{ "resourceType" : "Bundle", "id" : "par-grading-bundle", "type" : "collection", "entry" : [{ "fullUrl" : "https://fhir.cognovis.de/praxis/Practitioner/par-grading-practitioner-arzt", "resource" : { "resourceType" : "Practitioner", "id" : "par-grading-practitioner-arzt", "meta" : { "profile" : ["https://fhir.kbv.de/StructureDefinition/KBV_PR_Base_Practitioner"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Practitioner par-grading-practitioner-arzt

Profile: KBV_PR_Base_Practitioner

identifier: KBV_NS_Base_ANR/123456789

active: true

name: Stefan Mueller (Official)

" }, "identifier" : [{ "system" : "https://fhir.kbv.de/NamingSystem/KBV_NS_Base_ANR", "value" : "123456789" }], "active" : true, "name" : [{ "use" : "official", "family" : "Mueller", "given" : ["Stefan"], "prefix" : ["Dr."], "_prefix" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier", "valueCode" : "AC" }] }] }] } }, { "fullUrl" : "https://fhir.cognovis.de/praxis/Observation/par-grading-hba1c-obs", "resource" : { "resourceType" : "Observation", "id" : "par-grading-hba1c-obs", "meta" : { "profile" : ["https://fhir.cognovis.de/praxis/StructureDefinition/hba1c-observation-de"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Observation par-grading-hba1c-obs

Profile: HbA1c Observation DE

status: Final

category: Laboratory

code: Hämoglobin A1c/Hämoglobin.gesamt in Blut

subject: Thomas Weber (official) Male, DoB: 1975-06-15

effective: 2026-05-01 09:00:00+0200

value: 8.5 % (Details: UCUM code% = '%')

interpretation: High

" }, "status" : "final", "category" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/observation-category", "code" : "laboratory" }] }], "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "4548-4", "display" : "Hämoglobin A1c/Hämoglobin.gesamt in Blut" }] }, "subject" : { "reference" : "Patient/example-patient" }, "effectiveDateTime" : "2026-05-01T09:00:00+02:00", "valueQuantity" : { "value" : 8.5, "unit" : "%", "system" : "http://unitsofmeasure.org", "code" : "%" }, "interpretation" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation", "code" : "H", "display" : "High" }] }] } }, { "fullUrl" : "https://fhir.cognovis.de/praxis/Observation/par-grading-smoking-obs", "resource" : { "resourceType" : "Observation", "id" : "par-grading-smoking-obs", "meta" : { "profile" : ["https://fhir.cognovis.de/praxis/StructureDefinition/smoking-status-de"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Observation par-grading-smoking-obs

Profile: Smoking Status DE

status: Final

category: Social History

code: Raucherstatus

subject: Thomas Weber (official) Male, DoB: 1975-06-15

effective: 2026-05-01 09:05:00+0200

value: Former smoker

" }, "status" : "final", "category" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/observation-category", "code" : "social-history" }] }], "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "72166-2", "display" : "Raucherstatus" }] }, "subject" : { "reference" : "Patient/example-patient" }, "effectiveDateTime" : "2026-05-01T09:05:00+02:00", "valueCodeableConcept" : { "coding" : [{ "system" : "http://loinc.org", "code" : "LA15920-4", "display" : "Former smoker" }] } } }, { "fullUrl" : "https://fhir.cognovis.de/praxis/ImagingStudy/par-grading-roentgen", "resource" : { "resourceType" : "ImagingStudy", "id" : "par-grading-roentgen", "text" : { "status" : "generated", "div" : "

Generated Narrative: ImagingStudy par-grading-roentgen

status: Available

modality: DICOM: DX (Digital Radiography)

subject: Thomas Weber (official) Male, DoB: 1975-06-15

started: 2026-05-01 10:00:00+0200

series

uid: 2.16.840.1.113883.19.5.99.3.1

number: 1

modality: DICOM: DX (Digital Radiography)

description: Panorama OPG PAR-Grading

Instances

-UidSopClass
*2.16.840.1.113883.19.5.99.3.1.1unknown: urn:oid:1.2.840.10008.5.1.4.1.1.1.1 (urn:oid:1.2.840.10008.5.1.4.1.1.1.1)
" }, "status" : "available", "modality" : [{ "system" : "http://dicom.nema.org/resources/ontology/DCM", "code" : "DX", "display" : "Digital Radiography" }], "subject" : { "reference" : "Patient/example-patient" }, "started" : "2026-05-01T10:00:00+02:00", "series" : [{ "uid" : "2.16.840.1.113883.19.5.99.3.1", "number" : 1, "modality" : { "system" : "http://dicom.nema.org/resources/ontology/DCM", "code" : "DX", "display" : "Digital Radiography" }, "description" : "Panorama OPG PAR-Grading", "instance" : [{ "uid" : "2.16.840.1.113883.19.5.99.3.1.1", "sopClass" : { "system" : "urn:ietf:rfc:3986", "code" : "urn:oid:1.2.840.10008.5.1.4.1.1.1.1" } }] }] } }, { "fullUrl" : "https://fhir.cognovis.de/praxis/DiagnosticReport/par-grading-befund", "resource" : { "resourceType" : "DiagnosticReport", "id" : "par-grading-befund", "text" : { "status" : "generated", "div" : "

Generated Narrative: DiagnosticReport par-grading-befund

Diagnostische Bildgebung - Untersuchung

SubjectThomas Weber (official) Male, DoB: 1975-06-15
When For2026-05-01 14:00:00+0200
Reported2026-05-01 13:00:00+0000

Report Details

CodeValueFlagsWhen For
Hämoglobin A1c/Hämoglobin.gesamt in Blut8.5 % (Details: UCUM code% = '%')Final, High2026-05-01 09:00:00+0200

PAR-Grad III. Erhoehter HbA1c (8.5 %) und Ex-Raucher als Risikofaktoren. Knochenabbau radiologisch gesichert.

" }, "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "18748-4", "display" : "Diagnostische Bildgebung - Untersuchung" }] }, "subject" : { "reference" : "Patient/example-patient" }, "effectiveDateTime" : "2026-05-01T14:00:00+02:00", "issued" : "2026-05-01T13:00:00Z", "result" : [{ "reference" : "Observation/par-grading-hba1c-obs" }], "conclusion" : "PAR-Grad III. Erhoehter HbA1c (8.5 %) und Ex-Raucher als Risikofaktoren. Knochenabbau radiologisch gesichert." } }, { "fullUrl" : "https://fhir.cognovis.de/praxis/Condition/par-grading-condition", "resource" : { "resourceType" : "Condition", "id" : "par-grading-condition", "meta" : { "profile" : ["https://fhir.cognovis.de/praxis/StructureDefinition/praxis-condition-de"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Condition par-grading-condition

Profile: Praxis Condition DE

clinicalStatus: Active

verificationStatus: Confirmed

code: Chronische Parodontitis

subject: Thomas Weber (official) Male, DoB: 1975-06-15

recordedDate: 2026-05-01

asserter: Dr. Stefan Mueller

evidence

detail:

" }, "clinicalStatus" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/condition-clinical", "code" : "active" }] }, "verificationStatus" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/condition-ver-status", "code" : "confirmed" }] }, "code" : { "coding" : [{ "extension" : [{ "url" : "http://fhir.de/StructureDefinition/icd-10-gm-diagnosesicherheit", "valueCoding" : { "system" : "https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_ICD_DIAGNOSESICHERHEIT", "code" : "G", "display" : "gesicherte Diagnose" } }], "system" : "http://fhir.de/CodeSystem/bfarm/icd-10-gm", "version" : "2024", "code" : "K05.3", "display" : "Chronische Parodontitis" }] }, "subject" : { "reference" : "Patient/example-patient" }, "recordedDate" : "2026-05-01", "asserter" : { "reference" : "Practitioner/par-grading-practitioner-arzt", "display" : "Dr. Stefan Mueller" }, "evidence" : [{ "detail" : [{ "reference" : "Observation/par-grading-hba1c-obs", "display" : "HbA1c 8.5%" }, { "reference" : "Observation/par-grading-smoking-obs", "display" : "Raucherstatus Ex-Raucher" }, { "reference" : "ImagingStudy/par-grading-roentgen", "display" : "Panoramaroentgen OPG" }, { "reference" : "DiagnosticReport/par-grading-befund", "display" : "PAR-Befundbericht" }] }] } }] }