HL7 Czech Imaging Report IG
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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

Artifacts

This page provides a list of the FHIR artifacts defined as part of this implementation guide.

Actors and Obligations (Informative)

Actors and Obligations used to describe the Imaging Report functional requirements for the specified data elements. Informative for this version of the guide.

Actor Imaging Report Consumer

Imaging Report Report Consumer: a system receiving/querying and using a Imaging Report.

Actor Imaging Report Creator

Imaging Report Creator: a system generating and sending/providing a Imaging Report to a Consumer for report storage and sharing.

Diagnostic Report (Imaging Report): Obligations

This profile defines obligations for an Diagnostic report in FHIR for the purpose of this guide.

ObservationResult (Imaging Report): Obligations

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

Patient: Obligations

This profile defines obligations for an human Patient in FHIR for the purpose of this guide.

Service Request (Imaging Report): Obligations

This profile defines obligations for an Order information in FHIR for the purpose of this guide.

Czech logical model (Informative)

Logical model in czech language. Informative for this version of the guide.

A - Zpráva z obrazového vyšetření

Zpráva z obrazového vyšetření

A.1 - Hlavička dokumentu

Záhlaví dokumentu s administrativními údaji

A.1.1 - Identifikace a A.1.2 - Kontaktní informace Pacienta/subjektu

Identifikace pacienta a kontaktní informace pacienta

A.1.3 - Zdravotní pojištění

Informace o zdravotním pojištění.

A.1.4 - Příjemce dokumentu

Informace o zamýšleném příjemci dokumentu

A.1.5 - Autor dokumentu

Autor (zprávy z obrazového vyšetření). Lze vložit i více autorů dokumentu.

A.1.6 - Ověřil (může být vloženo i více ověřovatelů)

Ověřil (může být vloženo i více ověřovatelů)

A.1.7 - Zodpovídá

Zodpovídá

A.1.8 - Metadata dokumentu

Metadata dokumentu

A.1.9 - Elektronické podpisy

Elektronické podpisy - Elektronické podpisy nebo pečetě dle zákona 327/2011 §54a

A.2 - Tělo dokumentu

Tělo dokumentu

A.2.1 - Informace o žádance (objednávce)

Informace o žádance (objednávce) na zdravotní službu. Zpráva může reagovat na více žádanek (objednávek). - A.2.1

A.2.2 - Důvod vyžádání (objednání)

Důvod vyžádání (objednání) - indikace.

A.2.3 - Informace o vzorku

Informace o vzorku, pokud je předmětem vyšetření vzorek.

A.2.4 - Zpráva ze zobrazovacích metod

Datové elementy Zprávy ze zobrazovacích metod

A.2.5 - Odkaz na související zprávu

Odkaz na související zprávu

A.2.6 - Média (přílohy)

Klíčové snímky související s touto zprávou.

A.2.7 - DICOM metadata

Vybrané relevantní údaje z DICOM studie.

A.3 - Vizuální podoba dokumentu

Zpráva z obrazového vyšetření čitelná lidským okem, je požadován PDF formát.

A.4 - Ostatní přílohy

Ostatní přílohy zprávy z obrazového vyšetření

Structures: Logical Models

These define data models that represent the domain covered by this implementation guide in more business-friendly terms than the underlying FHIR resources.

A - Imaging Report

Imaging Report

A.1 - Imaging Report header data element

Imaging Report - Imaging Report header data element - A.1

A.1.1 - Identification and A.1.2 - related contact information of the Patient/subject

Imaging Report - Imaging Report subject data element - A.1.1 and A.1.2

A.1.3 - Health insurance and payment information

Health insurance and payment information - Health insurance information is not always required, however, in some jurisdictions, the insurance number is also used as the patient identifier. It is necessary not just for identification but also forms access to funding for care.

A.1.4 - Information recipient - (intended recipient or recipients of the report), if applicable

Information recipient - (intended recipient or recipients of the report), if applicable

A.1.5 - Author

Author (by whom the Imaging report was/were authored). Multiple authors could be provided.

A.1.6 - Attester (multiple attesters could be provided)

Attester (multiple attesters could be provided)

A.1.7 - Legal authenticator (The person taking responsibility for the medical content of the document)

Legal authenticator (The person taking responsibility for the medical content of the document)

A.1.8 - Document metadata

Document metadata

A.1.9 - Digital signature

Digital signature - Electronic signature or seal of a document according to Act 327/2011 §54a

A.2 - Imaging Report body data element

Imaging Report body data element

A.2.1 - Information about the order

Imaging Report - Imaging Report information about the order - A.2.1

A.2.2 - Reason for Admission

Imaging Report - Imaging Report reason for admission - A.2.2

A.2.3 - Sample information

Imaging Report - Imaging Report sample information - A.2.3 Information about the sample if the subject of the examination is a sample.

A.2.4 - Report of imaging method

Imaging Report - Imaging Report report of imaging method - A.2.4

A.2.5 - Link to related report

Imaging Report - Imaging Report link to related report - A.2.5

A.2.6 - Media (attachments)

Imaging Report - Imaging Report media (attachments) - A.2.6 Key images related to this report.

A.2.7 - DICOM metadata

Imaging Report - Imaging Report DICOM metadata - A.2.7

A.3 - Presented form

Presented form - Entire report as issued. Various formats could be provided, pdf format is recommended.

A.4 - Additional attachments

Imaging Report - Imaging Report additional attachments - A.4

Structures: Resource Profiles

These define constraints on FHIR resources for systems conforming to this implementation guide.

Adverse event: Imaging Report (CZ)

Czech profile for adverse event.

Attachment: Imaging Report (CZ)

Czech profile for attachment.

Bundle: Imaging Report (CZ)

Clinical document used to represent a Imaging Report for the scope of this guide.

Care plan: Imaging Report (CZ)

Care plan for Imaging Report for the scope of the Czech national interoperability project.

Composition: Imaging Report (CZ)

This profile defines how to represent Composition resource in HL7 FHIR for the scope of this guide.

Imaging report bundle is an electronic health record extract containing results of imaging from a subject of care, comprising at least the required elements of the imaging dataset.

Condition: Imaging Report (CZ)

Condition for Imaging Report for the scope of the Czech national interoperability project.

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.

Imaging Key Image Document Reference: Imaging Report (CZ)

A document containing key images for a patient.It can refer to a DICOM or non-DICOM image. When referring to a DICOM image, the DocumentReference.content.attachment.url should be a WADO-URI. When referring to a non-DICOM image, the DocumentReference.content.attachment.url should be a direct URL to the image.

When the resource represents a DICOM instance it SHALL contain a the SOP Instance UID in the identifier element. When the resource represents a DICOM series it SHALL contain the Series Instance UID in the identifier element.

Imaging Study (CZ)

This profile represents an imaging study instance.

Medication Administration: Imaging Report (CZ)

Czech national profile for a medication administration.

Observation: Imaging Report (CZ)

This profile constrains the Observation resource to represent results produced by imaging report or panels/studies.

This observation may represent the result of a imaging report

Procedure: Imaging Report (CZ)

This profile on Procedure represents the imaging procedure for the scope of the Czech national interoperability project.

Radiation Dose Observation: Imaging Report (CZ)

A record for the radiation dose the subject has been exposed to during an imaging procedure. E.g. based on information from https://dicom.nema.org/medical/dicom/current/output/html/part16.html and https://build.fhir.org/ig/HL7/fhir-radiation-dose-summary-ig/index.html

Service Request: Imaging Report (CZ)

Order information for the scope of the Czech national interoperability project.

Structures: Data Type Profiles

These define constraints on FHIR data types for systems conforming to this implementation guide.

Imaging Accession Number Identifier

This profile on Identifier represents the Accession Number for the Imaging Order.

Imaging SOP Class UID Identifier

This profile on Identifier represents the SOP Class UID (0008,0018) for the Imaging Order.

Study Instance UID Identifier

This profile on Identifier represents the Study Instance UID (0020,000D) for the Imaging Order.

Structures: Extension Definitions

These define constraints on FHIR data types for systems conforming to this implementation guide.

Document DiagnosticReport Reference

This extension provides a reference to the DiagnosticReport instance that is associated with this Composition.

DocumentReference.modality extension for R4

Extension to backport DocumentReference.modality in R4.

Instance Description

A description of the instance in an ImagingStudy.

Media.view extension

This cross version extension includes the FHIR R4 version of the Media.view field which has at this point in time (April 18, 2025), not yet been included in the extension pack.

Terminology: Value Sets

These define sets of codes used by systems conforming to this implementation guide.

CZ Composition Type

This value set includes all imaging composition types.

CZ Modality

This value set includes all modalities.

CZ Observation code

This value set includes all observation procedure code from SNOMED CT.

CZ Procedure Type

This value set includes all imaging procedure types.

Digital Media Category (CZ)

Digital Media Category

Dose Length Units

Units for Dose Length.

Effective Dose Units

Units for Effective Dose.

Gray Square Units

Units for Gray Square.

Imaging Study Performer Type Value Set

Imaging Study series performer type codes, it extends on the base set defined in the FHIR specification.

Media View types - placeholder for cross-version extension

Codes defined in SNOMED CT that can be used to record Media Recording views.

Terminology: Code Systems

These define new code systems used by systems conforming to this implementation guide.

Missing DICOM Terminology

Code system for codes that are defined in DICOM but for which no matching code system is available in FHIR.

Terminology: Concept Maps

These define transformations to convert between codes by systems conforming with this implementation guide.

CZ Attachment Model to this guide Map

CZ Imaging Report Attachment Model to this guide mapping

CZ Body Model to this guide Map

CZ Imaging Report Body Model to this guide mapping

CZ Header Model to this guide Map

CZ Imaging Report Header Model to this guide mapping

Example: Example Instances

These are example instances that show what data produced and consumed by systems conforming with this implementation guide might look like.

Adverse Event: PET+CT Imaging report

Adverse Event during PET+CT Imaging report

Bundle: PET+CT Imaging report

Example of Imaging report (Bundle) including a PET+CT report

Bundle: RTG Imaging report

Example of Imaging report (Bundle) including a RTG report

Care plan: PET+CT Imaging report

Care plan for PET+CT Imaging report

CarePlan-Mracena

Czech Image report - example of a complex care plan

Clinical question: PET+CT Imaging report

Clinical question in text form for PET+CT Imaging report

Composition: PET+CT Imaging report

Example of Imaging report (Composition) including a PET+CT report

Composition: RTG Imaging report

Minimal composition for RTG Image report

Condition - Condition: Mamography Imaging report

Diagnosis Mamo finding:

Condition - Diagnosis: RTG Imaging report

Diagnosis for RTG Imaging report

Condition - Reason For Admission: PET+CT Imaging report

Reason For Admission of PET+CT Imaging report

Condition - Reason For Admission: RTG Imaging report

Reason For Admission of RTG Imaging report

Coverage: PET+CT Imaging report

Example of coverage in PET+CT Imaging report

Coverage: RTG Imaging report

Example of coverage in RTG Imaging report

Device - MR

Magnetic Resonance device

Device - PET/CT system: PET+CT Imaging report

Positron emission tomography/computed tomography system device used in PET+CT Imaging report

Device - Radiographic unit: RTG Imaging report

Radiographic imaging device used in RTG Imaging report

Diagnosis 1: PET+CT Imaging report

First Diagnosis for PET+CT Imaging report

Diagnosis 2: PET+CT Imaging report

Second Diagnosis for PET+CT Imaging report

Diagnostic report: PET+CT Imaging report

Diagnostic report of PET+CT Imaging report

Diagnostic report: RTG Imaging report

Diagnostic report of RTG Imaging report

Imaging order: MR

Imaging order for Magnetic Resonance

Imaging order: RTG Imaging report

Imaging order for Plain X-ray

Imaging study: PET+CT Imaging report

Imaging study of PET+CT Imaging report

Imaging study: RTG Imaging report

Imaging study of RTG Imaging report

Key Image Document reference: PET+CT Imaging report

Key Image Document reference for PET+CT Imaging report

Medication Administration: PET+CT Imaging report

Medication Administration during PET+CT Imaging report

Medication: PET+CT Imaging report

Medication during PET+CT Imaging report

Observation: PET+CT Imaging report

Observation during procedure of PET+CT Imaging report

Observation: RTG Imaging report

Observation of RTG Imaging report

Organization - Healthcare insurance company: PET+CT Imaging report

Example of insurance organisation for PET+CT Imaging report

Organization - Healthcare insurance company: RTG Imaging report

Example of insurance organisation in RTG Imaging report

Patient Example: PET+CT Imaging report

Patient, contact information for PET+CT Imaging report

Patient Králík

Patient in RTG Imaging report

Patient Mracena

Patient Mracena with contact information and practitioner

Practitioner Blažejovský:PET+CT Imaging report

Example of requesting practitioner for PET+CT Imaging report

Practitioner Keller

Author of RTG Imaging report

Practitioner Voštěp: PET+CT Imaging report

Example of signing practitioner for PET+CT Imaging report

Procedure: PET+CT Imaging report

Procedure of PET+CT Imaging report

Procedure: RTG Imaging report

Procedure of RTG Imaging report

cz-encounter-example

Encounter

cz-encounterrtg-example

Encounter

cz-logo-example

Example of logo as document reference for FN Motol.

cz-logo2-example

Example of logo as document reference for FN Motol.

cz-organizationwithlogo-example

An example of the organization with logo extension

cz-organizationwithlogo2-example

An example of the organization with logo extension