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

Plain Language Summary goes here

## Home

Official URL: https://hl7.cz/fhir/img/ImplementationGuide/hl7.fhir.cz.img | Version: 0.1.0-ballot | Highlight text changes?
Draft as of 2026-05-26 | Computable Name: HL7CzImagingReportImplementationGuide

### Introduction

This implementation guide is based on FHIR version R4. Specify a set of rules that will be used for HL7 FHIR to define how to represent Imaging Report in the Czech national context, in line with European eHN guidelines.

Its main objective is to define the content components and the preferred structure to be used to construct a imaging report.The purpose of this standard is to define the representation of the imaging report as a patient's medical record for the purpose of electronic exchange of health information between individuals, healthcare providers and infrastructure in the Czech Republic.

This guide does not describe how to exchange this message.

### Scope

This guide is divided into several pages which are listed at the top of each page in the menu bar.

- Home: This page provides the introduction, scope short, references, dependencies, cross version analysis and IP statement for this guide.
- Introduction:
  - Scope and content: This segment contains general information about Imaging report.
  - Background: This segment contains background information about Imaging report.
- Functional:
  - Use cases: This segment contains information about use cases.
  - Workflow: This segment contains information about workflow.
  - Logical models: This segment contains information about logical models.
  - Terminology considerations: This segment contains information about terminology.
- Implementation:
  - Mapping to profiles: This segment contains information about logical model maps to profiles.
  - Examples: This segment contains information about examples.
  - Obligations: This segment contains information about obligations.
  - Implementation notes: This segment contains information for implementation.
- About:
  - Authors: This segment contains informaction about authors.
  - Downloads: This segment contains informaction about downloads.
  - Dependencies: This segment contains informaction about dependencies.
  - Copyright: This segment contains informaction about copyright.
- Artifacts: This page provides a list of the FHIR artifacts defined as part of this implementation guide.

### References

- Related specifications:
  - EHDS Logical Information Models
    - This specification has inspired many of the design patterns defined in this IG.
  - HL7 Czech Imaging order IG
    - This specification has many of together design patterns defined in this IG.
  - HL7 Czech Base and Core Implementation Guide
    - Where possible this specification has been aligned with choices made in CZ core.

### Dependencies

IG | Package | FHIR | Comment
--- | --- | --- | ---
HL7 Czech Imaging Report IG | hl7.fhir.cz.img#0.1.0-ballot | R4 |
HL7 Terminology (THO) | hl7.terminology.r4#7.1.0 | R4 | Automatically added as a dependency - all IGs depend on HL7 Terminology
FHIR Extensions Pack | hl7.fhir.uv.extensions.r4#5.2.0 | R4 |
HL7 Czech Base and Core FHIR IG | hl7.fhir.cz.core#current | R4 |
FHIR Extensions Pack | hl7.fhir.uv.extensions.r4#5.3.0 | R4 |
HL7 Europe Base and Core FHIR IG | hl7.fhir.eu.base#2.0.0 | R4 |
Extensions for Using Data Elements from FHIR R5 in FHIR R4 | hl7.fhir.uv.xver-r5.r4#0.1.0 | R4 |
HL7 Europe Extensions | hl7.fhir.eu.extensions.r4#1.3.0 | R4 |
Medication Prescription and Dispense (MPD) | ihe.pharm.mpd.r4#1.0.0-comment-2 | R4 |
HL7 Terminology (THO) | hl7.terminology.r4#6.3.0 | R4 |
HL7 Czech Terminology Implementation Guide | hl7.fhir.cz.terminology#current | R4 |
HL7 Europe Imaging Report R4 | hl7.fhir.eu.imaging#1.0.0-ballot | R4 |
EU Health Data API | hl7.fhir.eu.health-data-api#1.0.0-ballot | R4 |
HL7 Europe Base and Core FHIR IG | hl7.fhir.eu.base#2.0.0-ballot | R4 |
HL7 Terminology (THO) | hl7.terminology.r4#7.0.1 | R4 |
International Patient Summary Implementation Guide | hl7.fhir.uv.ips#2.0.0 | R4 |
HL7 Terminology (THO) | hl7.terminology.r4#6.5.0 | R4 |
International Patient Access | hl7.fhir.uv.ipa#1.1.0 | R4 |
HL7 Terminology (THO) | hl7.terminology.r4#6.2.0 | R4 |
SMART App Launch | hl7.fhir.uv.smart-app-launch#2.0.0 | R4 |
FHIR Cross-Version Extensions package for FHIR R4 from FHIR R5 | hl7.fhir.uv.xver-r5.r4#0.0.1-snapshot-2 | R4 |
HL7 Europe Extensions | hl7.fhir.eu.extensions.r4#1.2.0 | R4 |
Mobile access to Health Documents (MHD) | ihe.iti.mhd#4.2.3 | R4 |
Basic Audit Log Patterns (BALP) | ihe.iti.balp#1.1.4 | R4 |
fhir.dicom | fhir.dicom#2025.3.20250714 | R4 |
FHIR Tooling Extensions IG | hl7.fhir.uv.tools.r4#1.1.2 | R4 | for example references

Package hl7.fhir.uv.extensions.r4#5.2.0 This IG defines the global extensions - the ones defined for everyone. These extensions are always in scope wherever FHIR is being used (built Mon, Feb 10, 2025 21:45+1100+11:00)

Package hl7.fhir.uv.extensions.r4#5.3.0 This IG defines the global extensions - the ones defined for everyone. These extensions are always in scope wherever FHIR is being used (built Sat, May 16, 2026 18:32+1000+10:00)

Package hl7.fhir.uv.xver-r5.r4#0.1.0 Extensions for Using Data Elements from FHIR R5 in FHIR R4 (built Fri, Mar 20, 2026 15:40+1100+11:00)

Package hl7.fhir.eu.extensions.r4#1.3.0 This guide lists the extensions specified for the European REALM. (built Fri, Mar 27, 2026 19:47+0100+01:00)

Package ihe.pharm.mpd.r4#1.0.0-comment-2 ImplementationGuide for IHE Pharmacy Medication Prescription and Dispense (MPD) profile (built Tue, May 27, 2025 16:32+0200+02:00)

Package hl7.fhir.eu.base#2.0.0 This guide collects base and core profiles to be used in the European context. It also includes common artifacts, such as the profiles describing the European Health Insurance Card. (built Mon, Apr 27, 2026 22:40+0300+03:00)

Package hl7.fhir.cz.terminology#current HL7 Czech Terminology Implementation Guide (built Tue, May 12, 2026 10:29+0000+00:00)

Package hl7.fhir.cz.core#current HL7 Czech Base and Core Resources Implementation Guide (built Mon, May 18, 2026 07:26+0000+00:00)

Package hl7.fhir.uv.ipa#1.1.0 This IG describes how an application acting on behalf of a patient can access information about the patient from an clinical records system using a FHIR based API. The clinical records system may be supporting a clinical care provider (e.g. a hospital, or a general practitioner), or a health data exchange, including a national health record system. (built Wed, Mar 19, 2025 14:34+0000+00:00)

Package hl7.fhir.uv.xver-r5.r4#0.0.1-snapshot-2 The cross-version extensions available in FHIR R4 from FHIR R5 (built Sat, Sep 13, 2025 16:55-0400-04:00)

Package hl7.fhir.eu.extensions.r4#1.2.0 This guide lists the extensions specified for the European REALM. (built Fri, Dec 19, 2025 11:52+0100+01:00)

Package hl7.fhir.eu.base#2.0.0-ballot This guide collects base and core profiles to be used in the European context. It also includes common artifacts, such as the profiles describing the European Health Insurance Card. (built Fri, Dec 19, 2025 18:28+0100+01:00)

Package hl7.fhir.eu.health-data-api#1.0.0-ballot This Implementation Guide defines FHIR-based APIs for accessing and exchanging health data in the European Health Data Space (EHDS). It composes existing IHE and HL7 specifications — MHD for document exchange, SMART Backend Services for authorization, PDQm for patient matching, and IPA for resource access — into a unified conformance target for EHR systems across Europe. (built Fri, Mar 13, 2026 21:22+0100+01:00)

Package ihe.iti.balp#1.1.4 The Basic Audit Log Patterns (BALP) Implementation Guide is a Content Profile that defines some basic and reusable AuditEvent patterns. This includes basic audit log profiles for FHIR RESTful operations to be used when there is not a more specific audit event defined. A focus is enabling Privacy centric AuditEvent logs that hold well formed indication of the Patient when they are the subject of the activity being recorded in the log. Where a more specific audit event can be defined it should be derived off of these basic patterns. (built Fri, Oct 31, 2025 12:53-0500-05:00)

Package ihe.iti.mhd#4.2.3 ImplementationGuide for IHE IT Infrastructure Technical Framework Supplement Mobile access to Health Documents (MHD) (built Fri, Oct 31, 2025 14:32-0500-05:00)

Package hl7.fhir.eu.imaging#1.0.0-ballot This guide describes how a Imaging Report can be represented in the European REALM using FHIR R4. (built Mon, Mar 16, 2026 14:15+0100+01:00)

Package hl7.fhir.uv.tools.r4#1.1.2 This IG defines the extensions that the tools use internally. Some of these extensions are content that are being evaluated for elevation into the main spec, and others are tooling concerns (built Tue, Mar 24, 2026 11:13+1100+11:00)

### Cross Version Analysis

This is an R4 IG. None of the features it uses are changed in R4B, so it can be used as is with R4B systems. Packages for both R4 (hl7.fhir.cz.img.r4) and R4B (hl7.fhir.cz.img.r4b) are available.

### IP statements

This publication includes IP covered under the following statements.

- Copyright HL7 Europe. Licensed under Creative Commons public domain (CC0 1.0).
  Show Usage
  - EEHRxF Document Priority Category CodeSystem: Bundle/08bbe654-d7d8-429c-a2b1-ac1f5f522cf2, Bundle/cz-examplel1-bundle... Show 11 more, Bundle/cz-examplepetct-bundle, CZ_CompositionImagingReport, CZ_CompositionObligationsImg, CZ_DiagnosticReport, CZ_DiagnosticReportObligationsImg, Composition/6390b57a-0fe7-488b-b948-eda546875bc0, Composition/a84899f0-a241-4f15-b5fd-47e8c9dbdc35, Composition/dbd426a9-d660-4f97-8656-1e39db4a57c9, DiagnosticReport/8a4c6711-6192-4519-a085-77fcf36d81c3, DiagnosticReport/9c23deff-bf1d-46f6-bd0e-005e52b42121 and DiagnosticReport/bd3e7b78-bfaa-428e-9168-8cd29cf54aba
- ISO maintains the copyright on the country codes, and controls its use carefully. For further details see the ISO 3166 web page: https://www.iso.org/iso-3166-country-codes.html
  Show Usage
  - ISO 3166-1 Codes for the representation of names of countries and their subdivisions — Part 1: Country code: Bundle/08bbe654-d7d8-429c-a2b1-ac1f5f522cf2, Bundle/cz-examplel1-bundle... Show 124 more, Bundle/cz-examplepetct-bundle, CHIR - Oddělení chirurgie, CHIR-L2 - Lůžková stanice 2, CZ_AccessionNumberIdentifier, CZ_AddressObligationsImg, CZ_AdverseEvent, CZ_AdverseEventObligationsImg, CZ_AnatomicalRegionExtension, CZ_BodyHeight, CZ_BodyWeight, CZ_BundleImagingReport, CZ_BundleObligationsImg, CZ_CarePlanImage, CZ_CarePlanObligationsImg, CZ_CompositionImagingReport, CZ_CompositionObligationsImg, CZ_ConditionImage, CZ_ConditionObligationsImg, CZ_CoverageObligationsImg, CZ_DiagnosticReport, CZ_DiagnosticReportObligationsImg, CZ_ImagingObservationCodeVs, CZ_ImagingObservationValueVs, CZ_ImagingOrderInformation, CZ_ImagingProcedureVs, CZ_ImagingSelectionImaging, CZ_ImagingSelectionKeyImageImaging, CZ_KeyImageDocumentReference, CZ_KeyImageDocumentReferenceObligationsImg, CZ_MediaImg, CZ_MediaObligationsImg, CZ_MedicalDeviceObligationsImg, CZ_MedicationAdministration, CZ_MedicationAdministrationObligationsImg, CZ_MedicationObligationsImg, CZ_ModalityVs, CZ_ObservationImage, CZ_ObservationResultImaging, CZ_ObservationResultObligationsImg, CZ_ObservationUnitsHeightVs, CZ_ObservationUnitsWeightVs, CZ_OrganizationObligationsImg, CZ_ParticipationTypeVS, CZ_PatientAnimalObligationsImg, CZ_PatientObligationsImg, CZ_PractitionerObligationsImg, CZ_PractitionerRoleObligationsImg, CZ_ProcedureImaging, CZ_ProcedureObligationsImg, CZ_RadiationDoseObservation, CZ_RadiationDoseObservationObligationsImg, CZ_RelatedPersonObligationsImg, CZ_ServiceRequestObligationsImg, CZ_SopInstanceUidIdentifier, CZ_SpecimenObligationsImg, CZ_SrInstanceImagingSelectionImaging, CZ_StudyImaging, CZ_StudyImagingObligationsImg, CZ_StudyInstanceUidIdentifier, CrossVersionMediaView, CrossVersionMediaViewExtension, Fakultní nemocnice Obláčkov, HL7CzImagingReportImplementationGuide, HL7IDRCommunicationExt, HL7IDRComparisonStudiesExt, HL7IDRFindingExt, HL7IDRImagingProcedureExt, HL7IDRImpressionExt, HL7IDRPatientHistoryExt, HL7IDRRecommendationExt, ImDiagnosticReportReference, ImDoseLengthUnits, ImEffectiveDoseUnits, ImGraySquareUnits, ImagingStudyInstanceDescription, LogCzAttachmentsCz, LogCzAttesterImagingCz, LogCzAuthorImagingCz, LogCzBodyImagingReportCz, LogCzDcmMetadataCz, LogCzDigitalSignatureCz, LogCzDocumentMetadataImagingCz, LogCzHeaderImagingReportCz, LogCzImagingReportCz, LogCzInformationAboutOrderCz, LogCzInformationRecipientImagingCz, LogCzKeyImagesAttachmentCz, LogCzLegalAuthenticatorImagingCz, LogCzLinkToRelatedReportCz, LogCzPayerImagingCz, LogCzPresentedFormCz, LogCzReasonForAdmissionCz, LogCzReportOfImagingMethodCz, LogCzSpecimenInformationCz, LogCzSubjectImagingReportCz, LogEnAttachmentsCz, LogEnAttesterImagingCz, LogEnAuthorImagingCz, LogEnBodyImagingReportCz, LogEnDcmMetadataCz, LogEnDigitalSignatureCz, LogEnDocumentMetadataImagingCz, LogEnHeaderImagingReportCz, LogEnImagingReportCz, LogEnInformationAboutOrderCz, LogEnInformationRecipientImagingCz, LogEnKeyImagesAttachmentCz, LogEnLegalAuthenticatorImagingCz, LogEnLinkToRelatedReportCz, LogEnPayerImagingCz, LogEnPresentedFormCz, LogEnReasonForAdmissionCz, LogEnReportOfImagingMethodCz, LogEnSpecimenInformationCz, LogEnSubjectImagingReportCz, MissingDicomTerminology, Nemocnice Pardubického kraje, a.s., Chrudimská nemocnice, NumberOfFrames, Patient/2ccb472f-5747-4939-a119-5597835ad7da, Patient/3c137453-0de8-4e1a-be72-9dc55f500d57, Patient/62d2aa9a-a15f-4e43-9458-fec16c1c4882, Patient/cz-examplebase-patient, RadiationDoseExt and ValueSetAnatomicalRegion
- The UCUM codes, UCUM table (regardless of format), and UCUM Specification are copyright 1999-2009, Regenstrief Institute, Inc. and the Unified Codes for Units of Measures (UCUM) Organization. All rights reserved. https://ucum.org/trac/wiki/TermsOfUse
  Show Usage
  - Unified Code for Units of Measure (UCUM): Bundle/cz-examplepetct-bundle, CZ_BodyHeight... Show 10 more, CZ_BodyWeight, CZ_ObservationUnitsHeightVs, CZ_ObservationUnitsWeightVs, CZ_RadiationDoseObservation, ImDoseLengthUnits, ImEffectiveDoseUnits, ImGraySquareUnits, MedicationAdministration/a89a0433-998e-4408-9d7a-560c6d242366, Observation/40fb226b-e11f-4d02-aa30-97ba51ab4ff6 and Observation/9f79ad8f-056e-4931-ae19-810064de607b
- These codes are excerpted from Digital Imaging and Communications in Medicine (DICOM) Standard, Part 16: Content Mapping Resource, Copyright © 2011 by the National Electrical Manufacturers Association.
  Show Usage
  - DICOM Controlled Terminology Definitions: Bundle/08bbe654-d7d8-429c-a2b1-ac1f5f522cf2, Bundle/cz-examplel1-bundle... Show 15 more, Bundle/cz-examplepetct-bundle, CZ_AccessionNumberIdentifier, CZ_ImagingOrderInformation, CZ_KeyImageDocumentReference, CZ_KeyImageDocumentReferenceObligationsImg, CZ_ModalityVs, CZ_RadiationDoseObservation, CZ_RadiationDoseObservationObligationsImg, CZ_ServiceRequestObligationsImg, CZ_StudyImaging, CZ_StudyInstanceUidIdentifier, DocumentReference/2a00895f-9e01-4467-bf75-4f0c3552afa4, ImagingStudy/e132f687-df35-4174-91bd-fe74cda5ac5d, ImagingStudy/f5e876ca-1bbe-47a1-9bc5-b725b68a5ef8 and ImagingStudy/fc79917b-b1b0-44a6-beaa-e9715322c834
- This material contains content from LOINC. LOINC is copyright © 1995-2020, Regenstrief Institute, Inc. and the Logical Observation Identifiers Names and Codes (LOINC) Committee and is available at no cost under the license. LOINC® is a registered United States trademark of Regenstrief Institute, Inc.
  Show Usage
  - LOINC: Bundle/08bbe654-d7d8-429c-a2b1-ac1f5f522cf2, Bundle/cz-examplel1-bundle... Show 20 more, Bundle/cz-examplepetct-bundle, CZ_BodyHeight, CZ_BodyWeight, CZ_CompositionImagingReport, CZ_CompositionObligationsImg, CZ_DiagnosticReport, CZ_DiagnosticReportObligationsImg, CZ_KeyImageDocumentReference, CZ_KeyImageDocumentReferenceObligationsImg, CZ_RadiationDoseObservation, CZ_RadiationDoseObservationObligationsImg, Composition/6390b57a-0fe7-488b-b948-eda546875bc0, Composition/a84899f0-a241-4f15-b5fd-47e8c9dbdc35, Composition/dbd426a9-d660-4f97-8656-1e39db4a57c9, DiagnosticReport/8a4c6711-6192-4519-a085-77fcf36d81c3, DiagnosticReport/9c23deff-bf1d-46f6-bd0e-005e52b42121, DiagnosticReport/bd3e7b78-bfaa-428e-9168-8cd29cf54aba, DocumentReference/2a00895f-9e01-4467-bf75-4f0c3552afa4, Observation/40fb226b-e11f-4d02-aa30-97ba51ab4ff6 and Observation/9f79ad8f-056e-4931-ae19-810064de607b
- This material contains content that is copyright of SNOMED International. Implementers of these specifications must have the appropriate SNOMED CT Affiliate license - for more information contact https://www.snomed.org/get-snomed or info@snomed.org.
  Show Usage
  - SNOMED Clinical Terms&reg; (SNOMED CT&reg;): AdverseEvent/0bd84e75-9c5e-406b-90a8-e39a615e9cf6, Bundle/08bbe654-d7d8-429c-a2b1-ac1f5f522cf2... Show 30 more, Bundle/cz-examplel1-bundle, Bundle/cz-examplepetct-bundle, CZ_AnatomicalRegionExtension, CZ_CompositionImagingReport, CZ_ConditionImage, CZ_ImagingObservationCodeVs, CZ_ImagingObservationValueVs, CZ_ImagingOrderInformation, CZ_ImagingProcedureVs, CZ_ObservationResultImaging, CZ_ProcedureImaging, CZ_ProcedureObligationsImg, CZ_ServiceRequestObligationsImg, Condition/9ee22843-2526-436f-bf66-3f9874869c08, CrossVersionMediaView, CrossVersionMediaViewExtension, Device/03903bc5-4ca0-4c55-8e4a-b256da9f788d, Device/723b5e24-133c-4e9a-aefb-5c14f5b2eac3, Device/cz-examplebase-device, MedicationAdministration/a89a0433-998e-4408-9d7a-560c6d242366, Observation/1bcd2d5a-e401-4ac2-80d0-7ec558d6b250, Observation/eca2bf34-9fa8-4abf-bd98-d8d49bcb1104, PractitionerRole/792a7a2e-4acd-42fd-bd2c-c2ff4e2f66a0, PractitionerRole/aafd64f9-36ab-4583-8088-efb93b44db9b, PractitionerRole/daa3335b-db80-41a5-897e-ec0dd615ee9d, Procedure/74820e62-42c2-4a39-9ded-251f3b8a58d0, Procedure/ea2967a5-0d00-461c-8785-b5affef4791c, ServiceRequest/cz-examplebase-imagingorder, ServiceRequest/d6784779-d008-447d-90cf-89d5d53a0f04 and ValueSetAnatomicalRegion