# Radiation Dose Observation: Imaging Report (CZ) - HL7 Czech Imaging Report IG v0.1.0-ballot

## Resource Profile: 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 

**Usages:**

* Derived from this Profile: [Radiation Dose Observation: Obligations](StructureDefinition-cz-radiationDoseObservation-obl-img.md)
* Refer to this Profile: [Extension: HL7IDR Imaging Procedure](StructureDefinition-HL7IDRImagingProcedure.md) and [Composition: Imaging Report (CZ)](StructureDefinition-cz-composition-imaging.md)

You can also check for [usages in the FHIR IG Statistics](https://packages2.fhir.org/xig/resource/hl7.fhir.cz.img|current/StructureDefinition/StructureDefinition-cz-radiationDoseObservation.json)

### Formal Views of Profile Content

 [Description Differentials, Snapshots, and other representations](http://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#structure-definitions). 

 

Other representations of profile: [CSV](../StructureDefinition-cz-radiationDoseObservation.csv), [Excel](../StructureDefinition-cz-radiationDoseObservation.xlsx), [Schematron](../StructureDefinition-cz-radiationDoseObservation.sch) 



## Resource Content

```json
{
  "resourceType" : "StructureDefinition",
  "id" : "cz-radiationDoseObservation",
  "extension" : [{
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-imposeProfile",
    "valueCanonical" : "http://hl7.eu/fhir/imaging/StructureDefinition/ObservationRadiationDoseEuImaging"
  }],
  "url" : "https://hl7.cz/fhir/img/StructureDefinition/cz-radiationDoseObservation",
  "version" : "0.1.0-ballot",
  "name" : "CZ_RadiationDoseObservation",
  "title" : "Radiation Dose Observation: Imaging Report (CZ)",
  "status" : "draft",
  "date" : "2026-05-26T08:31:12+00:00",
  "publisher" : "HL7 Czech Republic",
  "contact" : [{
    "name" : "HL7 Czech Republic",
    "telecom" : [{
      "system" : "url",
      "value" : "https://www.hl7.cz/"
    }]
  }],
  "description" : "A record for the radiation dose the subject has been exposed to during an imaging procedure.\nE.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",
  "jurisdiction" : [{
    "coding" : [{
      "system" : "urn:iso:std:iso:3166",
      "code" : "CZ",
      "display" : "Czechia"
    }]
  }],
  "fhirVersion" : "4.0.1",
  "mapping" : [{
    "identity" : "workflow",
    "uri" : "http://hl7.org/fhir/workflow",
    "name" : "Workflow Pattern"
  },
  {
    "identity" : "sct-concept",
    "uri" : "http://snomed.info/conceptdomain",
    "name" : "SNOMED CT Concept Domain Binding"
  },
  {
    "identity" : "v2",
    "uri" : "http://hl7.org/v2",
    "name" : "HL7 v2 Mapping"
  },
  {
    "identity" : "rim",
    "uri" : "http://hl7.org/v3",
    "name" : "RIM Mapping"
  },
  {
    "identity" : "w5",
    "uri" : "http://hl7.org/fhir/fivews",
    "name" : "FiveWs Pattern Mapping"
  },
  {
    "identity" : "sct-attr",
    "uri" : "http://snomed.org/attributebinding",
    "name" : "SNOMED CT Attribute Binding"
  }],
  "kind" : "resource",
  "abstract" : false,
  "type" : "Observation",
  "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/Observation",
  "derivation" : "constraint",
  "differential" : {
    "element" : [{
      "id" : "Observation",
      "path" : "Observation"
    },
    {
      "id" : "Observation.extension",
      "path" : "Observation.extension",
      "slicing" : {
        "discriminator" : [{
          "type" : "value",
          "path" : "url"
        }],
        "ordered" : false,
        "rules" : "open"
      },
      "min" : 2
    },
    {
      "id" : "Observation.extension:derivedFrom",
      "path" : "Observation.extension",
      "sliceName" : "derivedFrom",
      "min" : 1,
      "max" : "*",
      "type" : [{
        "code" : "Extension",
        "profile" : ["http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.derivedFrom"]
      }]
    },
    {
      "id" : "Observation.extension:derivedFrom/srImagingSelection",
      "path" : "Observation.extension",
      "sliceName" : "derivedFrom/srImagingSelection",
      "min" : 1,
      "max" : "*"
    },
    {
      "id" : "Observation.extension:derivedFrom/srImagingSelection.extension",
      "path" : "Observation.extension.extension",
      "max" : "0"
    },
    {
      "id" : "Observation.extension:derivedFrom/srImagingSelection.value[x]",
      "path" : "Observation.extension.value[x]",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["https://hl7.cz/fhir/img/StructureDefinition/cz-sr-instance-imaging-selection-imaging"]
      }]
    },
    {
      "id" : "Observation.identifier",
      "path" : "Observation.identifier",
      "slicing" : {
        "discriminator" : [{
          "type" : "value",
          "path" : "type"
        }],
        "ordered" : false,
        "rules" : "open"
      }
    },
    {
      "id" : "Observation.identifier:radiation-sr-instance-uid",
      "path" : "Observation.identifier",
      "sliceName" : "radiation-sr-instance-uid",
      "min" : 0,
      "max" : "1"
    },
    {
      "id" : "Observation.identifier:radiation-sr-instance-uid.type",
      "path" : "Observation.identifier.type",
      "min" : 1,
      "patternCodeableConcept" : {
        "coding" : [{
          "system" : "https://hl7.cz/fhir/img/CodeSystem/codesystem-missing-dicom-terminology",
          "code" : "00083010",
          "display" : "Irradiation Event UID"
        }]
      }
    },
    {
      "id" : "Observation.identifier:radiation-sr-instance-uid.assigner",
      "path" : "Observation.identifier.assigner",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["https://hl7.cz/fhir/core/StructureDefinition/cz-organization-core"]
      }]
    },
    {
      "id" : "Observation.basedOn",
      "path" : "Observation.basedOn",
      "slicing" : {
        "discriminator" : [{
          "type" : "type",
          "path" : "$this"
        }],
        "ordered" : false,
        "rules" : "open"
      },
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["https://hl7.cz/fhir/img/StructureDefinition/cz-carePlanImage",
        "http://hl7.org/fhir/StructureDefinition/DeviceRequest",
        "http://hl7.org/fhir/StructureDefinition/ImmunizationRecommendation",
        "http://hl7.org/fhir/StructureDefinition/MedicationRequest",
        "http://hl7.org/fhir/StructureDefinition/NutritionOrder",
        "https://hl7.cz/fhir/img/StructureDefinition/cz-imagingOrderInformation"]
      }]
    },
    {
      "id" : "Observation.basedOn:orderaccession",
      "path" : "Observation.basedOn",
      "sliceName" : "orderaccession",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["https://hl7.cz/fhir/img/StructureDefinition/cz-imagingOrderInformation"]
      }]
    },
    {
      "id" : "Observation.basedOn:orderaccession.identifier",
      "path" : "Observation.basedOn.identifier",
      "min" : 1,
      "type" : [{
        "code" : "Identifier",
        "profile" : ["https://hl7.cz/fhir/img/StructureDefinition/cz-accession-number-identifier"]
      }]
    },
    {
      "id" : "Observation.partOf",
      "path" : "Observation.partOf",
      "slicing" : {
        "discriminator" : [{
          "type" : "profile",
          "path" : "$this"
        }],
        "ordered" : false,
        "rules" : "open"
      },
      "min" : 1,
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["https://hl7.cz/fhir/img/StructureDefinition/cz-MedicationAdministration",
        "http://hl7.org/fhir/StructureDefinition/MedicationDispense",
        "http://hl7.org/fhir/StructureDefinition/MedicationStatement",
        "http://hl7.org/fhir/StructureDefinition/Procedure",
        "https://hl7.cz/fhir/img/StructureDefinition/cz-procedure-imaging",
        "http://hl7.org/fhir/StructureDefinition/Immunization",
        "https://hl7.cz/fhir/img/StructureDefinition/cz-study-imaging"]
      }]
    },
    {
      "id" : "Observation.partOf:study",
      "path" : "Observation.partOf",
      "sliceName" : "study",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["https://hl7.cz/fhir/img/StructureDefinition/cz-study-imaging"]
      }]
    },
    {
      "id" : "Observation.code.coding",
      "path" : "Observation.code.coding",
      "slicing" : {
        "discriminator" : [{
          "type" : "value",
          "path" : "$this"
        }],
        "ordered" : false,
        "rules" : "open"
      },
      "min" : 1
    },
    {
      "id" : "Observation.code.coding:radiation-dose",
      "path" : "Observation.code.coding",
      "sliceName" : "radiation-dose",
      "min" : 1,
      "max" : "1",
      "patternCoding" : {
        "system" : "http://loinc.org",
        "code" : "73569-6",
        "display" : "Radiation exposure and protection information [Description] Document Diagnostic imaging"
      }
    },
    {
      "id" : "Observation.subject",
      "path" : "Observation.subject",
      "min" : 1,
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["https://hl7.cz/fhir/core/StructureDefinition/cz-patient-core"]
      }]
    },
    {
      "id" : "Observation.performer",
      "path" : "Observation.performer",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["https://hl7.cz/fhir/core/StructureDefinition/cz-practitioner-core",
        "https://hl7.cz/fhir/core/StructureDefinition/cz-practitionerrole-core",
        "https://hl7.cz/fhir/core/StructureDefinition/cz-organization-core",
        "http://hl7.org/fhir/StructureDefinition/CareTeam",
        "https://hl7.cz/fhir/core/StructureDefinition/cz-patient-core",
        "https://hl7.cz/fhir/core/StructureDefinition/cz-relatedPerson-core"]
      }]
    },
    {
      "id" : "Observation.value[x]",
      "path" : "Observation.value[x]",
      "short" : "Dose Summary text.",
      "comment" : "Textual representation of the dose summary based computed by the Dose Management system. Based on a locally defined template, definition of which is out of scope of this IG.",
      "min" : 1,
      "type" : [{
        "code" : "string"
      }]
    },
    {
      "id" : "Observation.specimen",
      "path" : "Observation.specimen",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["https://hl7.cz/fhir/core/StructureDefinition/cz-specimen"]
      }]
    },
    {
      "id" : "Observation.device",
      "path" : "Observation.device",
      "short" : "Irradiating modality",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["https://hl7.cz/fhir/core/StructureDefinition/cz-device-observer",
        "https://hl7.cz/fhir/core/StructureDefinition/cz-medical-device"]
      }]
    },
    {
      "id" : "Observation.hasMember",
      "path" : "Observation.hasMember",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["https://hl7.cz/fhir/img/StructureDefinition/cz-observation-result-imaging",
        "http://hl7.org/fhir/StructureDefinition/Observation",
        "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse",
        "http://hl7.org/fhir/StructureDefinition/MolecularSequence"]
      }]
    },
    {
      "id" : "Observation.derivedFrom",
      "path" : "Observation.derivedFrom",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/DocumentReference",
        "https://hl7.cz/fhir/img/StructureDefinition/cz-study-imaging",
        "http://hl7.org/fhir/StructureDefinition/Media",
        "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse",
        "http://hl7.org/fhir/StructureDefinition/MolecularSequence"]
      }]
    },
    {
      "id" : "Observation.component",
      "path" : "Observation.component",
      "slicing" : {
        "discriminator" : [{
          "type" : "value",
          "path" : "code"
        }],
        "ordered" : false,
        "rules" : "open"
      }
    },
    {
      "id" : "Observation.component:doseAreaProductTotal",
      "path" : "Observation.component",
      "sliceName" : "doseAreaProductTotal",
      "min" : 0,
      "max" : "*"
    },
    {
      "id" : "Observation.component:doseAreaProductTotal.code",
      "path" : "Observation.component.code",
      "patternCodeableConcept" : {
        "coding" : [{
          "system" : "http://dicom.nema.org/resources/ontology/DCM",
          "code" : "113722",
          "display" : "Dose Area Product Total"
        }]
      }
    },
    {
      "id" : "Observation.component:doseAreaProductTotal.value[x]",
      "path" : "Observation.component.value[x]",
      "type" : [{
        "code" : "Quantity"
      }],
      "binding" : {
        "strength" : "required",
        "valueSet" : "https://hl7.cz/fhir/img/ValueSet/im-gray-square-units"
      }
    },
    {
      "id" : "Observation.component:fluorDoseAreaProductTotal",
      "path" : "Observation.component",
      "sliceName" : "fluorDoseAreaProductTotal",
      "min" : 0,
      "max" : "*"
    },
    {
      "id" : "Observation.component:fluorDoseAreaProductTotal.code",
      "path" : "Observation.component.code",
      "patternCodeableConcept" : {
        "coding" : [{
          "system" : "http://dicom.nema.org/resources/ontology/DCM",
          "code" : "113726",
          "display" : "Fluoro Dose Area Product Total"
        }]
      }
    },
    {
      "id" : "Observation.component:fluorDoseAreaProductTotal.value[x]",
      "path" : "Observation.component.value[x]",
      "type" : [{
        "code" : "Quantity"
      }],
      "binding" : {
        "strength" : "required",
        "valueSet" : "https://hl7.cz/fhir/img/ValueSet/im-gray-square-units"
      }
    },
    {
      "id" : "Observation.component:doseAreaProduct",
      "path" : "Observation.component",
      "sliceName" : "doseAreaProduct",
      "min" : 0,
      "max" : "*"
    },
    {
      "id" : "Observation.component:doseAreaProduct.code",
      "path" : "Observation.component.code",
      "patternCodeableConcept" : {
        "coding" : [{
          "system" : "http://dicom.nema.org/resources/ontology/DCM",
          "code" : "122130",
          "display" : "Dose Area Product"
        }]
      }
    },
    {
      "id" : "Observation.component:doseAreaProduct.value[x]",
      "path" : "Observation.component.value[x]",
      "type" : [{
        "code" : "Quantity"
      }],
      "binding" : {
        "strength" : "required",
        "valueSet" : "https://hl7.cz/fhir/img/ValueSet/im-gray-square-units"
      }
    },
    {
      "id" : "Observation.component:CTDoseLengthProductTotal",
      "path" : "Observation.component",
      "sliceName" : "CTDoseLengthProductTotal",
      "min" : 0,
      "max" : "*"
    },
    {
      "id" : "Observation.component:CTDoseLengthProductTotal.code",
      "path" : "Observation.component.code",
      "patternCodeableConcept" : {
        "coding" : [{
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          "display" : "CT Dose Length Product Total"
        }]
      }
    },
    {
      "id" : "Observation.component:CTDoseLengthProductTotal.value[x]",
      "path" : "Observation.component.value[x]",
      "type" : [{
        "code" : "Quantity"
      }],
      "binding" : {
        "strength" : "required",
        "valueSet" : "https://hl7.cz/fhir/img/ValueSet/im-dose-length-units"
      }
    },
    {
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      "path" : "Observation.component",
      "sliceName" : "DLP",
      "min" : 0,
      "max" : "*"
    },
    {
      "id" : "Observation.component:DLP.code",
      "path" : "Observation.component.code",
      "patternCodeableConcept" : {
        "coding" : [{
          "system" : "http://dicom.nema.org/resources/ontology/DCM",
          "code" : "113838",
          "display" : "DLP"
        }]
      }
    },
    {
      "id" : "Observation.component:DLP.value[x]",
      "path" : "Observation.component.value[x]",
      "type" : [{
        "code" : "Quantity"
      }],
      "binding" : {
        "strength" : "required",
        "valueSet" : "https://hl7.cz/fhir/img/ValueSet/im-dose-length-units"
      }
    },
    {
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      "path" : "Observation.component",
      "sliceName" : "DLPAlertValue",
      "min" : 0,
      "max" : "*"
    },
    {
      "id" : "Observation.component:DLPAlertValue.code",
      "path" : "Observation.component.code",
      "patternCodeableConcept" : {
        "coding" : [{
          "system" : "http://dicom.nema.org/resources/ontology/DCM",
          "code" : "113903",
          "display" : "DLP Alert Value"
        }]
      }
    },
    {
      "id" : "Observation.component:DLPAlertValue.value[x]",
      "path" : "Observation.component.value[x]",
      "type" : [{
        "code" : "Quantity"
      }],
      "binding" : {
        "strength" : "required",
        "valueSet" : "https://hl7.cz/fhir/img/ValueSet/im-dose-length-units"
      }
    },
    {
      "id" : "Observation.component:AccumulatedDLPForwardEstimate",
      "path" : "Observation.component",
      "sliceName" : "AccumulatedDLPForwardEstimate",
      "min" : 0,
      "max" : "*"
    },
    {
      "id" : "Observation.component:AccumulatedDLPForwardEstimate.code",
      "path" : "Observation.component.code",
      "patternCodeableConcept" : {
        "coding" : [{
          "system" : "http://dicom.nema.org/resources/ontology/DCM",
          "code" : "113905",
          "display" : "Accumulated DLP Forward Estimate"
        }]
      }
    },
    {
      "id" : "Observation.component:AccumulatedDLPForwardEstimate.value[x]",
      "path" : "Observation.component.value[x]",
      "type" : [{
        "code" : "Quantity"
      }],
      "binding" : {
        "strength" : "required",
        "valueSet" : "https://hl7.cz/fhir/img/ValueSet/im-dose-length-units"
      }
    },
    {
      "id" : "Observation.component:DLPNotificationValue",
      "path" : "Observation.component",
      "sliceName" : "DLPNotificationValue",
      "min" : 0,
      "max" : "*"
    },
    {
      "id" : "Observation.component:DLPNotificationValue.code",
      "path" : "Observation.component.code",
      "patternCodeableConcept" : {
        "coding" : [{
          "system" : "http://dicom.nema.org/resources/ontology/DCM",
          "code" : "113911",
          "display" : "DLP Notification Value"
        }]
      }
    },
    {
      "id" : "Observation.component:DLPNotificationValue.value[x]",
      "path" : "Observation.component.value[x]",
      "type" : [{
        "code" : "Quantity"
      }],
      "binding" : {
        "strength" : "required",
        "valueSet" : "https://hl7.cz/fhir/img/ValueSet/im-dose-length-units"
      }
    },
    {
      "id" : "Observation.component:DLPForwardEstimate",
      "path" : "Observation.component",
      "sliceName" : "DLPForwardEstimate",
      "min" : 0,
      "max" : "*"
    },
    {
      "id" : "Observation.component:DLPForwardEstimate.code",
      "path" : "Observation.component.code",
      "patternCodeableConcept" : {
        "coding" : [{
          "system" : "http://dicom.nema.org/resources/ontology/DCM",
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          "display" : "DLP Forward Estimate"
        }]
      }
    },
    {
      "id" : "Observation.component:DLPForwardEstimate.value[x]",
      "path" : "Observation.component.value[x]",
      "type" : [{
        "code" : "Quantity"
      }],
      "binding" : {
        "strength" : "required",
        "valueSet" : "https://hl7.cz/fhir/img/ValueSet/im-dose-length-units"
      }
    },
    {
      "id" : "Observation.component:CRDoseLengthProductSubTotal",
      "path" : "Observation.component",
      "sliceName" : "CRDoseLengthProductSubTotal",
      "min" : 0,
      "max" : "*"
    },
    {
      "id" : "Observation.component:CRDoseLengthProductSubTotal.code",
      "path" : "Observation.component.code",
      "patternCodeableConcept" : {
        "coding" : [{
          "system" : "http://dicom.nema.org/resources/ontology/DCM",
          "code" : "130745",
          "display" : "CT Dose Length Product Sub-Total"
        }]
      }
    },
    {
      "id" : "Observation.component:CRDoseLengthProductSubTotal.value[x]",
      "path" : "Observation.component.value[x]",
      "type" : [{
        "code" : "Quantity"
      }],
      "binding" : {
        "strength" : "required",
        "valueSet" : "https://hl7.cz/fhir/img/ValueSet/im-dose-length-units"
      }
    },
    {
      "id" : "Observation.component:CTEffectiveDoseTotal",
      "path" : "Observation.component",
      "sliceName" : "CTEffectiveDoseTotal",
      "min" : 0,
      "max" : "*"
    },
    {
      "id" : "Observation.component:CTEffectiveDoseTotal.code",
      "path" : "Observation.component.code",
      "patternCodeableConcept" : {
        "coding" : [{
          "system" : "http://dicom.nema.org/resources/ontology/DCM",
          "code" : "113814",
          "display" : "CT Effective Dose Total"
        }]
      }
    },
    {
      "id" : "Observation.component:CTEffectiveDoseTotal.value[x]",
      "path" : "Observation.component.value[x]",
      "type" : [{
        "code" : "Quantity"
      }],
      "binding" : {
        "strength" : "required",
        "valueSet" : "https://hl7.cz/fhir/img/ValueSet/im-effective-dose-units"
      }
    },
    {
      "id" : "Observation.component:EffectiveDose",
      "path" : "Observation.component",
      "sliceName" : "EffectiveDose",
      "min" : 0,
      "max" : "*"
    },
    {
      "id" : "Observation.component:EffectiveDose.code",
      "path" : "Observation.component.code",
      "patternCodeableConcept" : {
        "coding" : [{
          "system" : "http://dicom.nema.org/resources/ontology/DCM",
          "code" : "113839",
          "display" : "Effective Dose"
        }]
      }
    },
    {
      "id" : "Observation.component:EffectiveDose.value[x]",
      "path" : "Observation.component.value[x]",
      "type" : [{
        "code" : "Quantity"
      }],
      "binding" : {
        "strength" : "required",
        "valueSet" : "https://hl7.cz/fhir/img/ValueSet/im-effective-dose-units"
      }
    }]
  }
}

```
