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

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

 
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](StructureDefinition-cz-observationResult-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 5 more, [Diagnostic Report: Imaging Report (CZ)](StructureDefinition-cz-diagnostic-report.md), [Observation: Imaging Report (CZ)](StructureDefinition-cz-observation-result-imaging.md), [Procedure: Imaging Report (CZ)](StructureDefinition-cz-procedure-imaging.md), [Radiation Dose Observation: Imaging Report (CZ)](StructureDefinition-cz-radiationDoseObservation.md) and [Imaging Study (CZ)](StructureDefinition-cz-study-imaging.md)
* Examples for this Profile: [Observation/1bcd2d5a-e401-4ac2-80d0-7ec558d6b250](Observation-1bcd2d5a-e401-4ac2-80d0-7ec558d6b250.md) and [Observation/eca2bf34-9fa8-4abf-bd98-d8d49bcb1104](Observation-eca2bf34-9fa8-4abf-bd98-d8d49bcb1104.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-observation-result-imaging.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-observation-result-imaging.csv), [Excel](../StructureDefinition-cz-observation-result-imaging.xlsx), [Schematron](../StructureDefinition-cz-observation-result-imaging.sch) 



## Resource Content

```json
{
  "resourceType" : "StructureDefinition",
  "id" : "cz-observation-result-imaging",
  "extension" : [{
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-imposeProfile",
    "valueCanonical" : "http://hl7.eu/fhir/imaging/StructureDefinition/ObservationFindingEuImaging"
  }],
  "url" : "https://hl7.cz/fhir/img/StructureDefinition/cz-observation-result-imaging",
  "version" : "0.1.0-ballot",
  "name" : "CZ_ObservationResultImaging",
  "title" : "Observation: Imaging Report (CZ)",
  "status" : "draft",
  "date" : "2026-05-26T08:31:12+00:00",
  "publisher" : "HL7 Czech Republic",
  "contact" : [{
    "name" : "HL7 Czech Republic",
    "telecom" : [{
      "system" : "url",
      "value" : "https://www.hl7.cz/"
    }]
  }],
  "description" : "This profile constrains the Observation resource to represent results produced by imaging report or panels/studies.\n\nThis observation may represent the result of a imaging report",
  "jurisdiction" : [{
    "coding" : [{
      "system" : "urn:iso:std:iso:3166",
      "code" : "CZ",
      "display" : "Czechia"
    }]
  }],
  "purpose" : "This profile constrains the Observation resource to represent a imaging report.",
  "fhirVersion" : "4.0.1",
  "mapping" : [{
    "identity" : "workflow",
    "uri" : "http://hl7.org/fhir/workflow",
    "name" : "Workflow Pattern"
  },
  {
    "identity" : "sct-concept",
    "uri" : "http://snomed.info/conceptdomain",
    "name" : "SNOMED CT Concept Domain Binding"
  },
  {
    "identity" : "v2",
    "uri" : "http://hl7.org/v2",
    "name" : "HL7 v2 Mapping"
  },
  {
    "identity" : "rim",
    "uri" : "http://hl7.org/v3",
    "name" : "RIM Mapping"
  },
  {
    "identity" : "w5",
    "uri" : "http://hl7.org/fhir/fivews",
    "name" : "FiveWs Pattern Mapping"
  },
  {
    "identity" : "sct-attr",
    "uri" : "http://snomed.org/attributebinding",
    "name" : "SNOMED CT Attribute Binding"
  }],
  "kind" : "resource",
  "abstract" : false,
  "type" : "Observation",
  "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/Observation",
  "derivation" : "constraint",
  "differential" : {
    "element" : [{
      "id" : "Observation",
      "path" : "Observation",
      "short" : "Imaging result for a imaging report",
      "definition" : "This observation may represent the result of a imaging report.",
      "comment" : "Represents either a imaging observation or the group of observations produced by a imaging study."
    },
    {
      "id" : "Observation.language",
      "path" : "Observation.language",
      "mustSupport" : true
    },
    {
      "id" : "Observation.identifier",
      "path" : "Observation.identifier",
      "slicing" : {
        "discriminator" : [{
          "type" : "value",
          "path" : "type"
        }],
        "ordered" : false,
        "rules" : "open"
      }
    },
    {
      "id" : "Observation.identifier:observationUid",
      "path" : "Observation.identifier",
      "sliceName" : "observationUid",
      "min" : 0,
      "max" : "1"
    },
    {
      "id" : "Observation.identifier:observationUid.type",
      "path" : "Observation.identifier.type",
      "min" : 1,
      "patternCodeableConcept" : {
        "coding" : [{
          "system" : "https://hl7.cz/fhir/img/CodeSystem/codesystem-missing-dicom-terminology",
          "code" : "00080018",
          "display" : "SOP Instance UID"
        }]
      }
    },
    {
      "id" : "Observation.identifier:observationUid.assigner",
      "path" : "Observation.identifier.assigner",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["https://hl7.cz/fhir/core/StructureDefinition/cz-organization-core"]
      }]
    },
    {
      "id" : "Observation.basedOn",
      "path" : "Observation.basedOn",
      "slicing" : {
        "discriminator" : [{
          "type" : "type",
          "path" : "$this"
        }],
        "ordered" : false,
        "rules" : "open"
      },
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/CarePlan",
        "http://hl7.org/fhir/StructureDefinition/DeviceRequest",
        "http://hl7.org/fhir/StructureDefinition/ImmunizationRecommendation",
        "http://hl7.org/fhir/StructureDefinition/MedicationRequest",
        "http://hl7.org/fhir/StructureDefinition/NutritionOrder",
        "http://hl7.org/fhir/StructureDefinition/ServiceRequest",
        "https://hl7.cz/fhir/img/StructureDefinition/cz-imagingOrderInformation"]
      }]
    },
    {
      "id" : "Observation.basedOn:ServiceRequestOrderImagingAccession",
      "path" : "Observation.basedOn",
      "sliceName" : "ServiceRequestOrderImagingAccession",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["https://hl7.cz/fhir/img/StructureDefinition/cz-imagingOrderInformation"]
      }]
    },
    {
      "id" : "Observation.basedOn:ServiceRequestOrderImagingAccession.identifier",
      "path" : "Observation.basedOn.identifier",
      "min" : 1,
      "type" : [{
        "code" : "Identifier",
        "profile" : ["https://hl7.cz/fhir/img/StructureDefinition/cz-accession-number-identifier"]
      }]
    },
    {
      "id" : "Observation.partOf",
      "path" : "Observation.partOf",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["https://hl7.cz/fhir/img/StructureDefinition/cz-MedicationAdministration",
        "http://hl7.org/fhir/StructureDefinition/MedicationDispense",
        "http://hl7.org/fhir/StructureDefinition/MedicationStatement",
        "https://hl7.cz/fhir/img/StructureDefinition/cz-procedure-imaging",
        "http://hl7.org/fhir/StructureDefinition/Immunization",
        "https://hl7.cz/fhir/img/StructureDefinition/cz-study-imaging"]
      }],
      "mustSupport" : false
    },
    {
      "id" : "Observation.status",
      "path" : "Observation.status",
      "mustSupport" : true
    },
    {
      "id" : "Observation.code",
      "path" : "Observation.code",
      "binding" : {
        "strength" : "required",
        "valueSet" : "https://ncez.mzcr.cz/terminology/ValueSet/imaging-observationCode-cz"
      }
    },
    {
      "id" : "Observation.subject",
      "path" : "Observation.subject",
      "short" : "In the initial iteration of the Czech interoperability project: this is Patient (CZ).",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["https://hl7.cz/fhir/core/StructureDefinition/cz-patient-core",
        "https://hl7.cz/fhir/core/StructureDefinition/cz-patient-animal"]
      }]
    },
    {
      "id" : "Observation.issued",
      "path" : "Observation.issued",
      "mustSupport" : true
    },
    {
      "id" : "Observation.performer",
      "path" : "Observation.performer",
      "short" : "In the initial iteration of the Czech interoperability project: this is Organization (CZ) or Practitioner (CZ)",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/CareTeam",
        "http://hl7.org/fhir/StructureDefinition/RelatedPerson",
        "https://hl7.cz/fhir/core/StructureDefinition/cz-patient-core",
        "https://hl7.cz/fhir/core/StructureDefinition/cz-organization-core",
        "https://hl7.cz/fhir/core/StructureDefinition/cz-practitionerrole-core",
        "https://hl7.cz/fhir/core/StructureDefinition/cz-practitioner-core"]
      }],
      "mustSupport" : true
    },
    {
      "id" : "Observation.value[x]",
      "path" : "Observation.value[x]",
      "slicing" : {
        "discriminator" : [{
          "type" : "type",
          "path" : "$this"
        }],
        "ordered" : false,
        "rules" : "open"
      }
    },
    {
      "id" : "Observation.value[x]:valueCodeableConcept",
      "path" : "Observation.value[x]",
      "sliceName" : "valueCodeableConcept",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "binding" : {
        "strength" : "preferred",
        "valueSet" : "https://ncez.mzcr.cz/terminology/ValueSet/imaging-observationValue-cz"
      }
    },
    {
      "id" : "Observation.dataAbsentReason",
      "path" : "Observation.dataAbsentReason",
      "mustSupport" : true
    },
    {
      "id" : "Observation.interpretation",
      "path" : "Observation.interpretation",
      "mustSupport" : true
    },
    {
      "id" : "Observation.note",
      "path" : "Observation.note",
      "mustSupport" : true
    },
    {
      "id" : "Observation.method",
      "path" : "Observation.method",
      "mustSupport" : true
    },
    {
      "id" : "Observation.specimen",
      "path" : "Observation.specimen",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["https://hl7.cz/fhir/core/StructureDefinition/cz-specimen"]
      }],
      "mustSupport" : true
    },
    {
      "id" : "Observation.device",
      "path" : "Observation.device",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["https://hl7.cz/fhir/core/StructureDefinition/cz-device-observer",
        "https://hl7.cz/fhir/core/StructureDefinition/cz-medical-device",
        "http://hl7.org/fhir/StructureDefinition/DeviceMetric"]
      }],
      "mustSupport" : true
    },
    {
      "id" : "Observation.referenceRange",
      "path" : "Observation.referenceRange",
      "mustSupport" : true
    },
    {
      "id" : "Observation.hasMember",
      "path" : "Observation.hasMember",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["https://hl7.cz/fhir/img/StructureDefinition/cz-observation-result-imaging",
        "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse",
        "http://hl7.org/fhir/StructureDefinition/MolecularSequence"]
      }]
    },
    {
      "id" : "Observation.derivedFrom",
      "path" : "Observation.derivedFrom",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/DocumentReference",
        "https://hl7.cz/fhir/img/StructureDefinition/cz-study-imaging",
        "http://hl7.org/fhir/StructureDefinition/Media",
        "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse",
        "http://hl7.org/fhir/StructureDefinition/MolecularSequence",
        "https://hl7.cz/fhir/img/StructureDefinition/cz-observation-result-imaging"]
      }],
      "mustSupport" : true
    }]
  }
}

```
