HL7 Czech Imaging Report IG
0.1.0-ballot - ci-build CZ

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

## Resource Profile: Observation: Imaging Report (CZ)

Official URL: https://hl7.cz/fhir/img/StructureDefinition/cz-observation-result-imaging | Version: 0.1.0-ballot | Highlight text changes?
Draft as of 2026-05-26 | Computable Name: CZ_ObservationResultImaging

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

Usages:

- Derived from this Profile: ObservationResult: Obligations
- Use this Profile: Bundle: Imaging Report (CZ)
- Refer to this Profile: Medication Administration: Imaging Report (CZ), Care plan: Imaging Report (CZ), Composition: Imaging Report (CZ), Condition: Imaging Report (CZ)... Show 5 more, Diagnostic Report: Imaging Report (CZ), Observation: Imaging Report (CZ), Procedure: Imaging Report (CZ), Radiation Dose Observation: Imaging Report (CZ) and Imaging Study (CZ)
- Examples for this Profile: Observation/1bcd2d5a-e401-4ac2-80d0-7ec558d6b250 and Observation/eca2bf34-9fa8-4abf-bd98-d8d49bcb1104

You can also check for usages in the FHIR IG Statistics

### Formal Views of Profile Content

Description Differentials, Snapshots, and other representations.

- Key Elements Table
- Differential Table
- Snapshot Table
- Statistics/References
- All

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Observation | C | 0..* | Observation | Imaging result for a imaging report This profile also imposes the profile Observation: Imaging Finding 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
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
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:$this
basedOn:ServiceRequestOrderImagingAccession | Σ | 0..* | Reference(Service Request: Imaging Report (CZ)) | Fulfills plan, proposal or order
identifier | Σ | 1..1 | CZ_AccessionNumberIdentifier | Logical reference, when literal reference is not known
partOf | Σ | 0..* | Reference(Medication Administration: Imaging Report (CZ) | MedicationDispense | MedicationStatement | Procedure: Imaging Report (CZ) | Immunization | Imaging Study (CZ)) | Part of referenced event
status | ?!S Σ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation.
code | Σ | 1..1 | CodeableConcept | Type of observation (code / type) Binding: Czech Imaging Observation code (required)
subject | Σ | 0..1 | Reference(Patient (CZ core) | Patient: Animal (CZ)) | In the initial iteration of the Czech interoperability project: this is Patient (CZ).
issued | S Σ | 0..1 | instant | Date/Time this version was made available
performer | S Σ | 0..* | Reference(CareTeam | RelatedPerson | Patient (CZ core) | Organization (CZ core) | Practitioner Role (CZ core) | Practitioner (CZ core)) | In the initial iteration of the Czech interoperability project: this is Organization (CZ) or Practitioner (CZ)
Slices for value[x] | Σ C | 0..1 |  | Actual result Slice: Unordered, Open by type:$this
valueQuantity |  |  | Quantity |
valueCodeableConcept |  |  | CodeableConcept |
valueString |  |  | string |
valueBoolean |  |  | boolean |
valueInteger |  |  | integer |
valueRange |  |  | Range |
valueRatio |  |  | Ratio |
valueSampledData |  |  | SampledData |
valueTime |  |  | time |
valueDateTime |  |  | dateTime |
valuePeriod |  |  | Period |
value[x]:valueCodeableConcept | Σ C | 0..1 | CodeableConcept | Actual result Binding: Czech Imaging Observation value codeable concept (preferred)
dataAbsentReason | S C | 0..1 | CodeableConcept | Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation | S | 0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
note | S | 0..* | Annotation | Comments about the observation
method | S | 0..1 | CodeableConcept | How it was done Binding: ObservationMethods (example): Methods for simple observations.
specimen | S | 0..1 | Reference(Specimen (CZ Core)) | Specimen used for this observation
device | S | 0..1 | Reference(Device: Performer/Observer (CZ core) | Medical Device (CZ core) | DeviceMetric) | (Measurement) Device
referenceRange | S C | 0..* | BackboneElement | Provides guide for interpretation Constraints: obs-3
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
hasMember | Σ | 0..* | Reference(Observation: Imaging Report (CZ) | QuestionnaireResponse | MolecularSequence) | Related resource that belongs to the Observation group
derivedFrom | S Σ | 0..* | Reference(DocumentReference | Imaging Study (CZ) | Media | QuestionnaireResponse | MolecularSequence | Observation: Imaging Report (CZ)) | Related measurements the observation is made from
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Observation.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std.
Observation.identifier:observationUid.​use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std.
Observation.identifier:observationUid.​type | Base | extensible | IdentifierType | 📍4.0.1 | FHIR Std.
Observation.status | Base | required | ObservationStatus | 📍4.0.1 | FHIR Std.
Observation.code | Base | required | Czech Imaging Observation code | 📦1.0.0 | This IG
Observation.value[x]:valueCodeableConcept | Base | preferred | Czech Imaging Observation value codeable concept | 📦1.0.0 | This IG
Observation.dataAbsentReason | Base | extensible | DataAbsentReason | 📍4.0.1 | FHIR Std.
Observation.interpretation | Base | extensible | Observation Interpretation Codes | 📍4.0.1 | FHIR Std.
Observation.method | Base | example | Observation Methods | 📍4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
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()`

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Observation |  | 0..* | Observation | Imaging result for a imaging report This profile also imposes the profile Observation: Imaging Finding
language | S | 0..1 | code | Language of the resource content
Slices for identifier |  | 0..* | Identifier | Business Identifier for observation Slice: Unordered, Open by value:type
identifier:observationUid |  | 0..1 | Identifier | Business Identifier for observation
type |  | 1..1 | CodeableConcept | Description of identifier Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: https://hl7.cz/fhir/img/CodeSystem/codesystem-missing-dicom-terminology
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
assigner |  | 0..1 | Reference(Organization (CZ core)) | Organization that issued id (may be just text)
Slices for basedOn |  | 0..* | Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest | Service Request: Imaging Report (CZ)) | Fulfills plan, proposal or order Slice: Unordered, Open by type:$this
basedOn:ServiceRequestOrderImagingAccession |  | 0..* | Reference(Service Request: Imaging Report (CZ)) | Fulfills plan, proposal or order
identifier |  | 1..1 | CZ_AccessionNumberIdentifier | Logical reference, when literal reference is not known
partOf |  | 0..* | Reference(Medication Administration: Imaging Report (CZ) | MedicationDispense | MedicationStatement | Procedure: Imaging Report (CZ) | Immunization | Imaging Study (CZ)) | Part of referenced event
status | S | 1..1 | code | registered | preliminary | final | amended +
code |  | 1..1 | CodeableConcept | Type of observation (code / type) Binding: Czech Imaging Observation code (required)
subject |  | 0..1 | Reference(Patient (CZ core) | Patient: Animal (CZ)) | In the initial iteration of the Czech interoperability project: this is Patient (CZ).
issued | S | 0..1 | instant | Date/Time this version was made available
performer | S | 0..* | Reference(CareTeam | RelatedPerson | Patient (CZ core) | Organization (CZ core) | Practitioner Role (CZ core) | Practitioner (CZ core)) | In the initial iteration of the Czech interoperability project: this is Organization (CZ) or Practitioner (CZ)
Slices for value[x] |  | 0..1 | Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period | Actual result Slice: Unordered, Open by type:$this
value[x]:valueCodeableConcept |  | 0..1 | CodeableConcept | Actual result Binding: Czech Imaging Observation value codeable concept (preferred)
dataAbsentReason | S | 0..1 | CodeableConcept | Why the result is missing
interpretation | S | 0..* | CodeableConcept | High, low, normal, etc.
note | S | 0..* | Annotation | Comments about the observation
method | S | 0..1 | CodeableConcept | How it was done
specimen | S | 0..1 | Reference(Specimen (CZ Core)) | Specimen used for this observation
device | S | 0..1 | Reference(Device: Performer/Observer (CZ core) | Medical Device (CZ core) | DeviceMetric) | (Measurement) Device
referenceRange | S | 0..* | BackboneElement | Provides guide for interpretation
hasMember |  | 0..* | Reference(Observation: Imaging Report (CZ) | QuestionnaireResponse | MolecularSequence) | Related resource that belongs to the Observation group
derivedFrom | S | 0..* | Reference(DocumentReference | Imaging Study (CZ) | Media | QuestionnaireResponse | MolecularSequence | Observation: Imaging Report (CZ)) | Related measurements the observation is made from
Documentation for this format

#### Terminology Bindings (Differential)

Path | Status | Usage | ValueSet | Version | Source
Observation.code | Base | required | Czech Imaging Observation code | 📦1.0.0 | This IG
Observation.value[x]:valueCodeableConcept | Base | preferred | Czech Imaging Observation value codeable concept | 📦1.0.0 | This IG

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Observation | C | 0..* | Observation | Imaging result for a imaging report This profile also imposes the profile Observation: Imaging Finding 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
extension |  | 0..* | Extension | Additional content defined by implementations
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:ServiceRequestOrderImagingAccession | Σ | 0..* | 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 | Σ C | 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 | ?!S Σ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation.
category |  | 0..* | CodeableConcept | Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
code | Σ | 1..1 | CodeableConcept | Type of observation (code / type) Binding: Czech Imaging Observation code (required)
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 | S Σ | 0..1 | instant | Date/Time this version was made available
performer | S Σ | 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] | Σ C | 0..1 |  | Actual result Slice: Unordered, Open by type:$this
valueQuantity |  |  | Quantity |
valueCodeableConcept |  |  | CodeableConcept |
valueString |  |  | string |
valueBoolean |  |  | boolean |
valueInteger |  |  | integer |
valueRange |  |  | Range |
valueRatio |  |  | Ratio |
valueSampledData |  |  | SampledData |
valueTime |  |  | time |
valueDateTime |  |  | dateTime |
valuePeriod |  |  | Period |
value[x]:valueCodeableConcept | Σ C | 0..1 | CodeableConcept | Actual result Binding: Czech Imaging Observation value codeable concept (preferred)
dataAbsentReason | S C | 0..1 | CodeableConcept | Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation | S | 0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
note | S | 0..* | Annotation | Comments about the observation
bodySite |  | 0..1 | CodeableConcept | Observed body part Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
method | S | 0..1 | CodeableConcept | How it was done Binding: ObservationMethods (example): Methods for simple observations.
specimen | S | 0..1 | Reference(Specimen (CZ Core)) | Specimen used for this observation
device | S | 0..1 | Reference(Device: Performer/Observer (CZ core) | Medical Device (CZ core) | DeviceMetric) | (Measurement) Device
referenceRange | S C | 0..* | BackboneElement | Provides guide for interpretation Constraints: obs-3
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(4.0.1) | Low Range, if relevant
high | C | 0..1 | SimpleQuantity(4.0.1) | 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 | Σ | 0..* | Reference(Observation: Imaging Report (CZ) | QuestionnaireResponse | MolecularSequence) | Related resource that belongs to the Observation group
derivedFrom | S Σ | 0..* | Reference(DocumentReference | Imaging Study (CZ) | Media | QuestionnaireResponse | MolecularSequence | Observation: Imaging Report (CZ)) | Related measurements the observation is made from
component | Σ | 0..* | BackboneElement | Component results
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 | Status | Usage | ValueSet | Version | Source
Observation.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std.
Observation.identifier:observationUid.​use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std.
Observation.identifier:observationUid.​type | Base | extensible | IdentifierType | 📍4.0.1 | FHIR Std.
Observation.basedOn:ServiceRequestOrderImagingAccession.​type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std.
Observation.status | Base | required | ObservationStatus | 📍4.0.1 | FHIR Std.
Observation.category | Base | preferred | Observation Category Codes | 📍4.0.1 | FHIR Std.
Observation.code | Base | required | Czech Imaging Observation code | 📦1.0.0 | This IG
Observation.value[x]:valueCodeableConcept | Base | preferred | Czech Imaging Observation value codeable concept | 📦1.0.0 | This IG
Observation.dataAbsentReason | Base | extensible | DataAbsentReason | 📍4.0.1 | FHIR Std.
Observation.interpretation | Base | extensible | Observation Interpretation Codes | 📍4.0.1 | FHIR Std.
Observation.bodySite | Base | example | SNOMED CT Body Structures | 📍4.0.1 | FHIR Std.
Observation.method | Base | example | Observation Methods | 📍4.0.1 | FHIR Std.
Observation.referenceRange.​type | Base | preferred | Observation Reference Range Meaning Codes | 📍4.0.1 | FHIR Std.
Observation.referenceRange.​appliesTo | Base | example | Observation Reference Range Applies To Codes | 📍4.0.1 | FHIR Std.
Observation.component.​code | Base | example | LOINC Codes | 📍4.0.1 | FHIR Std.
Observation.component.​dataAbsentReason | Base | extensible | DataAbsentReason | 📍4.0.1 | FHIR Std.
Observation.component.​interpretation | Base | extensible | Observation Interpretation Codes | 📍4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
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()`

Summary

Mandatory: 0 element(2 nested mandatory elements)
Must-Support: 12 elements

Structures

This structure refers to these other structures:

- Organization (CZ core) (https://hl7.cz/fhir/core/StructureDefinition/cz-organization-core)
- Service Request: Imaging Report (CZ) (https://hl7.cz/fhir/img/StructureDefinition/cz-imagingOrderInformation)
- Imaging Accession Number Identifier (https://hl7.cz/fhir/img/StructureDefinition/cz-accession-number-identifier)
- Medication Administration: Imaging Report (CZ) (https://hl7.cz/fhir/img/StructureDefinition/cz-MedicationAdministration)
- Procedure: Imaging Report (CZ) (https://hl7.cz/fhir/img/StructureDefinition/cz-procedure-imaging)
- Imaging Study (CZ) (https://hl7.cz/fhir/img/StructureDefinition/cz-study-imaging)
- Patient (CZ core) (https://hl7.cz/fhir/core/StructureDefinition/cz-patient-core)
- Patient: Animal (CZ) (https://hl7.cz/fhir/core/StructureDefinition/cz-patient-animal)
- Practitioner Role (CZ core) (https://hl7.cz/fhir/core/StructureDefinition/cz-practitionerrole-core)
- Practitioner (CZ core) (https://hl7.cz/fhir/core/StructureDefinition/cz-practitioner-core)
- Specimen (CZ Core) (https://hl7.cz/fhir/core/StructureDefinition/cz-specimen)
- Device: Performer/Observer (CZ core) (https://hl7.cz/fhir/core/StructureDefinition/cz-device-observer)
- Medical Device (CZ core) (https://hl7.cz/fhir/core/StructureDefinition/cz-medical-device)
- Observation: Imaging Report (CZ) (https://hl7.cz/fhir/img/StructureDefinition/cz-observation-result-imaging)

Slices

This structure defines the following Slices:

- The element 1 is sliced based on the value of Observation.identifier
- The element 1 is sliced based on the value of Observation.basedOn
- The element 1 is sliced based on the value of Observation.value[x]

Key Elements View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Observation | C | 0..* | Observation | Imaging result for a imaging report This profile also imposes the profile Observation: Imaging Finding 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
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
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:$this
basedOn:ServiceRequestOrderImagingAccession | Σ | 0..* | Reference(Service Request: Imaging Report (CZ)) | Fulfills plan, proposal or order
identifier | Σ | 1..1 | CZ_AccessionNumberIdentifier | Logical reference, when literal reference is not known
partOf | Σ | 0..* | Reference(Medication Administration: Imaging Report (CZ) | MedicationDispense | MedicationStatement | Procedure: Imaging Report (CZ) | Immunization | Imaging Study (CZ)) | Part of referenced event
status | ?!S Σ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation.
code | Σ | 1..1 | CodeableConcept | Type of observation (code / type) Binding: Czech Imaging Observation code (required)
subject | Σ | 0..1 | Reference(Patient (CZ core) | Patient: Animal (CZ)) | In the initial iteration of the Czech interoperability project: this is Patient (CZ).
issued | S Σ | 0..1 | instant | Date/Time this version was made available
performer | S Σ | 0..* | Reference(CareTeam | RelatedPerson | Patient (CZ core) | Organization (CZ core) | Practitioner Role (CZ core) | Practitioner (CZ core)) | In the initial iteration of the Czech interoperability project: this is Organization (CZ) or Practitioner (CZ)
Slices for value[x] | Σ C | 0..1 |  | Actual result Slice: Unordered, Open by type:$this
valueQuantity |  |  | Quantity |
valueCodeableConcept |  |  | CodeableConcept |
valueString |  |  | string |
valueBoolean |  |  | boolean |
valueInteger |  |  | integer |
valueRange |  |  | Range |
valueRatio |  |  | Ratio |
valueSampledData |  |  | SampledData |
valueTime |  |  | time |
valueDateTime |  |  | dateTime |
valuePeriod |  |  | Period |
value[x]:valueCodeableConcept | Σ C | 0..1 | CodeableConcept | Actual result Binding: Czech Imaging Observation value codeable concept (preferred)
dataAbsentReason | S C | 0..1 | CodeableConcept | Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation | S | 0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
note | S | 0..* | Annotation | Comments about the observation
method | S | 0..1 | CodeableConcept | How it was done Binding: ObservationMethods (example): Methods for simple observations.
specimen | S | 0..1 | Reference(Specimen (CZ Core)) | Specimen used for this observation
device | S | 0..1 | Reference(Device: Performer/Observer (CZ core) | Medical Device (CZ core) | DeviceMetric) | (Measurement) Device
referenceRange | S C | 0..* | BackboneElement | Provides guide for interpretation Constraints: obs-3
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
hasMember | Σ | 0..* | Reference(Observation: Imaging Report (CZ) | QuestionnaireResponse | MolecularSequence) | Related resource that belongs to the Observation group
derivedFrom | S Σ | 0..* | Reference(DocumentReference | Imaging Study (CZ) | Media | QuestionnaireResponse | MolecularSequence | Observation: Imaging Report (CZ)) | Related measurements the observation is made from
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Observation.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std.
Observation.identifier:observationUid.​use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std.
Observation.identifier:observationUid.​type | Base | extensible | IdentifierType | 📍4.0.1 | FHIR Std.
Observation.status | Base | required | ObservationStatus | 📍4.0.1 | FHIR Std.
Observation.code | Base | required | Czech Imaging Observation code | 📦1.0.0 | This IG
Observation.value[x]:valueCodeableConcept | Base | preferred | Czech Imaging Observation value codeable concept | 📦1.0.0 | This IG
Observation.dataAbsentReason | Base | extensible | DataAbsentReason | 📍4.0.1 | FHIR Std.
Observation.interpretation | Base | extensible | Observation Interpretation Codes | 📍4.0.1 | FHIR Std.
Observation.method | Base | example | Observation Methods | 📍4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
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

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Observation |  | 0..* | Observation | Imaging result for a imaging report This profile also imposes the profile Observation: Imaging Finding
language | S | 0..1 | code | Language of the resource content
Slices for identifier |  | 0..* | Identifier | Business Identifier for observation Slice: Unordered, Open by value:type
identifier:observationUid |  | 0..1 | Identifier | Business Identifier for observation
type |  | 1..1 | CodeableConcept | Description of identifier Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: https://hl7.cz/fhir/img/CodeSystem/codesystem-missing-dicom-terminology
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
assigner |  | 0..1 | Reference(Organization (CZ core)) | Organization that issued id (may be just text)
Slices for basedOn |  | 0..* | Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest | Service Request: Imaging Report (CZ)) | Fulfills plan, proposal or order Slice: Unordered, Open by type:$this
basedOn:ServiceRequestOrderImagingAccession |  | 0..* | Reference(Service Request: Imaging Report (CZ)) | Fulfills plan, proposal or order
identifier |  | 1..1 | CZ_AccessionNumberIdentifier | Logical reference, when literal reference is not known
partOf |  | 0..* | Reference(Medication Administration: Imaging Report (CZ) | MedicationDispense | MedicationStatement | Procedure: Imaging Report (CZ) | Immunization | Imaging Study (CZ)) | Part of referenced event
status | S | 1..1 | code | registered | preliminary | final | amended +
code |  | 1..1 | CodeableConcept | Type of observation (code / type) Binding: Czech Imaging Observation code (required)
subject |  | 0..1 | Reference(Patient (CZ core) | Patient: Animal (CZ)) | In the initial iteration of the Czech interoperability project: this is Patient (CZ).
issued | S | 0..1 | instant | Date/Time this version was made available
performer | S | 0..* | Reference(CareTeam | RelatedPerson | Patient (CZ core) | Organization (CZ core) | Practitioner Role (CZ core) | Practitioner (CZ core)) | In the initial iteration of the Czech interoperability project: this is Organization (CZ) or Practitioner (CZ)
Slices for value[x] |  | 0..1 | Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period | Actual result Slice: Unordered, Open by type:$this
value[x]:valueCodeableConcept |  | 0..1 | CodeableConcept | Actual result Binding: Czech Imaging Observation value codeable concept (preferred)
dataAbsentReason | S | 0..1 | CodeableConcept | Why the result is missing
interpretation | S | 0..* | CodeableConcept | High, low, normal, etc.
note | S | 0..* | Annotation | Comments about the observation
method | S | 0..1 | CodeableConcept | How it was done
specimen | S | 0..1 | Reference(Specimen (CZ Core)) | Specimen used for this observation
device | S | 0..1 | Reference(Device: Performer/Observer (CZ core) | Medical Device (CZ core) | DeviceMetric) | (Measurement) Device
referenceRange | S | 0..* | BackboneElement | Provides guide for interpretation
hasMember |  | 0..* | Reference(Observation: Imaging Report (CZ) | QuestionnaireResponse | MolecularSequence) | Related resource that belongs to the Observation group
derivedFrom | S | 0..* | Reference(DocumentReference | Imaging Study (CZ) | Media | QuestionnaireResponse | MolecularSequence | Observation: Imaging Report (CZ)) | Related measurements the observation is made from
Documentation for this format

#### Terminology Bindings (Differential)

Path | Status | Usage | ValueSet | Version | Source
Observation.code | Base | required | Czech Imaging Observation code | 📦1.0.0 | This IG
Observation.value[x]:valueCodeableConcept | Base | preferred | Czech Imaging Observation value codeable concept | 📦1.0.0 | This IG

Snapshot ViewView

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Observation | C | 0..* | Observation | Imaging result for a imaging report This profile also imposes the profile Observation: Imaging Finding 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
extension |  | 0..* | Extension | Additional content defined by implementations
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:ServiceRequestOrderImagingAccession | Σ | 0..* | 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 | Σ C | 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 | ?!S Σ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation.
category |  | 0..* | CodeableConcept | Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
code | Σ | 1..1 | CodeableConcept | Type of observation (code / type) Binding: Czech Imaging Observation code (required)
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 | S Σ | 0..1 | instant | Date/Time this version was made available
performer | S Σ | 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] | Σ C | 0..1 |  | Actual result Slice: Unordered, Open by type:$this
valueQuantity |  |  | Quantity |
valueCodeableConcept |  |  | CodeableConcept |
valueString |  |  | string |
valueBoolean |  |  | boolean |
valueInteger |  |  | integer |
valueRange |  |  | Range |
valueRatio |  |  | Ratio |
valueSampledData |  |  | SampledData |
valueTime |  |  | time |
valueDateTime |  |  | dateTime |
valuePeriod |  |  | Period |
value[x]:valueCodeableConcept | Σ C | 0..1 | CodeableConcept | Actual result Binding: Czech Imaging Observation value codeable concept (preferred)
dataAbsentReason | S C | 0..1 | CodeableConcept | Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation | S | 0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
note | S | 0..* | Annotation | Comments about the observation
bodySite |  | 0..1 | CodeableConcept | Observed body part Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
method | S | 0..1 | CodeableConcept | How it was done Binding: ObservationMethods (example): Methods for simple observations.
specimen | S | 0..1 | Reference(Specimen (CZ Core)) | Specimen used for this observation
device | S | 0..1 | Reference(Device: Performer/Observer (CZ core) | Medical Device (CZ core) | DeviceMetric) | (Measurement) Device
referenceRange | S C | 0..* | BackboneElement | Provides guide for interpretation Constraints: obs-3
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(4.0.1) | Low Range, if relevant
high | C | 0..1 | SimpleQuantity(4.0.1) | 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 | Σ | 0..* | Reference(Observation: Imaging Report (CZ) | QuestionnaireResponse | MolecularSequence) | Related resource that belongs to the Observation group
derivedFrom | S Σ | 0..* | Reference(DocumentReference | Imaging Study (CZ) | Media | QuestionnaireResponse | MolecularSequence | Observation: Imaging Report (CZ)) | Related measurements the observation is made from
component | Σ | 0..* | BackboneElement | Component results
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 | Status | Usage | ValueSet | Version | Source
Observation.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std.
Observation.identifier:observationUid.​use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std.
Observation.identifier:observationUid.​type | Base | extensible | IdentifierType | 📍4.0.1 | FHIR Std.
Observation.basedOn:ServiceRequestOrderImagingAccession.​type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std.
Observation.status | Base | required | ObservationStatus | 📍4.0.1 | FHIR Std.
Observation.category | Base | preferred | Observation Category Codes | 📍4.0.1 | FHIR Std.
Observation.code | Base | required | Czech Imaging Observation code | 📦1.0.0 | This IG
Observation.value[x]:valueCodeableConcept | Base | preferred | Czech Imaging Observation value codeable concept | 📦1.0.0 | This IG
Observation.dataAbsentReason | Base | extensible | DataAbsentReason | 📍4.0.1 | FHIR Std.
Observation.interpretation | Base | extensible | Observation Interpretation Codes | 📍4.0.1 | FHIR Std.
Observation.bodySite | Base | example | SNOMED CT Body Structures | 📍4.0.1 | FHIR Std.
Observation.method | Base | example | Observation Methods | 📍4.0.1 | FHIR Std.
Observation.referenceRange.​type | Base | preferred | Observation Reference Range Meaning Codes | 📍4.0.1 | FHIR Std.
Observation.referenceRange.​appliesTo | Base | example | Observation Reference Range Applies To Codes | 📍4.0.1 | FHIR Std.
Observation.component.​code | Base | example | LOINC Codes | 📍4.0.1 | FHIR Std.
Observation.component.​dataAbsentReason | Base | extensible | DataAbsentReason | 📍4.0.1 | FHIR Std.
Observation.component.​interpretation | Base | extensible | Observation Interpretation Codes | 📍4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
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()`

Summary

Mandatory: 0 element(2 nested mandatory elements)
Must-Support: 12 elements

Structures

This structure refers to these other structures:

- Organization (CZ core) (https://hl7.cz/fhir/core/StructureDefinition/cz-organization-core)
- Service Request: Imaging Report (CZ) (https://hl7.cz/fhir/img/StructureDefinition/cz-imagingOrderInformation)
- Imaging Accession Number Identifier (https://hl7.cz/fhir/img/StructureDefinition/cz-accession-number-identifier)
- Medication Administration: Imaging Report (CZ) (https://hl7.cz/fhir/img/StructureDefinition/cz-MedicationAdministration)
- Procedure: Imaging Report (CZ) (https://hl7.cz/fhir/img/StructureDefinition/cz-procedure-imaging)
- Imaging Study (CZ) (https://hl7.cz/fhir/img/StructureDefinition/cz-study-imaging)
- Patient (CZ core) (https://hl7.cz/fhir/core/StructureDefinition/cz-patient-core)
- Patient: Animal (CZ) (https://hl7.cz/fhir/core/StructureDefinition/cz-patient-animal)
- Practitioner Role (CZ core) (https://hl7.cz/fhir/core/StructureDefinition/cz-practitionerrole-core)
- Practitioner (CZ core) (https://hl7.cz/fhir/core/StructureDefinition/cz-practitioner-core)
- Specimen (CZ Core) (https://hl7.cz/fhir/core/StructureDefinition/cz-specimen)
- Device: Performer/Observer (CZ core) (https://hl7.cz/fhir/core/StructureDefinition/cz-device-observer)
- Medical Device (CZ core) (https://hl7.cz/fhir/core/StructureDefinition/cz-medical-device)
- Observation: Imaging Report (CZ) (https://hl7.cz/fhir/img/StructureDefinition/cz-observation-result-imaging)

Slices

This structure defines the following Slices:

- The element 1 is sliced based on the value of Observation.identifier
- The element 1 is sliced based on the value of Observation.basedOn
- The element 1 is sliced based on the value of Observation.value[x]

Other representations of profile: CSV, Excel, Schematron