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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Resource Profile: ObservationResult (Imaging Report): Obligations

This profile defines obligations for an Observation result in FHIR for the purpose of this guide.

Usages:

• This Profile is not used by any profiles in this Implementation Guide

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
Observation	C	0..*	CZ_ObservationResultImaging	Imaging result for a imaging report Constraints: obs-6, obs-7
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language	S	0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
Slices for extension				Content/Rules for all slices
extension:triggeredBy-r5		0..*	(Complex)	Optional Extensions Element URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.triggeredBy
Slices for extension				Content/Rules for all slices
extension:observation		0..*	Extension	Triggering observation.
extension		0..0
url		1..1	uri	"observation"
value[x]		1..1	Reference(Observation)	Value of extension
extension:type		0..*	Extension	The type of trigger
extension		0..0
url		1..1	uri	"type"
value[x]		1..1	code	Value of extension
extension:reason		0..*	Extension	Extension
extension		0..0
url		1..1	uri	"reason"
value[x]		1..1	string	Value of extension
url		1..1	uri	"http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.triggeredBy"
extension:value-r5		0..1	?gen-e1? [CanonicalType[http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value%5Bx%5D]]	only for result of type Attachment URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value%5Bx%5D
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value[x]"
value[x]		1..1	Attachment	Value of extension
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	Σ	0..*	Identifier	Business Identifier for observation Slice: Unordered, Open by value:type
identifier:observationUid	Σ	0..1	Identifier	Business Identifier for observation
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	1..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
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: https://hl7.cz/fhir/img/CodeSystem/codesystem-missing-dicom-terminology
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 00080018
display		1..1	string	Representation defined by the system Fixed Value: SOP Instance UID
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
Slices for basedOn	Σ	0..*	Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest | Service Request: Imaging Report (CZ))	Fulfills plan, proposal or order Slice: Unordered, Open by type:$this
basedOn:imorderaccession	Σ	0..1	Reference(Service Request: Imaging Report (CZ))	Fulfills plan, proposal or order
identifier	Σ	1..1	CZ_AccessionNumberIdentifier	Logical reference, when literal reference is not known
status	?!SOΣ	1..1	code	registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation. Obligations Actor SHALL:display ImgReportConsumer SHOULD:populate-if-known ImgReportCreator
category	O	0..*	CodeableConcept	Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. Obligations Actor SHALL:display ImgReportConsumer SHOULD:populate-if-known ImgReportCreator
code	OΣ	1..1	CodeableConcept	Type of observation (code / type) Binding: CZ Observation code (required) Obligations Actor SHALL:display ImgReportConsumer SHALL:able-to-populate ImgReportCreator
issued	SΣ	0..1	instant	Date/Time this version was made available
performer	SΣ	0..*	Reference(CareTeam | RelatedPerson | Patient (CZ core) | Organization (CZ core) | Practitioner Role (CZ core) | Practitioner (CZ core))	In the initial iteration of the Czech interoperability project: this is Organization (CZ) or Practitioner (CZ)
Slices for value[x]	SOΣC	0..1		Actual result Slice: Unordered, Open by type:$this Obligations Actor SHALL:display ImgReportConsumer SHOULD:populate-if-known ImgReportCreator
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
value[x]:valueDateTime	SOΣC	0..1	dateTime	Actual result Obligations Actor SHALL:display ImgReportConsumer SHALL:populate-if-known ImgReportCreator
dataAbsentReason	SOC	0..1	CodeableConcept	Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. Obligations Actor SHALL:display ImgReportConsumer SHOULD:populate-if-known ImgReportCreator
interpretation	SO	0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. Obligations Actor SHALL:display ImgReportConsumer SHOULD:populate-if-known ImgReportCreator
note	S	0..*	Annotation	Comments about the observation
bodySite	O	0..1	CodeableConcept	Observed body part Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. Obligations Actor SHALL:display ImgReportConsumer SHOULD:populate-if-known ImgReportCreator
method	SO	0..1	CodeableConcept	How it was done Binding: ObservationMethods (example): Methods for simple observations. Obligations Actor SHALL:display ImgReportConsumer SHOULD:populate-if-known ImgReportCreator
specimen	SO	0..1	Reference(Specimen (CZ))	Specimen used for this observation Obligations Actor SHALL:display ImgReportConsumer SHALL:populate-if-known ImgReportCreator
device	SO	0..1	Reference(Device: Performer/Observer (CZ) | Medical Device (CZ) | DeviceMetric)	(Measurement) Device Obligations Actor SHALL:display ImgReportConsumer SHOULD:populate-if-known ImgReportCreator
referenceRange	SOC	0..*	BackboneElement	Provides guide for interpretation Constraints: obs-3 Obligations Actor SHALL:display ImgReportConsumer SHALL:populate-if-known ImgReportCreator
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
hasMember	OΣ	0..*	Reference(Observation: Imaging Report (CZ) | QuestionnaireResponse | MolecularSequence)	Related resource that belongs to the Observation group Obligations Actor SHALL:display ImgReportConsumer SHOULD:populate-if-known ImgReportCreator
derivedFrom	SOΣ	0..*	Reference(DocumentReference | Imaging Study (CZ) | Media | QuestionnaireResponse | MolecularSequence | Observation: Imaging Report (CZ))	Related measurements the observation is made from Obligations Actor SHALL:display ImgReportConsumer SHOULD:populate-if-known ImgReportCreator
component	OΣ	0..*	BackboneElement	Component results Obligations Actor SHALL:display ImgReportConsumer SHOULD:populate-if-known ImgReportCreator
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Observation.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages From the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Observation.identifier:observationUid.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 From the FHIR Standard
Observation.identifier:observationUid.type	extensible	Pattern Value: 00080018("SOP Instance UID") http://hl7.org/fhir/ValueSet/identifier-type From the FHIR Standard
Observation.status	required	ObservationStatus http://hl7.org/fhir/ValueSet/observation-status|4.0.1 From the FHIR Standard
Observation.category	preferred	ObservationCategoryCodes http://hl7.org/fhir/ValueSet/observation-category From the FHIR Standard
Observation.code	required	CZ_ObservationCodeVs https://hl7.cz/fhir/img/ValueSet/cz-observationCode-vs From this IG
Observation.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason From the FHIR Standard
Observation.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation From the FHIR Standard
Observation.bodySite	example	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site From the FHIR Standard
Observation.method	example	ObservationMethods http://hl7.org/fhir/ValueSet/observation-methods From the FHIR Standard
Observation.component.code	example	LOINCCodes(a valid code from LOINC) http://hl7.org/fhir/ValueSet/observation-codes From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Observation	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Observation	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	Observation	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	Observation	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Observation	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()
obs-3	error	Observation.referenceRange	Must have at least a low or a high or text : low.exists() or high.exists() or text.exists()
obs-6	error	Observation	dataAbsentReason SHALL only be present if Observation.value[x] is not present : dataAbsentReason.empty() or value.empty()
obs-7	error	Observation	If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present : value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()

This structure is derived from CZ_ObservationResultImaging

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Observation		0..*	CZ_ObservationResultImaging	Imaging result for a imaging report
status	O	1..1	code	registered | preliminary | final | amended + Obligations Actor SHALL:display ImgReportConsumer SHOULD:populate-if-known ImgReportCreator
category	O	0..*	CodeableConcept	Classification of type of observation Obligations Actor SHALL:display ImgReportConsumer SHOULD:populate-if-known ImgReportCreator
code	O	1..1	CodeableConcept	Type of observation (code / type) Obligations Actor SHALL:display ImgReportConsumer SHALL:able-to-populate ImgReportCreator
Slices for value[x]	O	0..1	Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period	Actual result Slice: Unordered, Open by type:$this Obligations Actor SHALL:display ImgReportConsumer SHOULD:populate-if-known ImgReportCreator
value[x]:valueDateTime	O	0..1	dateTime	Actual result Obligations Actor SHALL:display ImgReportConsumer SHALL:populate-if-known ImgReportCreator
dataAbsentReason	O	0..1	CodeableConcept	Why the result is missing Obligations Actor SHALL:display ImgReportConsumer SHOULD:populate-if-known ImgReportCreator
interpretation	O	0..*	CodeableConcept	High, low, normal, etc. Obligations Actor SHALL:display ImgReportConsumer SHOULD:populate-if-known ImgReportCreator
bodySite	O	0..1	CodeableConcept	Observed body part Obligations Actor SHALL:display ImgReportConsumer SHOULD:populate-if-known ImgReportCreator
method	O	0..1	CodeableConcept	How it was done Obligations Actor SHALL:display ImgReportConsumer SHOULD:populate-if-known ImgReportCreator
specimen	O	0..1	Reference(Specimen (CZ))	Specimen used for this observation Obligations Actor SHALL:display ImgReportConsumer SHALL:populate-if-known ImgReportCreator
device	O	0..1	Reference(Device: Performer/Observer (CZ) | Medical Device (CZ) | DeviceMetric)	(Measurement) Device Obligations Actor SHALL:display ImgReportConsumer SHOULD:populate-if-known ImgReportCreator
referenceRange	O	0..*	BackboneElement	Provides guide for interpretation Obligations Actor SHALL:display ImgReportConsumer SHALL:populate-if-known ImgReportCreator
hasMember	O	0..*	Reference(Observation: Imaging Report (CZ) | QuestionnaireResponse | MolecularSequence)	Related resource that belongs to the Observation group Obligations Actor SHALL:display ImgReportConsumer SHOULD:populate-if-known ImgReportCreator
derivedFrom	O	0..*	Reference(DocumentReference | Imaging Study (CZ) | Media | QuestionnaireResponse | MolecularSequence | Observation: Imaging Report (CZ))	Related measurements the observation is made from Obligations Actor SHALL:display ImgReportConsumer SHOULD:populate-if-known ImgReportCreator
component	O	0..*	BackboneElement	Component results Obligations Actor SHALL:display ImgReportConsumer SHOULD:populate-if-known ImgReportCreator
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Observation	C	0..*	CZ_ObservationResultImaging	Imaging result for a imaging report Constraints: obs-6, obs-7
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	S	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		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:triggeredBy-r5		0..*	(Complex)	Optional Extensions Element URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.triggeredBy
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:observation		0..*	Extension	Triggering observation.
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"observation"
value[x]		1..1	Reference(Observation)	Value of extension
extension:type		0..*	Extension	The type of trigger
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"type"
value[x]		1..1	code	Value of extension
extension:reason		0..*	Extension	Extension
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"reason"
value[x]		1..1	string	Value of extension
url		1..1	uri	"http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.triggeredBy"
extension:value-r5		0..1	?gen-e1? [CanonicalType[http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value%5Bx%5D]]	only for result of type Attachment URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value%5Bx%5D
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value[x]"
value[x]		1..1	Attachment	Value of extension
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	Σ	0..*	Identifier	Business Identifier for observation Slice: Unordered, Open by value:type
identifier:observationUid	Σ	0..1	Identifier	Business Identifier for observation
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	1..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
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: https://hl7.cz/fhir/img/CodeSystem/codesystem-missing-dicom-terminology
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 00080018
display		1..1	string	Representation defined by the system Fixed Value: SOP Instance UID
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
system	Σ	0..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	Σ	0..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization (CZ core))	Organization that issued id (may be just text)
Slices for basedOn	Σ	0..*	Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest | Service Request: Imaging Report (CZ))	Fulfills plan, proposal or order Slice: Unordered, Open by type:$this
basedOn:imorderaccession	Σ	0..1	Reference(Service Request: Imaging Report (CZ))	Fulfills plan, proposal or order
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	1..1	CZ_AccessionNumberIdentifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
partOf	Σ	0..*	Reference(Medication Administration: Imaging Report (CZ) | MedicationDispense | MedicationStatement | Procedure: Imaging Report (CZ) | Immunization | Imaging Study (CZ))	Part of referenced event
status	?!SOΣ	1..1	code	registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation. Obligations Actor SHALL:display ImgReportConsumer SHOULD:populate-if-known ImgReportCreator
category	O	0..*	CodeableConcept	Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. Obligations Actor SHALL:display ImgReportConsumer SHOULD:populate-if-known ImgReportCreator
code	OΣ	1..1	CodeableConcept	Type of observation (code / type) Binding: CZ Observation code (required) Obligations Actor SHALL:display ImgReportConsumer SHALL:able-to-populate ImgReportCreator
subject	Σ	0..1	Reference(Patient (CZ core) | Patient: Animal (CZ))	In the initial iteration of the Czech interoperability project: this is Patient (CZ).
focus	Σ	0..*	Reference(Resource)	What the observation is about, when it is not about the subject of record
encounter	Σ	0..1	Reference(Encounter)	Healthcare event during which this observation is made
effective[x]	Σ	0..1		Clinically relevant time/time-period for observation
effectiveDateTime			dateTime
effectivePeriod			Period
effectiveTiming			Timing
effectiveInstant			instant
issued	SΣ	0..1	instant	Date/Time this version was made available
performer	SΣ	0..*	Reference(CareTeam | RelatedPerson | Patient (CZ core) | Organization (CZ core) | Practitioner Role (CZ core) | Practitioner (CZ core))	In the initial iteration of the Czech interoperability project: this is Organization (CZ) or Practitioner (CZ)
Slices for value[x]	SOΣC	0..1		Actual result Slice: Unordered, Open by type:$this Obligations Actor SHALL:display ImgReportConsumer SHOULD:populate-if-known ImgReportCreator
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
value[x]:valueDateTime	SOΣC	0..1	dateTime	Actual result Obligations Actor SHALL:display ImgReportConsumer SHALL:populate-if-known ImgReportCreator
dataAbsentReason	SOC	0..1	CodeableConcept	Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. Obligations Actor SHALL:display ImgReportConsumer SHOULD:populate-if-known ImgReportCreator
interpretation	SO	0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. Obligations Actor SHALL:display ImgReportConsumer SHOULD:populate-if-known ImgReportCreator
note	S	0..*	Annotation	Comments about the observation
bodySite	O	0..1	CodeableConcept	Observed body part Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. Obligations Actor SHALL:display ImgReportConsumer SHOULD:populate-if-known ImgReportCreator
method	SO	0..1	CodeableConcept	How it was done Binding: ObservationMethods (example): Methods for simple observations. Obligations Actor SHALL:display ImgReportConsumer SHOULD:populate-if-known ImgReportCreator
specimen	SO	0..1	Reference(Specimen (CZ))	Specimen used for this observation Obligations Actor SHALL:display ImgReportConsumer SHALL:populate-if-known ImgReportCreator
device	SO	0..1	Reference(Device: Performer/Observer (CZ) | Medical Device (CZ) | DeviceMetric)	(Measurement) Device Obligations Actor SHALL:display ImgReportConsumer SHOULD:populate-if-known ImgReportCreator
referenceRange	SOC	0..*	BackboneElement	Provides guide for interpretation Constraints: obs-3 Obligations Actor SHALL:display ImgReportConsumer SHALL:populate-if-known ImgReportCreator
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
low	C	0..1	SimpleQuantity	Low Range, if relevant
high	C	0..1	SimpleQuantity	High Range, if relevant
type		0..1	CodeableConcept	Reference range qualifier Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.
appliesTo		0..*	CodeableConcept	Reference range population Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.
age		0..1	Range	Applicable age range, if relevant
text		0..1	string	Text based reference range in an observation
hasMember	OΣ	0..*	Reference(Observation: Imaging Report (CZ) | QuestionnaireResponse | MolecularSequence)	Related resource that belongs to the Observation group Obligations Actor SHALL:display ImgReportConsumer SHOULD:populate-if-known ImgReportCreator
derivedFrom	SOΣ	0..*	Reference(DocumentReference | Imaging Study (CZ) | Media | QuestionnaireResponse | MolecularSequence | Observation: Imaging Report (CZ))	Related measurements the observation is made from Obligations Actor SHALL:display ImgReportConsumer SHOULD:populate-if-known ImgReportCreator
component	OΣ	0..*	BackboneElement	Component results Obligations Actor SHALL:display ImgReportConsumer SHOULD:populate-if-known ImgReportCreator
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
code	Σ	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
value[x]	Σ	0..1		Actual component result
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
dataAbsentReason	C	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Observation.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages From the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Observation.identifier:observationUid.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 From the FHIR Standard
Observation.identifier:observationUid.type	extensible	Pattern Value: 00080018("SOP Instance UID") http://hl7.org/fhir/ValueSet/identifier-type From the FHIR Standard
Observation.basedOn:imorderaccession.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types From the FHIR Standard
Observation.status	required	ObservationStatus http://hl7.org/fhir/ValueSet/observation-status|4.0.1 From the FHIR Standard
Observation.category	preferred	ObservationCategoryCodes http://hl7.org/fhir/ValueSet/observation-category From the FHIR Standard
Observation.code	required	CZ_ObservationCodeVs https://hl7.cz/fhir/img/ValueSet/cz-observationCode-vs From this IG
Observation.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason From the FHIR Standard
Observation.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation From the FHIR Standard
Observation.bodySite	example	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site From the FHIR Standard
Observation.method	example	ObservationMethods http://hl7.org/fhir/ValueSet/observation-methods From the FHIR Standard
Observation.referenceRange.type	preferred	ObservationReferenceRangeMeaningCodes http://hl7.org/fhir/ValueSet/referencerange-meaning From the FHIR Standard
Observation.referenceRange.appliesTo	example	ObservationReferenceRangeAppliesToCodes http://hl7.org/fhir/ValueSet/referencerange-appliesto From the FHIR Standard
Observation.component.code	example	LOINCCodes(a valid code from LOINC) http://hl7.org/fhir/ValueSet/observation-codes From the FHIR Standard
Observation.component.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason From the FHIR Standard
Observation.component.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Observation	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Observation	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	Observation	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	Observation	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Observation	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()
obs-3	error	Observation.referenceRange	Must have at least a low or a high or text : low.exists() or high.exists() or text.exists()
obs-6	error	Observation	dataAbsentReason SHALL only be present if Observation.value[x] is not present : dataAbsentReason.empty() or value.empty()
obs-7	error	Observation	If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present : value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()

This structure is derived from CZ_ObservationResultImaging

Summary

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Observation.value[x]

Maturity: 0

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Observation	C	0..*	CZ_ObservationResultImaging	Imaging result for a imaging report Constraints: obs-6, obs-7
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language	S	0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
Slices for extension				Content/Rules for all slices
extension:triggeredBy-r5		0..*	(Complex)	Optional Extensions Element URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.triggeredBy
Slices for extension				Content/Rules for all slices
extension:observation		0..*	Extension	Triggering observation.
extension		0..0
url		1..1	uri	"observation"
value[x]		1..1	Reference(Observation)	Value of extension
extension:type		0..*	Extension	The type of trigger
extension		0..0
url		1..1	uri	"type"
value[x]		1..1	code	Value of extension
extension:reason		0..*	Extension	Extension
extension		0..0
url		1..1	uri	"reason"
value[x]		1..1	string	Value of extension
url		1..1	uri	"http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.triggeredBy"
extension:value-r5		0..1	?gen-e1? [CanonicalType[http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value%5Bx%5D]]	only for result of type Attachment URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value%5Bx%5D
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value[x]"
value[x]		1..1	Attachment	Value of extension
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	Σ	0..*	Identifier	Business Identifier for observation Slice: Unordered, Open by value:type
identifier:observationUid	Σ	0..1	Identifier	Business Identifier for observation
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	1..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
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: https://hl7.cz/fhir/img/CodeSystem/codesystem-missing-dicom-terminology
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 00080018
display		1..1	string	Representation defined by the system Fixed Value: SOP Instance UID
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
Slices for basedOn	Σ	0..*	Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest | Service Request: Imaging Report (CZ))	Fulfills plan, proposal or order Slice: Unordered, Open by type:$this
basedOn:imorderaccession	Σ	0..1	Reference(Service Request: Imaging Report (CZ))	Fulfills plan, proposal or order
identifier	Σ	1..1	CZ_AccessionNumberIdentifier	Logical reference, when literal reference is not known
status	?!SOΣ	1..1	code	registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation. Obligations Actor SHALL:display ImgReportConsumer SHOULD:populate-if-known ImgReportCreator
category	O	0..*	CodeableConcept	Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. Obligations Actor SHALL:display ImgReportConsumer SHOULD:populate-if-known ImgReportCreator
code	OΣ	1..1	CodeableConcept	Type of observation (code / type) Binding: CZ Observation code (required) Obligations Actor SHALL:display ImgReportConsumer SHALL:able-to-populate ImgReportCreator
issued	SΣ	0..1	instant	Date/Time this version was made available
performer	SΣ	0..*	Reference(CareTeam | RelatedPerson | Patient (CZ core) | Organization (CZ core) | Practitioner Role (CZ core) | Practitioner (CZ core))	In the initial iteration of the Czech interoperability project: this is Organization (CZ) or Practitioner (CZ)
Slices for value[x]	SOΣC	0..1		Actual result Slice: Unordered, Open by type:$this Obligations Actor SHALL:display ImgReportConsumer SHOULD:populate-if-known ImgReportCreator
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
value[x]:valueDateTime	SOΣC	0..1	dateTime	Actual result Obligations Actor SHALL:display ImgReportConsumer SHALL:populate-if-known ImgReportCreator
dataAbsentReason	SOC	0..1	CodeableConcept	Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. Obligations Actor SHALL:display ImgReportConsumer SHOULD:populate-if-known ImgReportCreator
interpretation	SO	0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. Obligations Actor SHALL:display ImgReportConsumer SHOULD:populate-if-known ImgReportCreator
note	S	0..*	Annotation	Comments about the observation
bodySite	O	0..1	CodeableConcept	Observed body part Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. Obligations Actor SHALL:display ImgReportConsumer SHOULD:populate-if-known ImgReportCreator
method	SO	0..1	CodeableConcept	How it was done Binding: ObservationMethods (example): Methods for simple observations. Obligations Actor SHALL:display ImgReportConsumer SHOULD:populate-if-known ImgReportCreator
specimen	SO	0..1	Reference(Specimen (CZ))	Specimen used for this observation Obligations Actor SHALL:display ImgReportConsumer SHALL:populate-if-known ImgReportCreator
device	SO	0..1	Reference(Device: Performer/Observer (CZ) | Medical Device (CZ) | DeviceMetric)	(Measurement) Device Obligations Actor SHALL:display ImgReportConsumer SHOULD:populate-if-known ImgReportCreator
referenceRange	SOC	0..*	BackboneElement	Provides guide for interpretation Constraints: obs-3 Obligations Actor SHALL:display ImgReportConsumer SHALL:populate-if-known ImgReportCreator
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
hasMember	OΣ	0..*	Reference(Observation: Imaging Report (CZ) | QuestionnaireResponse | MolecularSequence)	Related resource that belongs to the Observation group Obligations Actor SHALL:display ImgReportConsumer SHOULD:populate-if-known ImgReportCreator
derivedFrom	SOΣ	0..*	Reference(DocumentReference | Imaging Study (CZ) | Media | QuestionnaireResponse | MolecularSequence | Observation: Imaging Report (CZ))	Related measurements the observation is made from Obligations Actor SHALL:display ImgReportConsumer SHOULD:populate-if-known ImgReportCreator
component	OΣ	0..*	BackboneElement	Component results Obligations Actor SHALL:display ImgReportConsumer SHOULD:populate-if-known ImgReportCreator
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Observation.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages From the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Observation.identifier:observationUid.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 From the FHIR Standard
Observation.identifier:observationUid.type	extensible	Pattern Value: 00080018("SOP Instance UID") http://hl7.org/fhir/ValueSet/identifier-type From the FHIR Standard
Observation.status	required	ObservationStatus http://hl7.org/fhir/ValueSet/observation-status|4.0.1 From the FHIR Standard
Observation.category	preferred	ObservationCategoryCodes http://hl7.org/fhir/ValueSet/observation-category From the FHIR Standard
Observation.code	required	CZ_ObservationCodeVs https://hl7.cz/fhir/img/ValueSet/cz-observationCode-vs From this IG
Observation.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason From the FHIR Standard
Observation.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation From the FHIR Standard
Observation.bodySite	example	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site From the FHIR Standard
Observation.method	example	ObservationMethods http://hl7.org/fhir/ValueSet/observation-methods From the FHIR Standard
Observation.component.code	example	LOINCCodes(a valid code from LOINC) http://hl7.org/fhir/ValueSet/observation-codes From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Observation	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Observation	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	Observation	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	Observation	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Observation	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()
obs-3	error	Observation.referenceRange	Must have at least a low or a high or text : low.exists() or high.exists() or text.exists()
obs-6	error	Observation	dataAbsentReason SHALL only be present if Observation.value[x] is not present : dataAbsentReason.empty() or value.empty()
obs-7	error	Observation	If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present : value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()

Differential View

This structure is derived from CZ_ObservationResultImaging

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Observation		0..*	CZ_ObservationResultImaging	Imaging result for a imaging report
status	O	1..1	code	registered | preliminary | final | amended + Obligations Actor SHALL:display ImgReportConsumer SHOULD:populate-if-known ImgReportCreator
category	O	0..*	CodeableConcept	Classification of type of observation Obligations Actor SHALL:display ImgReportConsumer SHOULD:populate-if-known ImgReportCreator
code	O	1..1	CodeableConcept	Type of observation (code / type) Obligations Actor SHALL:display ImgReportConsumer SHALL:able-to-populate ImgReportCreator
Slices for value[x]	O	0..1	Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period	Actual result Slice: Unordered, Open by type:$this Obligations Actor SHALL:display ImgReportConsumer SHOULD:populate-if-known ImgReportCreator
value[x]:valueDateTime	O	0..1	dateTime	Actual result Obligations Actor SHALL:display ImgReportConsumer SHALL:populate-if-known ImgReportCreator
dataAbsentReason	O	0..1	CodeableConcept	Why the result is missing Obligations Actor SHALL:display ImgReportConsumer SHOULD:populate-if-known ImgReportCreator
interpretation	O	0..*	CodeableConcept	High, low, normal, etc. Obligations Actor SHALL:display ImgReportConsumer SHOULD:populate-if-known ImgReportCreator
bodySite	O	0..1	CodeableConcept	Observed body part Obligations Actor SHALL:display ImgReportConsumer SHOULD:populate-if-known ImgReportCreator
method	O	0..1	CodeableConcept	How it was done Obligations Actor SHALL:display ImgReportConsumer SHOULD:populate-if-known ImgReportCreator
specimen	O	0..1	Reference(Specimen (CZ))	Specimen used for this observation Obligations Actor SHALL:display ImgReportConsumer SHALL:populate-if-known ImgReportCreator
device	O	0..1	Reference(Device: Performer/Observer (CZ) | Medical Device (CZ) | DeviceMetric)	(Measurement) Device Obligations Actor SHALL:display ImgReportConsumer SHOULD:populate-if-known ImgReportCreator
referenceRange	O	0..*	BackboneElement	Provides guide for interpretation Obligations Actor SHALL:display ImgReportConsumer SHALL:populate-if-known ImgReportCreator
hasMember	O	0..*	Reference(Observation: Imaging Report (CZ) | QuestionnaireResponse | MolecularSequence)	Related resource that belongs to the Observation group Obligations Actor SHALL:display ImgReportConsumer SHOULD:populate-if-known ImgReportCreator
derivedFrom	O	0..*	Reference(DocumentReference | Imaging Study (CZ) | Media | QuestionnaireResponse | MolecularSequence | Observation: Imaging Report (CZ))	Related measurements the observation is made from Obligations Actor SHALL:display ImgReportConsumer SHOULD:populate-if-known ImgReportCreator
component	O	0..*	BackboneElement	Component results Obligations Actor SHALL:display ImgReportConsumer SHOULD:populate-if-known ImgReportCreator
Documentation for this format

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Observation	C	0..*	CZ_ObservationResultImaging	Imaging result for a imaging report Constraints: obs-6, obs-7
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	S	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		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:triggeredBy-r5		0..*	(Complex)	Optional Extensions Element URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.triggeredBy
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:observation		0..*	Extension	Triggering observation.
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"observation"
value[x]		1..1	Reference(Observation)	Value of extension
extension:type		0..*	Extension	The type of trigger
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"type"
value[x]		1..1	code	Value of extension
extension:reason		0..*	Extension	Extension
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"reason"
value[x]		1..1	string	Value of extension
url		1..1	uri	"http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.triggeredBy"
extension:value-r5		0..1	?gen-e1? [CanonicalType[http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value%5Bx%5D]]	only for result of type Attachment URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value%5Bx%5D
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.value[x]"
value[x]		1..1	Attachment	Value of extension
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	Σ	0..*	Identifier	Business Identifier for observation Slice: Unordered, Open by value:type
identifier:observationUid	Σ	0..1	Identifier	Business Identifier for observation
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	1..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
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: https://hl7.cz/fhir/img/CodeSystem/codesystem-missing-dicom-terminology
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 00080018
display		1..1	string	Representation defined by the system Fixed Value: SOP Instance UID
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
system	Σ	0..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	Σ	0..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization (CZ core))	Organization that issued id (may be just text)
Slices for basedOn	Σ	0..*	Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest | Service Request: Imaging Report (CZ))	Fulfills plan, proposal or order Slice: Unordered, Open by type:$this
basedOn:imorderaccession	Σ	0..1	Reference(Service Request: Imaging Report (CZ))	Fulfills plan, proposal or order
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	1..1	CZ_AccessionNumberIdentifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
partOf	Σ	0..*	Reference(Medication Administration: Imaging Report (CZ) | MedicationDispense | MedicationStatement | Procedure: Imaging Report (CZ) | Immunization | Imaging Study (CZ))	Part of referenced event
status	?!SOΣ	1..1	code	registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation. Obligations Actor SHALL:display ImgReportConsumer SHOULD:populate-if-known ImgReportCreator
category	O	0..*	CodeableConcept	Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. Obligations Actor SHALL:display ImgReportConsumer SHOULD:populate-if-known ImgReportCreator
code	OΣ	1..1	CodeableConcept	Type of observation (code / type) Binding: CZ Observation code (required) Obligations Actor SHALL:display ImgReportConsumer SHALL:able-to-populate ImgReportCreator
subject	Σ	0..1	Reference(Patient (CZ core) | Patient: Animal (CZ))	In the initial iteration of the Czech interoperability project: this is Patient (CZ).
focus	Σ	0..*	Reference(Resource)	What the observation is about, when it is not about the subject of record
encounter	Σ	0..1	Reference(Encounter)	Healthcare event during which this observation is made
effective[x]	Σ	0..1		Clinically relevant time/time-period for observation
effectiveDateTime			dateTime
effectivePeriod			Period
effectiveTiming			Timing
effectiveInstant			instant
issued	SΣ	0..1	instant	Date/Time this version was made available
performer	SΣ	0..*	Reference(CareTeam | RelatedPerson | Patient (CZ core) | Organization (CZ core) | Practitioner Role (CZ core) | Practitioner (CZ core))	In the initial iteration of the Czech interoperability project: this is Organization (CZ) or Practitioner (CZ)
Slices for value[x]	SOΣC	0..1		Actual result Slice: Unordered, Open by type:$this Obligations Actor SHALL:display ImgReportConsumer SHOULD:populate-if-known ImgReportCreator
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
value[x]:valueDateTime	SOΣC	0..1	dateTime	Actual result Obligations Actor SHALL:display ImgReportConsumer SHALL:populate-if-known ImgReportCreator
dataAbsentReason	SOC	0..1	CodeableConcept	Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. Obligations Actor SHALL:display ImgReportConsumer SHOULD:populate-if-known ImgReportCreator
interpretation	SO	0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. Obligations Actor SHALL:display ImgReportConsumer SHOULD:populate-if-known ImgReportCreator
note	S	0..*	Annotation	Comments about the observation
bodySite	O	0..1	CodeableConcept	Observed body part Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. Obligations Actor SHALL:display ImgReportConsumer SHOULD:populate-if-known ImgReportCreator
method	SO	0..1	CodeableConcept	How it was done Binding: ObservationMethods (example): Methods for simple observations. Obligations Actor SHALL:display ImgReportConsumer SHOULD:populate-if-known ImgReportCreator
specimen	SO	0..1	Reference(Specimen (CZ))	Specimen used for this observation Obligations Actor SHALL:display ImgReportConsumer SHALL:populate-if-known ImgReportCreator
device	SO	0..1	Reference(Device: Performer/Observer (CZ) | Medical Device (CZ) | DeviceMetric)	(Measurement) Device Obligations Actor SHALL:display ImgReportConsumer SHOULD:populate-if-known ImgReportCreator
referenceRange	SOC	0..*	BackboneElement	Provides guide for interpretation Constraints: obs-3 Obligations Actor SHALL:display ImgReportConsumer SHALL:populate-if-known ImgReportCreator
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
low	C	0..1	SimpleQuantity	Low Range, if relevant
high	C	0..1	SimpleQuantity	High Range, if relevant
type		0..1	CodeableConcept	Reference range qualifier Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.
appliesTo		0..*	CodeableConcept	Reference range population Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.
age		0..1	Range	Applicable age range, if relevant
text		0..1	string	Text based reference range in an observation
hasMember	OΣ	0..*	Reference(Observation: Imaging Report (CZ) | QuestionnaireResponse | MolecularSequence)	Related resource that belongs to the Observation group Obligations Actor SHALL:display ImgReportConsumer SHOULD:populate-if-known ImgReportCreator
derivedFrom	SOΣ	0..*	Reference(DocumentReference | Imaging Study (CZ) | Media | QuestionnaireResponse | MolecularSequence | Observation: Imaging Report (CZ))	Related measurements the observation is made from Obligations Actor SHALL:display ImgReportConsumer SHOULD:populate-if-known ImgReportCreator
component	OΣ	0..*	BackboneElement	Component results Obligations Actor SHALL:display ImgReportConsumer SHOULD:populate-if-known ImgReportCreator
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
code	Σ	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
value[x]	Σ	0..1		Actual component result
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
dataAbsentReason	C	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Observation.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages From the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Observation.identifier:observationUid.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 From the FHIR Standard
Observation.identifier:observationUid.type	extensible	Pattern Value: 00080018("SOP Instance UID") http://hl7.org/fhir/ValueSet/identifier-type From the FHIR Standard
Observation.basedOn:imorderaccession.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types From the FHIR Standard
Observation.status	required	ObservationStatus http://hl7.org/fhir/ValueSet/observation-status|4.0.1 From the FHIR Standard
Observation.category	preferred	ObservationCategoryCodes http://hl7.org/fhir/ValueSet/observation-category From the FHIR Standard
Observation.code	required	CZ_ObservationCodeVs https://hl7.cz/fhir/img/ValueSet/cz-observationCode-vs From this IG
Observation.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason From the FHIR Standard
Observation.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation From the FHIR Standard
Observation.bodySite	example	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site From the FHIR Standard
Observation.method	example	ObservationMethods http://hl7.org/fhir/ValueSet/observation-methods From the FHIR Standard
Observation.referenceRange.type	preferred	ObservationReferenceRangeMeaningCodes http://hl7.org/fhir/ValueSet/referencerange-meaning From the FHIR Standard
Observation.referenceRange.appliesTo	example	ObservationReferenceRangeAppliesToCodes http://hl7.org/fhir/ValueSet/referencerange-appliesto From the FHIR Standard
Observation.component.code	example	LOINCCodes(a valid code from LOINC) http://hl7.org/fhir/ValueSet/observation-codes From the FHIR Standard
Observation.component.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason From the FHIR Standard
Observation.component.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Observation	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Observation	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	Observation	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	Observation	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Observation	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()
obs-3	error	Observation.referenceRange	Must have at least a low or a high or text : low.exists() or high.exists() or text.exists()
obs-6	error	Observation	dataAbsentReason SHALL only be present if Observation.value[x] is not present : dataAbsentReason.empty() or value.empty()
obs-7	error	Observation	If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present : value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()

This structure is derived from CZ_ObservationResultImaging

Summary

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Observation.value[x]

Maturity: 0