# Diagnostic Report: Imaging Report (CZ) - HL7 Czech Imaging Report IG v0.1.0-ballot

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

 
Diagnostic Report used to represent an entry of a Imaging Report, including its context, for the scope of the Czech national interoperability project. 

**Usages:**

* Derived from this Profile: [Diagnostic Report: Obligations](StructureDefinition-cz-diagnosticReport-obl-img.md)
* Use this Profile: [Bundle: Imaging Report (CZ)](StructureDefinition-cz-bundle-imaging.md)
* Refer to this Profile: [Medication Administration: Imaging Report (CZ)](StructureDefinition-cz-MedicationAdministration.md), [Care plan: Imaging Report (CZ)](StructureDefinition-cz-carePlanImage.md), [Composition: Imaging Report (CZ)](StructureDefinition-cz-composition-imaging.md), [Condition: Imaging Report (CZ)](StructureDefinition-cz-conditionImage.md)... Show 3 more, [Procedure: Imaging Report (CZ)](StructureDefinition-cz-procedure-imaging.md), [Imaging Study (CZ)](StructureDefinition-cz-study-imaging.md) and [Document DiagnosticReport Reference](StructureDefinition-im-composition-diagnosticReportReference.md)
* Examples for this Profile: [DiagnosticReport/8a4c6711-6192-4519-a085-77fcf36d81c3](DiagnosticReport-8a4c6711-6192-4519-a085-77fcf36d81c3.md), [DiagnosticReport/9c23deff-bf1d-46f6-bd0e-005e52b42121](DiagnosticReport-9c23deff-bf1d-46f6-bd0e-005e52b42121.md) and [DiagnosticReport/bd3e7b78-bfaa-428e-9168-8cd29cf54aba](DiagnosticReport-bd3e7b78-bfaa-428e-9168-8cd29cf54aba.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-diagnostic-report.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-diagnostic-report.csv), [Excel](../StructureDefinition-cz-diagnostic-report.xlsx), [Schematron](../StructureDefinition-cz-diagnostic-report.sch) 



## Resource Content

```json
{
  "resourceType" : "StructureDefinition",
  "id" : "cz-diagnostic-report",
  "url" : "https://hl7.cz/fhir/img/StructureDefinition/cz-diagnostic-report",
  "version" : "0.1.0-ballot",
  "name" : "CZ_DiagnosticReport",
  "title" : "Diagnostic Report: 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" : "Diagnostic Report used to represent an entry of a Imaging Report, including its context, for the scope of the Czech national interoperability project.",
  "jurisdiction" : [{
    "coding" : [{
      "system" : "urn:iso:std:iso:3166",
      "code" : "CZ",
      "display" : "Czechia"
    }]
  }],
  "copyright" : "HL7 Czech Republic",
  "fhirVersion" : "4.0.1",
  "mapping" : [{
    "identity" : "workflow",
    "uri" : "http://hl7.org/fhir/workflow",
    "name" : "Workflow Pattern"
  },
  {
    "identity" : "v2",
    "uri" : "http://hl7.org/v2",
    "name" : "HL7 v2 Mapping"
  },
  {
    "identity" : "rim",
    "uri" : "http://hl7.org/v3",
    "name" : "RIM Mapping"
  },
  {
    "identity" : "w5",
    "uri" : "http://hl7.org/fhir/fivews",
    "name" : "FiveWs Pattern Mapping"
  }],
  "kind" : "resource",
  "abstract" : false,
  "type" : "DiagnosticReport",
  "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/DiagnosticReport",
  "derivation" : "constraint",
  "differential" : {
    "element" : [{
      "id" : "DiagnosticReport",
      "path" : "DiagnosticReport",
      "short" : "Imaging Report DiagnosticReport",
      "definition" : "Imaging Report DiagnosticReport",
      "constraint" : [{
        "key" : "presentedform-01",
        "severity" : "warning",
        "human" : "At least one of presented form has PDF format",
        "expression" : "presentedForm.where(contentType = 'application/pdf').count() > 0",
        "source" : "https://hl7.cz/fhir/img/StructureDefinition/cz-diagnostic-report"
      }]
    },
    {
      "id" : "DiagnosticReport.extension",
      "path" : "DiagnosticReport.extension",
      "slicing" : {
        "discriminator" : [{
          "type" : "value",
          "path" : "url"
        }],
        "ordered" : false,
        "rules" : "open"
      },
      "min" : 1
    },
    {
      "id" : "DiagnosticReport.extension:artifactVersion",
      "path" : "DiagnosticReport.extension",
      "sliceName" : "artifactVersion",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "Extension",
        "profile" : ["http://hl7.org/fhir/StructureDefinition/artifact-version"]
      }]
    },
    {
      "id" : "DiagnosticReport.extension:anatomical-region",
      "path" : "DiagnosticReport.extension",
      "sliceName" : "anatomical-region",
      "short" : "The anatomical regions covered by the study this report reports on.",
      "definition" : "The anatomical regions covered by the report, depending on the study there can be zero, one or more regions. \nThe regions SHALL overlap with the bodysite references from `ImagingStudy.serie.bodysite`, if present.",
      "requirements" : "This field is present in order to be able to populate the MHD DocumentReference field.",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "Extension",
        "profile" : ["https://hl7.cz/fhir/img/StructureDefinition/cz-anatomical-region-extension"]
      }]
    },
    {
      "id" : "DiagnosticReport.extension:comparison",
      "path" : "DiagnosticReport.extension",
      "sliceName" : "comparison",
      "short" : "Comparison studies",
      "definition" : "Studies used for comparison in part of diagnostic reporting.",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "Extension",
        "profile" : ["https://hl7.cz/fhir/img/StructureDefinition/HL7IDRComparisonStudy"]
      }],
      "mustSupport" : true
    },
    {
      "id" : "DiagnosticReport.extension:patientHistory",
      "path" : "DiagnosticReport.extension",
      "sliceName" : "patientHistory",
      "short" : "Patient history items selected by radiologist",
      "definition" : "May have originally been extracted from the medical record by imaging staff,\nautomated tools, or by the radiologists themselves.",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "Extension",
        "profile" : ["https://hl7.cz/fhir/img/StructureDefinition/HL7IDRPatientHistory"]
      }],
      "mustSupport" : true
    },
    {
      "id" : "DiagnosticReport.extension:procedure",
      "path" : "DiagnosticReport.extension",
      "sliceName" : "procedure",
      "short" : "Imaging procedure",
      "definition" : "Imaging procedure used to acquire the study.",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "Extension",
        "profile" : ["https://hl7.cz/fhir/img/StructureDefinition/HL7IDRImagingProcedure"]
      }],
      "mustSupport" : true
    },
    {
      "id" : "DiagnosticReport.extension:finding",
      "path" : "DiagnosticReport.extension",
      "sliceName" : "finding",
      "short" : "Key image findings",
      "definition" : "Key images in the report",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "Extension",
        "profile" : ["https://hl7.cz/fhir/img/StructureDefinition/HL7IDRFinding"]
      }],
      "mustSupport" : true
    },
    {
      "id" : "DiagnosticReport.extension:impression",
      "path" : "DiagnosticReport.extension",
      "sliceName" : "impression",
      "short" : "Impression",
      "definition" : "Impression in the imaging report.",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "Extension",
        "profile" : ["https://hl7.cz/fhir/img/StructureDefinition/HL7IDRImpression"]
      }],
      "mustSupport" : true
    },
    {
      "id" : "DiagnosticReport.extension:recommendation",
      "path" : "DiagnosticReport.extension",
      "sliceName" : "recommendation",
      "short" : "Recommendations",
      "definition" : "Recommendations a radiologist provides in the report for possible follow up actions.",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "Extension",
        "profile" : ["https://hl7.cz/fhir/img/StructureDefinition/HL7IDRRecommendation"]
      }],
      "mustSupport" : true
    },
    {
      "id" : "DiagnosticReport.extension:communication",
      "path" : "DiagnosticReport.extension",
      "sliceName" : "communication",
      "short" : "Communications with other care providers",
      "definition" : "Communications captures what communications have been made with other care providers.",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "Extension",
        "profile" : ["https://hl7.cz/fhir/img/StructureDefinition/HL7IDRCommunication"]
      }],
      "mustSupport" : true
    },
    {
      "id" : "DiagnosticReport.extension:radiationDose",
      "path" : "DiagnosticReport.extension",
      "sliceName" : "radiationDose",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "Extension",
        "profile" : ["https://hl7.cz/fhir/img/StructureDefinition/RadiationDose"]
      }],
      "mustSupport" : true
    },
    {
      "id" : "DiagnosticReport.extension:informationRecipient",
      "path" : "DiagnosticReport.extension",
      "sliceName" : "informationRecipient",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "Extension",
        "profile" : ["http://hl7.eu/fhir/StructureDefinition/information-recipient"]
      }]
    },
    {
      "id" : "DiagnosticReport.extension:composition",
      "path" : "DiagnosticReport.extension",
      "sliceName" : "composition",
      "short" : "Imaging Diagnostic Report",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "Extension",
        "profile" : ["http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition"]
      }]
    },
    {
      "id" : "DiagnosticReport.extension:composition.extension",
      "path" : "DiagnosticReport.extension.extension",
      "max" : "0"
    },
    {
      "id" : "DiagnosticReport.extension:composition.value[x]",
      "path" : "DiagnosticReport.extension.value[x]",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["https://hl7.cz/fhir/img/StructureDefinition/cz-composition-imaging"]
      }]
    },
    {
      "id" : "DiagnosticReport.identifier",
      "path" : "DiagnosticReport.identifier",
      "short" : "Report identifier",
      "definition" : "Identifiers assigned to this Imaging Report by the performer or other systems. It shall be common to several report versions",
      "comment" : "Composition.identifier SHALL be equal to one of the DiagnosticReport.identifier, if at least one exists",
      "min" : 1
    },
    {
      "id" : "DiagnosticReport.basedOn",
      "path" : "DiagnosticReport.basedOn",
      "slicing" : {
        "discriminator" : [{
          "type" : "exists",
          "path" : "identifier"
        }],
        "ordered" : false,
        "rules" : "open"
      }
    },
    {
      "id" : "DiagnosticReport.basedOn:order-resource",
      "path" : "DiagnosticReport.basedOn",
      "sliceName" : "order-resource",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["https://hl7.cz/fhir/img/StructureDefinition/cz-imagingOrderInformation"]
      }]
    },
    {
      "id" : "DiagnosticReport.basedOn:order-resource.reference",
      "path" : "DiagnosticReport.basedOn.reference",
      "min" : 1
    },
    {
      "id" : "DiagnosticReport.basedOn:order-resource.identifier",
      "path" : "DiagnosticReport.basedOn.identifier",
      "max" : "0"
    },
    {
      "id" : "DiagnosticReport.basedOn:order-identifier",
      "path" : "DiagnosticReport.basedOn",
      "sliceName" : "order-identifier",
      "min" : 0,
      "max" : "*"
    },
    {
      "id" : "DiagnosticReport.basedOn:order-identifier.reference",
      "path" : "DiagnosticReport.basedOn.reference",
      "max" : "0"
    },
    {
      "id" : "DiagnosticReport.basedOn:order-identifier.identifier",
      "path" : "DiagnosticReport.basedOn.identifier",
      "min" : 1,
      "type" : [{
        "code" : "Identifier",
        "profile" : ["https://hl7.cz/fhir/img/StructureDefinition/cz-accession-number-identifier"]
      }]
    },
    {
      "id" : "DiagnosticReport.status",
      "path" : "DiagnosticReport.status",
      "short" : "Status of this report",
      "comment" : "DiagnosticReport.status and Composition.status shall be aligned"
    },
    {
      "id" : "DiagnosticReport.category",
      "path" : "DiagnosticReport.category",
      "slicing" : {
        "discriminator" : [{
          "type" : "value",
          "path" : "$this"
        }],
        "ordered" : false,
        "rules" : "open"
      },
      "min" : 3
    },
    {
      "id" : "DiagnosticReport.category:diagnostic-service",
      "path" : "DiagnosticReport.category",
      "sliceName" : "diagnostic-service",
      "min" : 0,
      "max" : "1",
      "binding" : {
        "strength" : "required",
        "valueSet" : "http://hl7.org/fhir/ValueSet/diagnostic-service-sections"
      }
    },
    {
      "id" : "DiagnosticReport.category:document-category",
      "path" : "DiagnosticReport.category",
      "sliceName" : "document-category",
      "short" : "Document Category",
      "definition" : "A categorization for the type of document.",
      "min" : 1,
      "max" : "1",
      "binding" : {
        "strength" : "required",
        "valueSet" : "https://ncez.mzcr.cz/terminology/ValueSet/document-category"
      }
    },
    {
      "id" : "DiagnosticReport.category:document-category.coding",
      "path" : "DiagnosticReport.category.coding",
      "patternCoding" : {
        "system" : "http://loinc.org",
        "code" : "18726-0"
      }
    },
    {
      "id" : "DiagnosticReport.category:imaging-report",
      "path" : "DiagnosticReport.category",
      "sliceName" : "imaging-report",
      "definition" : "Defines the category of the report, Diagnostic imaging report.",
      "min" : 1,
      "max" : "1",
      "patternCodeableConcept" : {
        "coding" : [{
          "system" : "http://loinc.org",
          "code" : "85430-7"
        }]
      }
    },
    {
      "id" : "DiagnosticReport.category:imaging",
      "path" : "DiagnosticReport.category",
      "sliceName" : "imaging",
      "definition" : "Defines the priority category of the report as defined in the API spec.",
      "min" : 1,
      "max" : "1",
      "patternCodeableConcept" : {
        "coding" : [{
          "system" : "http://hl7.eu/fhir/health-data-api/CodeSystem/eehrxf-document-priority-category-cs",
          "code" : "Medical-Imaging"
        }]
      }
    },
    {
      "id" : "DiagnosticReport.code",
      "path" : "DiagnosticReport.code",
      "binding" : {
        "strength" : "required",
        "valueSet" : "https://ncez.mzcr.cz/terminology/ValueSet/imaging-document-types"
      }
    },
    {
      "id" : "DiagnosticReport.subject",
      "path" : "DiagnosticReport.subject",
      "min" : 1,
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["https://hl7.cz/fhir/core/StructureDefinition/cz-patient-core",
        "http://hl7.org/fhir/StructureDefinition/Patient",
        "http://hl7.org/fhir/StructureDefinition/Group",
        "http://hl7.org/fhir/StructureDefinition/Location",
        "https://hl7.cz/fhir/core/StructureDefinition/cz-device-observer",
        "https://hl7.cz/fhir/core/StructureDefinition/cz-medical-device"]
      }]
    },
    {
      "id" : "DiagnosticReport.encounter",
      "path" : "DiagnosticReport.encounter",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["https://hl7.cz/fhir/core/StructureDefinition/cz-encounter"]
      }]
    },
    {
      "id" : "DiagnosticReport.effective[x]",
      "path" : "DiagnosticReport.effective[x]",
      "short" : "Clinically relevant time/time-period for report."
    },
    {
      "id" : "DiagnosticReport.performer",
      "path" : "DiagnosticReport.performer",
      "short" : "Responsible Diagnostic Service.",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["https://hl7.cz/fhir/core/StructureDefinition/cz-practitioner-core",
        "https://hl7.cz/fhir/core/StructureDefinition/cz-practitionerrole-core",
        "https://hl7.cz/fhir/core/StructureDefinition/cz-organization-core",
        "http://hl7.org/fhir/StructureDefinition/CareTeam"]
      }]
    },
    {
      "id" : "DiagnosticReport.resultsInterpreter",
      "path" : "DiagnosticReport.resultsInterpreter",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["https://hl7.cz/fhir/core/StructureDefinition/cz-practitioner-core",
        "https://hl7.cz/fhir/core/StructureDefinition/cz-practitionerrole-core",
        "https://hl7.cz/fhir/core/StructureDefinition/cz-organization-core",
        "http://hl7.org/fhir/StructureDefinition/CareTeam"]
      }]
    },
    {
      "id" : "DiagnosticReport.specimen",
      "path" : "DiagnosticReport.specimen",
      "short" : "Specimens this report is based on.",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["https://hl7.cz/fhir/core/StructureDefinition/cz-specimen"]
      }]
    },
    {
      "id" : "DiagnosticReport.result",
      "path" : "DiagnosticReport.result",
      "short" : "results",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["https://hl7.cz/fhir/img/StructureDefinition/cz-observation-result-imaging"]
      }]
    },
    {
      "id" : "DiagnosticReport.imagingStudy",
      "path" : "DiagnosticReport.imagingStudy",
      "slicing" : {
        "discriminator" : [{
          "type" : "exists",
          "path" : "identifier"
        }],
        "ordered" : false,
        "rules" : "open"
      }
    },
    {
      "id" : "DiagnosticReport.imagingStudy:study-resource",
      "path" : "DiagnosticReport.imagingStudy",
      "sliceName" : "study-resource",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["https://hl7.cz/fhir/img/StructureDefinition/cz-study-imaging"]
      }]
    },
    {
      "id" : "DiagnosticReport.imagingStudy:study-resource.reference",
      "path" : "DiagnosticReport.imagingStudy.reference",
      "min" : 1
    },
    {
      "id" : "DiagnosticReport.imagingStudy:study-resource.identifier",
      "path" : "DiagnosticReport.imagingStudy.identifier",
      "max" : "0"
    },
    {
      "id" : "DiagnosticReport.imagingStudy:study-identifier",
      "path" : "DiagnosticReport.imagingStudy",
      "sliceName" : "study-identifier",
      "min" : 0,
      "max" : "*"
    },
    {
      "id" : "DiagnosticReport.imagingStudy:study-identifier.reference",
      "path" : "DiagnosticReport.imagingStudy.reference",
      "max" : "0"
    },
    {
      "id" : "DiagnosticReport.imagingStudy:study-identifier.identifier",
      "path" : "DiagnosticReport.imagingStudy.identifier",
      "min" : 1,
      "type" : [{
        "code" : "Identifier",
        "profile" : ["https://hl7.cz/fhir/img/StructureDefinition/cz-study-instance-uid-identifier"]
      }]
    },
    {
      "id" : "DiagnosticReport.presentedForm",
      "path" : "DiagnosticReport.presentedForm",
      "min" : 1
    }]
  }
}

```
