@prefix fhir: . @prefix loinc: . @prefix owl: . @prefix rdf: . @prefix rdfs: . @prefix xsd: . # - resource ------------------------------------------------------------------- a fhir:Bundle ; fhir:nodeRole fhir:treeRoot ; fhir:id [ fhir:v "par-grading-bundle"] ; # fhir:type [ fhir:v "collection"] ; # fhir:entry ( [ fhir:fullUrl [ fhir:v "https://fhir.cognovis.de/praxis/Practitioner/par-grading-practitioner-arzt"^^xsd:anyURI ; fhir:l ] ; fhir:resource ( ) ] [ fhir:fullUrl [ fhir:v "https://fhir.cognovis.de/praxis/Observation/par-grading-hba1c-obs"^^xsd:anyURI ; fhir:l ] ; fhir:resource ( ) ] [ fhir:fullUrl [ fhir:v "https://fhir.cognovis.de/praxis/Observation/par-grading-smoking-obs"^^xsd:anyURI ; fhir:l ] ; fhir:resource ( ) ] [ fhir:fullUrl [ fhir:v "https://fhir.cognovis.de/praxis/ImagingStudy/par-grading-roentgen"^^xsd:anyURI ; fhir:l ] ; fhir:resource ( ) ] [ fhir:fullUrl [ fhir:v "https://fhir.cognovis.de/praxis/DiagnosticReport/par-grading-befund"^^xsd:anyURI ; fhir:l ] ; fhir:resource ( ) ] [ fhir:fullUrl [ fhir:v "https://fhir.cognovis.de/praxis/Condition/par-grading-condition"^^xsd:anyURI ; fhir:l ] ; fhir:resource ( ) ] ) . # a fhir:Practitioner ; fhir:id [ fhir:v "par-grading-practitioner-arzt"] ; # fhir:meta [ fhir:profile ( [ fhir:v "https://fhir.kbv.de/StructureDefinition/KBV_PR_Base_Practitioner"^^xsd:anyURI ; fhir:l ] ) ] ; # fhir:text [ fhir:status [ fhir:v "generated" ] ; fhir:div [ fhir:v "

Generated Narrative: Practitioner par-grading-practitioner-arzt

identifier: KBV_NS_Base_ANR/123456789

active: true

name: Stefan Mueller (Official)

"^^rdf:XMLLiteral ] ] ; # fhir:identifier ( [ fhir:system [ fhir:v "https://fhir.kbv.de/NamingSystem/KBV_NS_Base_ANR"^^xsd:anyURI ; fhir:l ] ; fhir:value [ fhir:v "123456789" ] ] ) ; # fhir:active [ fhir:v true] ; # fhir:name ( [ fhir:use [ fhir:v "official" ] ; fhir:family [ fhir:v "Mueller" ] ; fhir:given ( [ fhir:v "Stefan" ] ) ; fhir:prefix ( [ fhir:v "Dr." ; fhir:extension ( [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier"^^xsd:anyURI ; fhir:l ] ; fhir:value [ a fhir:Code ; fhir:v "AC" ] ] ) ] ) ] ) . # a fhir:Observation ; fhir:id [ fhir:v "par-grading-hba1c-obs"] ; # fhir:meta [ fhir:profile ( [ fhir:v "https://fhir.cognovis.de/praxis/StructureDefinition/hba1c-observation-de"^^xsd:anyURI ; fhir:l ] ) ] ; # fhir:text [ fhir:status [ fhir:v "generated" ] ; fhir:div [ fhir:v "

Generated Narrative: Observation par-grading-hba1c-obs

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

"^^rdf:XMLLiteral ] ] ; # fhir:status [ fhir:v "final"] ; # fhir:category ( [ fhir:coding ( [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/observation-category"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "laboratory" ] ] ) ] ) ; # fhir:code [ fhir:coding ( [ a loinc:4548-4 ; fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "4548-4" ] ; fhir:display [ fhir:v "Hämoglobin A1c/Hämoglobin.gesamt in Blut" ] ] ) ] ; # fhir:subject [ fhir:l ; fhir:reference [ fhir:v "Patient/example-patient" ] ] ; # fhir:effective [ a fhir:DateTime ; fhir:v "2026-05-01T09:00:00+02:00"^^xsd:dateTime ] ; # fhir:value [ a fhir:Quantity ; fhir:value [ fhir:v 8.5 ] ; fhir:unit [ fhir:v "%" ] ; fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "%" ] ] ; # fhir:interpretation ( [ fhir:coding ( [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "H" ] ; fhir:display [ fhir:v "High" ] ] ) ] ) . # a fhir:Observation ; fhir:id [ fhir:v "par-grading-smoking-obs"] ; # fhir:meta [ fhir:profile ( [ fhir:v "https://fhir.cognovis.de/praxis/StructureDefinition/smoking-status-de"^^xsd:anyURI ; fhir:l ] ) ] ; # fhir:text [ fhir:status [ fhir:v "generated" ] ; fhir:div [ fhir:v "

Generated Narrative: Observation par-grading-smoking-obs

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

"^^rdf:XMLLiteral ] ] ; # fhir:status [ fhir:v "final"] ; # fhir:category ( [ fhir:coding ( [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/observation-category"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "social-history" ] ] ) ] ) ; # fhir:code [ fhir:coding ( [ a loinc:72166-2 ; fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "72166-2" ] ; fhir:display [ fhir:v "Raucherstatus" ] ] ) ] ; # fhir:subject [ fhir:l ; fhir:reference [ fhir:v "Patient/example-patient" ] ] ; # fhir:effective [ a fhir:DateTime ; fhir:v "2026-05-01T09:05:00+02:00"^^xsd:dateTime ] ; # fhir:value [ a fhir:CodeableConcept ; fhir:coding ( [ a loinc:LA15920-4 ; fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "LA15920-4" ] ; fhir:display [ fhir:v "Former smoker" ] ] ) ] . # a fhir:ImagingStudy ; fhir:id [ fhir:v "par-grading-roentgen"] ; # fhir:text [ fhir:status [ fhir:v "generated" ] ; fhir:div [ fhir:v "

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)
"^^rdf:XMLLiteral ] ] ; # fhir:status [ fhir:v "available"] ; # fhir:modality ( [ fhir:system [ fhir:v "http://dicom.nema.org/resources/ontology/DCM"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "DX" ] ; fhir:display [ fhir:v "Digital Radiography" ] ] ) ; # fhir:subject [ fhir:l ; fhir:reference [ fhir:v "Patient/example-patient" ] ] ; # fhir:started [ fhir:v "2026-05-01T10:00:00+02:00"^^xsd:dateTime] ; # fhir:series ( [ fhir:uid [ fhir:v "2.16.840.1.113883.19.5.99.3.1" ] ; fhir:number [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:modality [ fhir:system [ fhir:v "http://dicom.nema.org/resources/ontology/DCM"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "DX" ] ; fhir:display [ fhir:v "Digital Radiography" ] ] ; fhir:description [ fhir:v "Panorama OPG PAR-Grading" ] ; fhir:instance ( [ fhir:uid [ fhir:v "2.16.840.1.113883.19.5.99.3.1.1" ] ; fhir:sopClass [ fhir:system [ fhir:v "urn:ietf:rfc:3986"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "urn:oid:1.2.840.10008.5.1.4.1.1.1.1" ] ] ] ) ] ) . # a fhir:DiagnosticReport ; fhir:id [ fhir:v "par-grading-befund"] ; # fhir:text [ fhir:status [ fhir:v "generated" ] ; fhir:div [ fhir:v "

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.

"^^rdf:XMLLiteral ] ] ; # fhir:status [ fhir:v "final"] ; # fhir:code [ fhir:coding ( [ a loinc:18748-4 ; fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "18748-4" ] ; fhir:display [ fhir:v "Diagnostische Bildgebung - Untersuchung" ] ] ) ] ; # fhir:subject [ fhir:l ; fhir:reference [ fhir:v "Patient/example-patient" ] ] ; # fhir:effective [ a fhir:DateTime ; fhir:v "2026-05-01T14:00:00+02:00"^^xsd:dateTime ] ; # fhir:issued [ fhir:v "2026-05-01T13:00:00Z"^^xsd:dateTime] ; # fhir:result ( [ fhir:l ; fhir:reference [ fhir:v "Observation/par-grading-hba1c-obs" ] ] ) ; # fhir:conclusion [ fhir:v "PAR-Grad III. Erhoehter HbA1c (8.5 %) und Ex-Raucher als Risikofaktoren. Knochenabbau radiologisch gesichert."] . # a fhir:Condition ; fhir:id [ fhir:v "par-grading-condition"] ; # fhir:meta [ fhir:profile ( [ fhir:v "https://fhir.cognovis.de/praxis/StructureDefinition/praxis-condition-de"^^xsd:anyURI ; fhir:l ] ) ] ; # fhir:text [ fhir:status [ fhir:v "generated" ] ; fhir:div [ fhir:v "

Generated Narrative: Condition par-grading-condition

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:

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