# Imaging Key Image Document Reference: Imaging Report (CZ) - HL7 Czech Imaging Report IG v0.1.0-ballot

## Resource Profile: 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. 

**Usages:**

* Derived from this Profile: [Key Image Document Reference: Obligations](StructureDefinition-cz-keyImageDocumentReference-obl-img.md)
* Use this Profile: [Bundle: Imaging Report (CZ)](StructureDefinition-cz-bundle-imaging.md)
* Refer to this Profile: [Extension: HL7IDR KeyImage Finding](StructureDefinition-HL7IDRFinding.md), [Extension: HL7IDR Impression](StructureDefinition-HL7IDRImpression.md) and [Composition: Imaging Report (CZ)](StructureDefinition-cz-composition-imaging.md)
* Examples for this Profile: [DocumentReference/2a00895f-9e01-4467-bf75-4f0c3552afa4](DocumentReference-2a00895f-9e01-4467-bf75-4f0c3552afa4.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-keyImage-documentReference.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-keyImage-documentReference.csv), [Excel](../StructureDefinition-cz-keyImage-documentReference.xlsx), [Schematron](../StructureDefinition-cz-keyImage-documentReference.sch) 



## Resource Content

```json
{
  "resourceType" : "StructureDefinition",
  "id" : "cz-keyImage-documentReference",
  "extension" : [{
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-imposeProfile",
    "valueCanonical" : "http://hl7.eu/fhir/imaging/StructureDefinition/DocumentReferenceKeyImageEuImaging"
  }],
  "url" : "https://hl7.cz/fhir/img/StructureDefinition/cz-keyImage-documentReference",
  "version" : "0.1.0-ballot",
  "name" : "CZ_KeyImageDocumentReference",
  "title" : "Imaging Key Image Document Reference: 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 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.\n\nWhen 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.",
  "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" : "fhircomposition",
    "uri" : "http://hl7.org/fhir/composition",
    "name" : "FHIR Composition"
  },
  {
    "identity" : "rim",
    "uri" : "http://hl7.org/v3",
    "name" : "RIM Mapping"
  },
  {
    "identity" : "cda",
    "uri" : "http://hl7.org/v3/cda",
    "name" : "CDA (R2)"
  },
  {
    "identity" : "w5",
    "uri" : "http://hl7.org/fhir/fivews",
    "name" : "FiveWs Pattern Mapping"
  },
  {
    "identity" : "v2",
    "uri" : "http://hl7.org/v2",
    "name" : "HL7 v2 Mapping"
  },
  {
    "identity" : "xds",
    "uri" : "http://ihe.net/xds",
    "name" : "XDS metadata equivalent"
  }],
  "kind" : "resource",
  "abstract" : false,
  "type" : "DocumentReference",
  "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/DocumentReference",
  "derivation" : "constraint",
  "differential" : {
    "element" : [{
      "id" : "DocumentReference.extension",
      "path" : "DocumentReference.extension",
      "slicing" : {
        "discriminator" : [{
          "type" : "value",
          "path" : "url"
        },
        {
          "type" : "value",
          "path" : "value"
        }],
        "ordered" : false,
        "rules" : "open"
      },
      "min" : 1
    },
    {
      "id" : "DocumentReference.extension:basedOn",
      "path" : "DocumentReference.extension",
      "sliceName" : "basedOn",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "Extension",
        "profile" : ["http://hl7.org/fhir/5.0/StructureDefinition/extension-DocumentReference.basedOn"]
      }]
    },
    {
      "id" : "DocumentReference.extension:basedOn.extension",
      "path" : "DocumentReference.extension.extension",
      "max" : "0"
    },
    {
      "id" : "DocumentReference.extension:basedOn.value[x]",
      "path" : "DocumentReference.extension.value[x]",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Appointment",
        "http://hl7.org/fhir/StructureDefinition/AppointmentResponse",
        "https://hl7.cz/fhir/img/StructureDefinition/cz-carePlanImage",
        "http://hl7.org/fhir/StructureDefinition/Claim",
        "http://hl7.org/fhir/StructureDefinition/CommunicationRequest",
        "http://hl7.org/fhir/StructureDefinition/Contract",
        "http://hl7.org/fhir/StructureDefinition/CoverageEligibilityRequest",
        "http://hl7.org/fhir/StructureDefinition/DeviceRequest",
        "http://hl7.org/fhir/StructureDefinition/EnrollmentRequest",
        "http://hl7.org/fhir/StructureDefinition/ImmunizationRecommendation",
        "http://hl7.org/fhir/StructureDefinition/MedicationRequest",
        "http://hl7.org/fhir/StructureDefinition/NutritionOrder",
        "http://hl7.org/fhir/StructureDefinition/ServiceRequest",
        "http://hl7.org/fhir/StructureDefinition/SupplyRequest",
        "http://hl7.org/fhir/StructureDefinition/VisionPrescription",
        "https://hl7.cz/fhir/img/StructureDefinition/cz-imagingOrderInformation"]
      }]
    },
    {
      "id" : "DocumentReference.extension:basedOn/imorderaccession",
      "path" : "DocumentReference.extension",
      "sliceName" : "basedOn/imorderaccession",
      "min" : 0,
      "max" : "1"
    },
    {
      "id" : "DocumentReference.extension:basedOn/imorderaccession.extension",
      "path" : "DocumentReference.extension.extension",
      "max" : "0"
    },
    {
      "id" : "DocumentReference.extension:basedOn/imorderaccession.value[x]",
      "path" : "DocumentReference.extension.value[x]",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["https://hl7.cz/fhir/img/StructureDefinition/cz-imagingOrderInformation"]
      }]
    },
    {
      "id" : "DocumentReference.extension:basedOn/imorderaccession.value[x].identifier",
      "path" : "DocumentReference.extension.value[x].identifier",
      "min" : 1,
      "type" : [{
        "code" : "Identifier",
        "profile" : ["https://hl7.cz/fhir/img/StructureDefinition/cz-accession-number-identifier"]
      }]
    },
    {
      "id" : "DocumentReference.extension:modality",
      "path" : "DocumentReference.extension",
      "sliceName" : "modality",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "Extension",
        "profile" : ["http://hl7.org/fhir/5.0/StructureDefinition/extension-DocumentReference.modality"]
      }]
    },
    {
      "id" : "DocumentReference.extension:note",
      "path" : "DocumentReference.extension",
      "sliceName" : "note",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "Extension",
        "profile" : ["http://hl7.org/fhir/StructureDefinition/note"]
      }]
    },
    {
      "id" : "DocumentReference.extension:view",
      "path" : "DocumentReference.extension",
      "sliceName" : "view",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "Extension",
        "profile" : ["https://hl7.cz/fhir/img/StructureDefinition/CrossVersionMediaViewExtension"]
      }]
    },
    {
      "id" : "DocumentReference.identifier",
      "path" : "DocumentReference.identifier",
      "slicing" : {
        "discriminator" : [{
          "type" : "value",
          "path" : "$this"
        }],
        "ordered" : false,
        "rules" : "open"
      }
    },
    {
      "id" : "DocumentReference.identifier:seriesInstanceUid",
      "path" : "DocumentReference.identifier",
      "sliceName" : "seriesInstanceUid",
      "min" : 0,
      "max" : "1"
    },
    {
      "id" : "DocumentReference.identifier:seriesInstanceUid.type",
      "path" : "DocumentReference.identifier.type",
      "min" : 1,
      "patternCodeableConcept" : {
        "coding" : [{
          "system" : "https://hl7.cz/fhir/img/CodeSystem/codesystem-missing-dicom-terminology",
          "code" : "00080018"
        }]
      }
    },
    {
      "id" : "DocumentReference.identifier:seriesInstanceUid.system",
      "path" : "DocumentReference.identifier.system",
      "min" : 1,
      "patternUri" : "urn:ietf:rfc:3986"
    },
    {
      "id" : "DocumentReference.identifier:seriesInstanceUid.value",
      "path" : "DocumentReference.identifier.value",
      "min" : 1
    },
    {
      "id" : "DocumentReference.identifier:seriesInstanceUid.assigner",
      "path" : "DocumentReference.identifier.assigner",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["https://hl7.cz/fhir/core/StructureDefinition/cz-organization-core"]
      }]
    },
    {
      "id" : "DocumentReference.identifier:sopClassInstanceUid",
      "path" : "DocumentReference.identifier",
      "sliceName" : "sopClassInstanceUid",
      "min" : 0,
      "max" : "1"
    },
    {
      "id" : "DocumentReference.identifier:sopClassInstanceUid.type",
      "path" : "DocumentReference.identifier.type",
      "min" : 1,
      "patternCodeableConcept" : {
        "coding" : [{
          "system" : "http://dicom.nema.org/resources/ontology/DCM",
          "code" : "112002"
        }]
      }
    },
    {
      "id" : "DocumentReference.identifier:sopClassInstanceUid.system",
      "path" : "DocumentReference.identifier.system",
      "min" : 1,
      "patternUri" : "urn:ietf:rfc:3986"
    },
    {
      "id" : "DocumentReference.identifier:sopClassInstanceUid.value",
      "path" : "DocumentReference.identifier.value",
      "min" : 1
    },
    {
      "id" : "DocumentReference.identifier:sopClassInstanceUid.assigner",
      "path" : "DocumentReference.identifier.assigner",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["https://hl7.cz/fhir/core/StructureDefinition/cz-organization-core"]
      }]
    },
    {
      "id" : "DocumentReference.category",
      "path" : "DocumentReference.category",
      "slicing" : {
        "discriminator" : [{
          "type" : "profile",
          "path" : "$this"
        }],
        "ordered" : false,
        "rules" : "open"
      },
      "min" : 1
    },
    {
      "id" : "DocumentReference.category:imkeyimages",
      "path" : "DocumentReference.category",
      "sliceName" : "imkeyimages",
      "min" : 1,
      "max" : "1"
    },
    {
      "id" : "DocumentReference.category:imkeyimages.coding",
      "path" : "DocumentReference.category.coding",
      "slicing" : {
        "discriminator" : [{
          "type" : "value",
          "path" : "$this"
        }],
        "ordered" : false,
        "rules" : "open"
      },
      "min" : 1
    },
    {
      "id" : "DocumentReference.category:imkeyimages.coding:keyimagecode",
      "path" : "DocumentReference.category.coding",
      "sliceName" : "keyimagecode",
      "min" : 1,
      "max" : "1",
      "patternCoding" : {
        "system" : "http://loinc.org",
        "code" : "55113-5",
        "display" : "Key images Document Radiology"
      }
    },
    {
      "id" : "DocumentReference.subject",
      "path" : "DocumentReference.subject",
      "min" : 1,
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["https://hl7.cz/fhir/core/StructureDefinition/cz-patient-core",
        "https://hl7.cz/fhir/core/StructureDefinition/cz-patient-animal"]
      }]
    },
    {
      "id" : "DocumentReference.author",
      "path" : "DocumentReference.author",
      "slicing" : {
        "discriminator" : [{
          "type" : "profile",
          "path" : "$this"
        }],
        "ordered" : false,
        "rules" : "open"
      },
      "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",
        "https://hl7.cz/fhir/core/StructureDefinition/cz-device-observer",
        "https://hl7.cz/fhir/core/StructureDefinition/cz-medical-device",
        "https://hl7.cz/fhir/core/StructureDefinition/cz-patient-core",
        "https://hl7.cz/fhir/core/StructureDefinition/cz-relatedPerson-core"]
      }]
    },
    {
      "id" : "DocumentReference.author:performer",
      "path" : "DocumentReference.author",
      "sliceName" : "performer",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["https://hl7.cz/fhir/core/StructureDefinition/cz-practitionerrole-core"]
      }]
    },
    {
      "id" : "DocumentReference.authenticator",
      "path" : "DocumentReference.authenticator",
      "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"]
      }]
    },
    {
      "id" : "DocumentReference.custodian",
      "path" : "DocumentReference.custodian",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["https://hl7.cz/fhir/core/StructureDefinition/cz-organization-core"]
      }]
    },
    {
      "id" : "DocumentReference.content",
      "path" : "DocumentReference.content",
      "slicing" : {
        "discriminator" : [{
          "type" : "value",
          "path" : "extension.value"
        }],
        "ordered" : false,
        "rules" : "open"
      }
    },
    {
      "id" : "DocumentReference.content:thumbnail",
      "path" : "DocumentReference.content",
      "sliceName" : "thumbnail",
      "min" : 0,
      "max" : "1"
    },
    {
      "id" : "DocumentReference.content:thumbnail.extension",
      "path" : "DocumentReference.content.extension",
      "slicing" : {
        "discriminator" : [{
          "type" : "value",
          "path" : "url"
        }],
        "ordered" : false,
        "rules" : "open"
      },
      "min" : 1
    },
    {
      "id" : "DocumentReference.content:thumbnail.extension:thumbnail",
      "path" : "DocumentReference.content.extension",
      "sliceName" : "thumbnail",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "Extension",
        "profile" : ["http://hl7.org/fhir/StructureDefinition/documentreference-thumbnail"]
      }]
    },
    {
      "id" : "DocumentReference.content:thumbnail.extension:thumbnail.value[x]",
      "path" : "DocumentReference.content.extension.value[x]",
      "patternBoolean" : true
    },
    {
      "id" : "DocumentReference.content:content",
      "path" : "DocumentReference.content",
      "sliceName" : "content",
      "min" : 1,
      "max" : "1"
    },
    {
      "id" : "DocumentReference.content:content.extension",
      "path" : "DocumentReference.content.extension",
      "slicing" : {
        "discriminator" : [{
          "type" : "value",
          "path" : "url"
        }],
        "ordered" : false,
        "rules" : "open"
      },
      "min" : 1
    },
    {
      "id" : "DocumentReference.content:content.extension:thumbnail",
      "path" : "DocumentReference.content.extension",
      "sliceName" : "thumbnail",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "Extension",
        "profile" : ["http://hl7.org/fhir/StructureDefinition/documentreference-thumbnail"]
      }]
    },
    {
      "id" : "DocumentReference.content:content.extension:thumbnail.value[x]",
      "path" : "DocumentReference.content.extension.value[x]",
      "patternBoolean" : false
    },
    {
      "id" : "DocumentReference.content:content.attachment.url",
      "path" : "DocumentReference.content.attachment.url",
      "min" : 1
    },
    {
      "id" : "DocumentReference.context.sourcePatientInfo",
      "path" : "DocumentReference.context.sourcePatientInfo",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["https://hl7.cz/fhir/core/StructureDefinition/cz-patient-core",
        "https://hl7.cz/fhir/core/StructureDefinition/cz-patient-animal"]
      }]
    }]
  }
}

```
