeableConcept	Name/Code for this diagnostic report Binding: Typy dokumentů obrazového komplementu (required)
subject	Σ	1..1	Reference(Patient (CZ core) | Patient | Group | Location | Device: Performer/Observer (CZ) | Medical Device (CZ))	The subject of the report - usually, but not always, the patient
encounter	Σ	0..1	Reference(Encounter (CZ))	Health care event when test ordered
effective[x]	Σ	0..1		Clinically relevant time/time-period for report.
effectiveDateTime			dateTime
effectivePeriod			Period
performer	Σ	0..*	Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | Organization (CZ core) | CareTeam)	Responsible Diagnostic Service.
resultsInterpreter	Σ	0..*	Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | Organization (CZ core) | CareTeam)	Primary result interpreter
specimen		0..*	Reference(Specimen (CZ))	Specimens this report is based on.
result		0..*	Reference(Observation: Imaging Report (CZ))	results
presentedForm		1..*	Attachment	Entire report as issued
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
DiagnosticReport.status	Base	required	DiagnosticReportStatus	📍4.0.1	FHIR Std.
DiagnosticReport.category	Base	example	Diagnostic Service Section Codes	📍4.0.1	FHIR Std.
DiagnosticReport.category:diagnostic-service	Base	required	Diagnostic Service Section Codes	📦4.0.1	FHIR Std.
DiagnosticReport.category:document-category	Base	required	Kategorie dokumentů	📦0.1.1	HL7 Czech Terminology Implementation Guide vnull
DiagnosticReport.code	Base	required	Typy dokumentů obrazového komplementu	📦0.1.1	HL7 Czech Terminology Implementation Guide vnull

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	DiagnosticReport	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	DiagnosticReport	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	DiagnosticReport	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	DiagnosticReport	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	DiagnosticReport	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()
presentedform-01	warning	DiagnosticReport	At least one of presented form has PDF format	presentedForm.where(contentType = 'application/pdf').count() > 0

Differential View

This structure is derived from DiagnosticReport

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
DiagnosticReport	C	0..*	DiagnosticReport	Imaging Report DiagnosticReport This profile also imposes the profile DiagnosticReport: Imaging Report Constraints: presentedform-01
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:artifactVersion		0..1	string	Business version of the artifact URL: http://hl7.org/fhir/StructureDefinition/artifact-version
extension:supportingInfo		0..*	base64Binary, boolean, canonical(), code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, Reference(), SampledData, Signature, Timing, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage, Meta	Additional information supporting the diagnostic report URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.supportingInfo
extension:composition		1..1	(Complex)	Reference to a Composition resource for the DiagnosticReport structure URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition
extension		0..0		Extension
value[x]		0..1	Reference(Composition: Imaging Report (CZ) | Composition)	Reference to a Composition resource for the DiagnosticReport structure
basedOn		0..*	Reference(Service Request: Imaging Report (CZ))	What was requested
status		1..1	code	Status of this report
Slices for category		1..*	CodeableConcept	Service category Slice: Unordered, Open by value:$this
category:diagnostic-service		0..1	CodeableConcept	Service category Binding: DiagnosticServiceSectionCodes (required)
category:document-category		1..1	CodeableConcept	Document Category Binding: Kategorie dokumentů (required)
coding		0..*	Coding	Code defined by a terminology system Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 18726-0
code		1..1	CodeableConcept	Name/Code for this diagnostic report Binding: Typy dokumentů obrazového komplementu (required)
subject		1..1	Reference(Patient (CZ core) | Patient | Group | Location | Device: Performer/Observer (CZ) | Medical Device (CZ))	The subject of the report - usually, but not always, the patient
encounter		0..1	Reference(Encounter (CZ))	Health care event when test ordered
effective[x]		0..1	dateTime, Period	Clinically relevant time/time-period for report.
performer		0..*	Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | Organization (CZ core) | CareTeam)	Responsible Diagnostic Service.
resultsInterpreter		0..*	Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | Organization (CZ core) | CareTeam)	Primary result interpreter
specimen		0..*	Reference(Specimen (CZ))	Specimens this report is based on.
result		0..*	Reference(Observation: Imaging Report (CZ))	results
imagingStudy		0..0		Reference to full details of imaging associated with the diagnostic report
presentedForm		1..*	Attachment	Entire report as issued
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
DiagnosticReport.category:diagnostic-service	Base	required	Diagnostic Service Section Codes	📦4.0.1	FHIR Std.
DiagnosticReport.category:document-category	Base	required	Kategorie dokumentů	📦0.1.1	HL7 Czech Terminology Implementation Guide vnull
DiagnosticReport.code	Base	required	Typy dokumentů obrazového komplementu	📦0.1.1	HL7 Czech Terminology Implementation Guide vnull

Constraints

Id	Grade	Path(s)	Description	Expression
presentedform-01	warning	DiagnosticReport	At least one of presented form has PDF format	presentedForm.where(contentType = 'application/pdf').count() > 0

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
DiagnosticReport	C	0..*	DiagnosticReport	Imaging Report DiagnosticReport This profile also imposes the profile DiagnosticReport: Imaging Report Constraints: presentedform-01
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	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:artifactVersion		0..1	string	Business version of the artifact URL: http://hl7.org/fhir/StructureDefinition/artifact-version
extension:supportingInfo		0..*	base64Binary, boolean, canonical(), code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, Reference(), SampledData, Signature, Timing, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage, Meta	Additional information supporting the diagnostic report URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.supportingInfo Constraints: ext-1
extension:composition		1..1	(Complex)	Reference to a Composition resource for the DiagnosticReport structure URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition Constraints: ext-1
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition"
value[x]		0..1	Reference(Composition: Imaging Report (CZ) | Composition)	Reference to a Composition resource for the DiagnosticReport structure
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Business identifier for report
basedOn		0..*	Reference(Service Request: Imaging Report (CZ))	What was requested
status	?!Σ	1..1	code	Status of this report Binding: DiagnosticReportStatus (required): The status of the diagnostic report.
Slices for category	Σ	1..*	CodeableConcept	Service category Slice: Unordered, Open by value:$this Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections.
category:diagnostic-service	Σ	0..1	CodeableConcept	Service category Binding: DiagnosticServiceSectionCodes (required)
category:document-category	Σ	1..1	CodeableConcept	Document Category Binding: Kategorie dokumentů (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 18726-0
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
code	Σ	1..1	CodeableConcept	Name/Code for this diagnostic report Binding: Typy dokumentů obrazového komplementu (required)
subject	Σ	1..1	Reference(Patient (CZ core) | Patient | Group | Location | Device: Performer/Observer (CZ) | Medical Device (CZ))	The subject of the report - usually, but not always, the patient
encounter	Σ	0..1	Reference(Encounter (CZ))	Health care event when test ordered
effective[x]	Σ	0..1		Clinically relevant time/time-period for report.
effectiveDateTime			dateTime
effectivePeriod			Period
issued	Σ	0..1	instant	DateTime this version was made
performer	Σ	0..*	Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | Organization (CZ core) | CareTeam)	Responsible Diagnostic Service.
resultsInterpreter	Σ	0..*	Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | Organization (CZ core) | CareTeam)	Primary result interpreter
specimen		0..*	Reference(Specimen (CZ))	Specimens this report is based on.
result		0..*	Reference(Observation: Imaging Report (CZ))	results
media	Σ	0..*	BackboneElement	Key images associated with this report
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
comment		0..1	string	Comment about the image (e.g. explanation)
link	Σ	1..1	Reference(Media)	Reference to the image source
conclusion		0..1	string	Clinical conclusion (interpretation) of test results
conclusionCode		0..*	CodeableConcept	Codes for the clinical conclusion of test results Binding: SNOMEDCTClinicalFindings (example): Diagnosis codes provided as adjuncts to the report.
presentedForm		1..*	Attachment	Entire report as issued
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
DiagnosticReport.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
DiagnosticReport.status	Base	required	DiagnosticReportStatus	📍4.0.1	FHIR Std.
DiagnosticReport.category	Base	example	Diagnostic Service Section Codes	📍4.0.1	FHIR Std.
DiagnosticReport.category:diagnostic-service	Base	required	Diagnostic Service Section Codes	📦4.0.1	FHIR Std.
DiagnosticReport.category:document-category	Base	required	Kategorie dokumentů	📦0.1.1	HL7 Czech Terminology Implementation Guide vnull
DiagnosticReport.code	Base	required	Typy dokumentů obrazového komplementu	📦0.1.1	HL7 Czech Terminology Implementation Guide vnull
DiagnosticReport.conclusionCode	Base	example	SNOMED CT Clinical Findings	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	DiagnosticReport	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	DiagnosticReport	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	DiagnosticReport	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	DiagnosticReport	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	DiagnosticReport	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()
presentedform-01	warning	DiagnosticReport	At least one of presented form has PDF format	presentedForm.where(contentType = 'application/pdf').count() > 0

This structure is derived from DiagnosticReport

Summary

Mandatory: 6 elements
Prohibited: 2 elements

Structures

This structure refers to these other structures:

• Composition: Imaging Report (CZ) (https://hl7.cz/fhir/img/StructureDefinition/cz-composition-imaging)
• Service Request: Imaging Report (CZ) (https://hl7.cz/fhir/img/StructureDefinition/cz-imagingOrderInformation)
• Patient (CZ core) (https://hl7.cz/fhir/core/StructureDefinition/cz-patient-core)
• Device: Performer/Observer (CZ) (https://hl7.cz/fhir/core/StructureDefinition/cz-device-observer)
• Medical Device (CZ) (https://hl7.cz/fhir/core/StructureDefinition/cz-medical-device)
• Encounter (CZ) (https://hl7.cz/fhir/core/StructureDefinition/cz-encounter)
• Practitioner (CZ core) (https://hl7.cz/fhir/core/StructureDefinition/cz-practitioner-core)
• Practitioner Role (CZ core) (https://hl7.cz/fhir/core/StructureDefinition/cz-practitionerrole-core)
• Organization (CZ core) (https://hl7.cz/fhir/core/StructureDefinition/cz-organization-core)
• Specimen (CZ) (https://hl7.cz/fhir/core/StructureDefinition/cz-specimen)
• Observation: Imaging Report (CZ) (https://hl7.cz/fhir/img/StructureDefinition/cz-observation-result-imaging)

Extensions

This structure refers to these extensions:

• http://hl7.org/fhir/StructureDefinition/artifact-version|5.3.0-ballot
• http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.supportingInfo
• http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of DiagnosticReport.category

Other representations of profile: CSV, Excel, Schematron