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: Key images represented as an ImagingSelection for R4

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

Key images represented as an ImagingSelection for R4

Usages:

- Refer to this Profile: Extension: HL7IDR KeyImage Finding, Extension: HL7IDR Impression and Composition: Imaging Report (CZ)

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
--- | --- | --- | --- | ---
Basic |  | 0..* | CZ_ImagingSelectionImaging | Resource for non-supported content This profile also imposes the profile Key images represented as an ImagingSelection for R4
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
Slices for extension |  | 1..* | Extension | Extension Slice: Unordered, Open by value:url Constraints: ext-1
extension:ImagingSelection |  | 1..1 | base64Binary, boolean, canonical(), code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, Reference(), SampledData, Signature, Timing, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage, Meta | Cross-version extension for ImagingSelection from R5 for use in FHIR R4 URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-ImagingSelection Constraints: ext-1
extension:title |  | 0..1 | markdown | Natural language description of the artifact URL: http://hl7.org/fhir/StructureDefinition/artifact-description Constraints: ext-1
extension:description |  | 0..1 | string | Name for this artifact (human friendly) URL: http://hl7.org/fhir/StructureDefinition/artifact-title Constraints: ext-1
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored Constraints: ext-1
code | ?!Σ | 1..1 | CodeableConcept | Kind of Resource Binding: BasicResourceTypes (example): Codes for identifying types of resources not yet defined by FHIR. 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: http://hl7.org/fhir/fhir-types
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: ImagingSelection
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Basic.code | Base | example | Basic Resource Types | 📍4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
dom-2 | error | Basic | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | Basic | 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 | Basic | 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 | Basic | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | Basic | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | Basic.implicitRules, Basic.extension, Basic.extension:ImagingSelection, Basic.extension:title, Basic.extension:description, Basic.modifierExtension, Basic.code | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | Basic.extension, Basic.extension:ImagingSelection, Basic.extension:title, Basic.extension:description, Basic.modifierExtension | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Basic |  | 0..* | CZ_ImagingSelectionImaging | Resource for non-supported content This profile also imposes the profile Key images represented as an ImagingSelection for R4
Slices for extension |  |  |  | Content/Rules for all slices
extension:title |  | 0..1 | markdown | Natural language description of the artifact URL: http://hl7.org/fhir/StructureDefinition/artifact-description
extension:description |  | 0..1 | string | Name for this artifact (human friendly) URL: http://hl7.org/fhir/StructureDefinition/artifact-title
Documentation for this format

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Basic |  | 0..* | CZ_ImagingSelectionImaging | Resource for non-supported content This profile also imposes the profile Key images represented as an ImagingSelection for R4
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 |  | 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
Slices for extension |  | 1..* | Extension | Extension Slice: Unordered, Open by value:url Constraints: ext-1
extension:ImagingSelection |  | 1..1 | base64Binary, boolean, canonical(), code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, Reference(), SampledData, Signature, Timing, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage, Meta | Cross-version extension for ImagingSelection from R5 for use in FHIR R4 URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-ImagingSelection Constraints: ext-1
extension:title |  | 0..1 | markdown | Natural language description of the artifact URL: http://hl7.org/fhir/StructureDefinition/artifact-description Constraints: ext-1
extension:description |  | 0..1 | string | Name for this artifact (human friendly) URL: http://hl7.org/fhir/StructureDefinition/artifact-title Constraints: ext-1
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored Constraints: ext-1
identifier | Σ | 0..* | Identifier | Business identifier
code | ?!Σ | 1..1 | CodeableConcept | Kind of Resource Binding: BasicResourceTypes (example): Codes for identifying types of resources not yet defined by FHIR. 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: http://hl7.org/fhir/fhir-types
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: ImagingSelection
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
subject | Σ | 0..1 | Reference(Resource) | Identifies the focus of this resource
created | Σ | 0..1 | date | When created
author | Σ | 0..1 | Reference(Practitioner | PractitionerRole | Patient | RelatedPerson | Organization) | Who created
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Basic.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std.
Basic.code | Base | example | Basic Resource Types | 📍4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
dom-2 | error | Basic | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | Basic | 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 | Basic | 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 | Basic | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | Basic | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | Basic.meta, Basic.implicitRules, Basic.language, Basic.text, Basic.extension, Basic.extension:ImagingSelection, Basic.extension:title, Basic.extension:description, Basic.modifierExtension, Basic.identifier, Basic.code, Basic.subject, Basic.created, Basic.author | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | Basic.extension, Basic.extension:ImagingSelection, Basic.extension:title, Basic.extension:description, Basic.modifierExtension | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`

Summary

Extensions

This structure refers to these extensions:

- http://hl7.org/fhir/StructureDefinition/artifact-description
- http://hl7.org/fhir/StructureDefinition/artifact-title

Key Elements View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Basic |  | 0..* | CZ_ImagingSelectionImaging | Resource for non-supported content This profile also imposes the profile Key images represented as an ImagingSelection for R4
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
Slices for extension |  | 1..* | Extension | Extension Slice: Unordered, Open by value:url Constraints: ext-1
extension:ImagingSelection |  | 1..1 | base64Binary, boolean, canonical(), code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, Reference(), SampledData, Signature, Timing, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage, Meta | Cross-version extension for ImagingSelection from R5 for use in FHIR R4 URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-ImagingSelection Constraints: ext-1
extension:title |  | 0..1 | markdown | Natural language description of the artifact URL: http://hl7.org/fhir/StructureDefinition/artifact-description Constraints: ext-1
extension:description |  | 0..1 | string | Name for this artifact (human friendly) URL: http://hl7.org/fhir/StructureDefinition/artifact-title Constraints: ext-1
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored Constraints: ext-1
code | ?!Σ | 1..1 | CodeableConcept | Kind of Resource Binding: BasicResourceTypes (example): Codes for identifying types of resources not yet defined by FHIR. 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: http://hl7.org/fhir/fhir-types
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: ImagingSelection
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Basic.code | Base | example | Basic Resource Types | 📍4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
dom-2 | error | Basic | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | Basic | 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 | Basic | 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 | Basic | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | Basic | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | Basic.implicitRules, Basic.extension, Basic.extension:ImagingSelection, Basic.extension:title, Basic.extension:description, Basic.modifierExtension, Basic.code | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | Basic.extension, Basic.extension:ImagingSelection, Basic.extension:title, Basic.extension:description, Basic.modifierExtension | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`

Differential View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Basic |  | 0..* | CZ_ImagingSelectionImaging | Resource for non-supported content This profile also imposes the profile Key images represented as an ImagingSelection for R4
Slices for extension |  |  |  | Content/Rules for all slices
extension:title |  | 0..1 | markdown | Natural language description of the artifact URL: http://hl7.org/fhir/StructureDefinition/artifact-description
extension:description |  | 0..1 | string | Name for this artifact (human friendly) URL: http://hl7.org/fhir/StructureDefinition/artifact-title
Documentation for this format

Snapshot ViewView

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Basic |  | 0..* | CZ_ImagingSelectionImaging | Resource for non-supported content This profile also imposes the profile Key images represented as an ImagingSelection for R4
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 |  | 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
Slices for extension |  | 1..* | Extension | Extension Slice: Unordered, Open by value:url Constraints: ext-1
extension:ImagingSelection |  | 1..1 | base64Binary, boolean, canonical(), code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, Reference(), SampledData, Signature, Timing, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage, Meta | Cross-version extension for ImagingSelection from R5 for use in FHIR R4 URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-ImagingSelection Constraints: ext-1
extension:title |  | 0..1 | markdown | Natural language description of the artifact URL: http://hl7.org/fhir/StructureDefinition/artifact-description Constraints: ext-1
extension:description |  | 0..1 | string | Name for this artifact (human friendly) URL: http://hl7.org/fhir/StructureDefinition/artifact-title Constraints: ext-1
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored Constraints: ext-1
identifier | Σ | 0..* | Identifier | Business identifier
code | ?!Σ | 1..1 | CodeableConcept | Kind of Resource Binding: BasicResourceTypes (example): Codes for identifying types of resources not yet defined by FHIR. 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: http://hl7.org/fhir/fhir-types
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: ImagingSelection
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
subject | Σ | 0..1 | Reference(Resource) | Identifies the focus of this resource
created | Σ | 0..1 | date | When created
author | Σ | 0..1 | Reference(Practitioner | PractitionerRole | Patient | RelatedPerson | Organization) | Who created
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Basic.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std.
Basic.code | Base | example | Basic Resource Types | 📍4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
dom-2 | error | Basic | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | Basic | 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 | Basic | 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 | Basic | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | Basic | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | Basic.meta, Basic.implicitRules, Basic.language, Basic.text, Basic.extension, Basic.extension:ImagingSelection, Basic.extension:title, Basic.extension:description, Basic.modifierExtension, Basic.identifier, Basic.code, Basic.subject, Basic.created, Basic.author | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | Basic.extension, Basic.extension:ImagingSelection, Basic.extension:title, Basic.extension:description, Basic.modifierExtension | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`

Summary

Extensions

This structure refers to these extensions:

- http://hl7.org/fhir/StructureDefinition/artifact-description
- http://hl7.org/fhir/StructureDefinition/artifact-title

Other representations of profile: CSV, Excel, Schematron