German Practice Management FHIR Profiles (R4)
0.71.0 - STU1 DE

German Practice Management FHIR Profiles (R4) - Local Development build (v0.71.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

: PAR-Grading Bundle — alle Constraint-Typen - JSON Representation

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{
  "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" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Practitioner_par-grading-practitioner-arzt\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Practitioner par-grading-practitioner-arzt</b></p><a name=\"par-grading-practitioner-arzt\"> </a><a name=\"hcpar-grading-practitioner-arzt\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"https://simplifier.net/resolve?scope=kbv.basis@1.8.0&amp;canonical=https://fhir.kbv.de/StructureDefinition/KBV_PR_Base_Practitioner\">KBV_PR_Base_Practitioner</a></p></div><p><b>identifier</b>: KBV_NS_Base_ANR/123456789</p><p><b>active</b>: true</p><p><b>name</b>: Stefan Mueller (Official)</p></div>"
        },
        "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" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_par-grading-hba1c-obs\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation par-grading-hba1c-obs</b></p><a name=\"par-grading-hba1c-obs\"> </a><a name=\"hcpar-grading-hba1c-obs\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-hba1c-observation-de.html\">HbA1c Observation DE</a></p></div><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category laboratory}\">Laboratory</span></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 4548-4}\">Hämoglobin A1c/Hämoglobin.gesamt in Blut</span></p><p><b>subject</b>: <a href=\"Patient-example-patient.html\">Thomas Weber (official) Male, DoB: 1975-06-15</a></p><p><b>effective</b>: 2026-05-01 09:00:00+0200</p><p><b>value</b>: 8.5 %<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  code% = '%')</span></p><p><b>interpretation</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation H}\">High</span></p></div>"
        },
        "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" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_par-grading-smoking-obs\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation par-grading-smoking-obs</b></p><a name=\"par-grading-smoking-obs\"> </a><a name=\"hcpar-grading-smoking-obs\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-smoking-status-de.html\">Smoking Status DE</a></p></div><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category social-history}\">Social History</span></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 72166-2}\">Raucherstatus</span></p><p><b>subject</b>: <a href=\"Patient-example-patient.html\">Thomas Weber (official) Male, DoB: 1975-06-15</a></p><p><b>effective</b>: 2026-05-01 09:05:00+0200</p><p><b>value</b>: <span title=\"Codes:{http://loinc.org LA15920-4}\">Former smoker</span></p></div>"
        },
        "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" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"ImagingStudy_par-grading-roentgen\"> </a><p class=\"res-header-id\"><b>Generated Narrative: ImagingStudy par-grading-roentgen</b></p><a name=\"par-grading-roentgen\"> </a><a name=\"hcpar-grading-roentgen\"> </a><p><b>status</b>: Available</p><p><b>modality</b>: <a href=\"http://dicom.nema.org/resources/ontology/DCM#DCM-DX\">DICOM: DX</a> (Digital Radiography)</p><p><b>subject</b>: <a href=\"Patient-example-patient.html\">Thomas Weber (official) Male, DoB: 1975-06-15</a></p><p><b>started</b>: 2026-05-01 10:00:00+0200</p><blockquote><p><b>series</b></p><p><b>uid</b>: 2.16.840.1.113883.19.5.99.3.1</p><p><b>number</b>: 1</p><p><b>modality</b>: <a href=\"http://dicom.nema.org/resources/ontology/DCM#DCM-DX\">DICOM: DX</a> (Digital Radiography)</p><p><b>description</b>: Panorama OPG PAR-Grading</p><h3>Instances</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Uid</b></td><td><b>SopClass</b></td></tr><tr><td style=\"display: none\">*</td><td>2.16.840.1.113883.19.5.99.3.1.1</td><td>unknown: 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)</td></tr></table></blockquote></div>"
        },
        "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" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"DiagnosticReport_par-grading-befund\"> </a><p class=\"res-header-id\"><b>Generated Narrative: DiagnosticReport par-grading-befund</b></p><a name=\"par-grading-befund\"> </a><a name=\"hcpar-grading-befund\"> </a><h2><span title=\"Codes:{http://loinc.org 18748-4}\">Diagnostische Bildgebung - Untersuchung</span> </h2><table class=\"grid\"><tr><td>Subject</td><td>Thomas Weber (official) Male, DoB: 1975-06-15</td></tr><tr><td>When For</td><td>2026-05-01 14:00:00+0200</td></tr><tr><td>Reported</td><td>2026-05-01 13:00:00+0000</td></tr></table><p><b>Report Details</b></p><table class=\"grid\"><tr><td><b>Code</b></td><td><b>Value</b></td><td><b>Flags</b></td><td><b>When For</b></td></tr><tr><td><a href=\"Observation-par-grading-hba1c-obs.html\"><span title=\"Codes:{http://loinc.org 4548-4}\">Hämoglobin A1c/Hämoglobin.gesamt in Blut</span></a></td><td>8.5 %<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  code% = '%')</span></td><td>Final, <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation H}\">High</span></td><td>2026-05-01 09:00:00+0200</td></tr></table><p>PAR-Grad III. Erhoehter HbA1c (8.5 %) und Ex-Raucher als Risikofaktoren. Knochenabbau radiologisch gesichert.</p></div>"
        },
        "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" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Condition_par-grading-condition\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Condition par-grading-condition</b></p><a name=\"par-grading-condition\"> </a><a name=\"hcpar-grading-condition\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-praxis-condition-de.html\">Praxis Condition DE</a></p></div><p><b>clinicalStatus</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/condition-clinical active}\">Active</span></p><p><b>verificationStatus</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/condition-ver-status confirmed}\">Confirmed</span></p><p><b>code</b>: <span title=\"Codes:{http://fhir.de/CodeSystem/bfarm/icd-10-gm K05.3}\">Chronische Parodontitis</span></p><p><b>subject</b>: <a href=\"Patient-example-patient.html\">Thomas Weber (official) Male, DoB: 1975-06-15</a></p><p><b>recordedDate</b>: 2026-05-01</p><p><b>asserter</b>: <a href=\"Practitioner-par-grading-practitioner-arzt.html\">Dr. Stefan Mueller</a></p><blockquote><p><b>evidence</b></p><p><b>detail</b>: </p><ul><li><a href=\"Observation-par-grading-hba1c-obs.html\">HbA1c 8.5%</a></li><li><a href=\"Observation-par-grading-smoking-obs.html\">Raucherstatus Ex-Raucher</a></li><li><a href=\"ImagingStudy-par-grading-roentgen.html\">Panoramaroentgen OPG</a></li><li><a href=\"DiagnosticReport-par-grading-befund.html\">PAR-Befundbericht</a></li></ul></blockquote></div>"
        },
        "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"
              }
            ]
          }
        ]
      }
    }
  ]
}