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 - XML Representation

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<Bundle xmlns="http://hl7.org/fhir">
  <id value="par-grading-bundle"/>
  <type value="collection"/>
  <entry>
    <fullUrl
             value="https://fhir.cognovis.de/praxis/Practitioner/par-grading-practitioner-arzt"/>
    <resource>
      <Practitioner>
        <id value="par-grading-practitioner-arzt"/>
        <meta>
          <profile
                   value="https://fhir.kbv.de/StructureDefinition/KBV_PR_Base_Practitioner"/>
        </meta>
        <text>
          <status value="generated"/>
          <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>
        </text>
        <identifier>
          <system value="https://fhir.kbv.de/NamingSystem/KBV_NS_Base_ANR"/>
          <value value="123456789"/>
        </identifier>
        <active value="true"/>
        <name>
          <use value="official"/>
          <family value="Mueller"/>
          <given value="Stefan"/>
          <prefix value="Dr.">
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier">
              <valueCode value="AC"/>
            </extension>
          </prefix>
        </name>
      </Practitioner>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="https://fhir.cognovis.de/praxis/Observation/par-grading-hba1c-obs"/>
    <resource>
      <Observation>
        <id value="par-grading-hba1c-obs"/>
        <meta>
          <profile
                   value="https://fhir.cognovis.de/praxis/StructureDefinition/hba1c-observation-de"/>
        </meta>
        <text>
          <status value="generated"/>
          <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>
        </text>
        <status value="final"/>
        <category>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/observation-category"/>
            <code value="laboratory"/>
          </coding>
        </category>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="4548-4"/>
            <display value="Hämoglobin A1c/Hämoglobin.gesamt in Blut"/>
          </coding>
        </code>
        <subject>🔗 
          <reference value="Patient/example-patient"/>
        </subject>
        <effectiveDateTime value="2026-05-01T09:00:00+02:00"/>
        <valueQuantity>
          <value value="8.5"/>
          <unit value="%"/>
          <system value="http://unitsofmeasure.org"/>
          <code value="%"/>
        </valueQuantity>
        <interpretation>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"/>
            <code value="H"/>
            <display value="High"/>
          </coding>
        </interpretation>
      </Observation>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="https://fhir.cognovis.de/praxis/Observation/par-grading-smoking-obs"/>
    <resource>
      <Observation>
        <id value="par-grading-smoking-obs"/>
        <meta>
          <profile
                   value="https://fhir.cognovis.de/praxis/StructureDefinition/smoking-status-de"/>
        </meta>
        <text>
          <status value="generated"/>
          <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>
        </text>
        <status value="final"/>
        <category>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/observation-category"/>
            <code value="social-history"/>
          </coding>
        </category>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="72166-2"/>
            <display value="Raucherstatus"/>
          </coding>
        </code>
        <subject>🔗 
          <reference value="Patient/example-patient"/>
        </subject>
        <effectiveDateTime value="2026-05-01T09:05:00+02:00"/>
        <valueCodeableConcept>
          <coding>
            <system value="http://loinc.org"/>
            <code value="LA15920-4"/>
            <display value="Former smoker"/>
          </coding>
        </valueCodeableConcept>
      </Observation>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="https://fhir.cognovis.de/praxis/ImagingStudy/par-grading-roentgen"/>
    <resource>
      <ImagingStudy>
        <id value="par-grading-roentgen"/>
        <text>
          <status value="generated"/>
          <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>
        </text>
        <status value="available"/>
        <modality>
          <system value="http://dicom.nema.org/resources/ontology/DCM"/>
          <code value="DX"/>
          <display value="Digital Radiography"/>
        </modality>
        <subject>🔗 
          <reference value="Patient/example-patient"/>
        </subject>
        <started value="2026-05-01T10:00:00+02:00"/>
        <series>
          <uid value="2.16.840.1.113883.19.5.99.3.1"/>
          <number value="1"/>
          <modality>
            <system value="http://dicom.nema.org/resources/ontology/DCM"/>
            <code value="DX"/>
            <display value="Digital Radiography"/>
          </modality>
          <description value="Panorama OPG PAR-Grading"/>
          <instance>
            <uid value="2.16.840.1.113883.19.5.99.3.1.1"/>
            <sopClass>
              <system value="urn:ietf:rfc:3986"/>
              <code value="urn:oid:1.2.840.10008.5.1.4.1.1.1.1"/>
            </sopClass>
          </instance>
        </series>
      </ImagingStudy>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="https://fhir.cognovis.de/praxis/DiagnosticReport/par-grading-befund"/>
    <resource>
      <DiagnosticReport>
        <id value="par-grading-befund"/>
        <text>
          <status value="generated"/>
          <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>
        </text>
        <status value="final"/>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="18748-4"/>
            <display value="Diagnostische Bildgebung - Untersuchung"/>
          </coding>
        </code>
        <subject>🔗 
          <reference value="Patient/example-patient"/>
        </subject>
        <effectiveDateTime value="2026-05-01T14:00:00+02:00"/>
        <issued value="2026-05-01T13:00:00Z"/>
        <result>🔗 
          <reference value="Observation/par-grading-hba1c-obs"/>
        </result>
        <conclusion
                    value="PAR-Grad III. Erhoehter HbA1c (8.5 %) und Ex-Raucher als Risikofaktoren. Knochenabbau radiologisch gesichert."/>
      </DiagnosticReport>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="https://fhir.cognovis.de/praxis/Condition/par-grading-condition"/>
    <resource>
      <Condition>
        <id value="par-grading-condition"/>
        <meta>
          <profile
                   value="https://fhir.cognovis.de/praxis/StructureDefinition/praxis-condition-de"/>
        </meta>
        <text>
          <status value="generated"/>
          <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>
        </text>
        <clinicalStatus>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/condition-clinical"/>
            <code value="active"/>
          </coding>
        </clinicalStatus>
        <verificationStatus>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/condition-ver-status"/>
            <code value="confirmed"/>
          </coding>
        </verificationStatus>
        <code>
          <coding>
            <extension
                       url="http://fhir.de/StructureDefinition/icd-10-gm-diagnosesicherheit">
              <valueCoding>
                <system
                        value="https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_ICD_DIAGNOSESICHERHEIT"/>
                <code value="G"/>
                <display value="gesicherte Diagnose"/>
              </valueCoding>
            </extension>
            <system value="http://fhir.de/CodeSystem/bfarm/icd-10-gm"/>
            <version value="2024"/>
            <code value="K05.3"/>
            <display value="Chronische Parodontitis"/>
          </coding>
        </code>
        <subject>🔗 
          <reference value="Patient/example-patient"/>
        </subject>
        <recordedDate value="2026-05-01"/>
        <asserter>🔗 
          <reference value="Practitioner/par-grading-practitioner-arzt"/>
          <display value="Dr. Stefan Mueller"/>
        </asserter>
        <evidence>
          <detail>🔗 
            <reference value="Observation/par-grading-hba1c-obs"/>
            <display value="HbA1c 8.5%"/>
          </detail>
          <detail>🔗 
            <reference value="Observation/par-grading-smoking-obs"/>
            <display value="Raucherstatus Ex-Raucher"/>
          </detail>
          <detail>🔗 
            <reference value="ImagingStudy/par-grading-roentgen"/>
            <display value="Panoramaroentgen OPG"/>
          </detail>
          <detail>🔗 
            <reference value="DiagnosticReport/par-grading-befund"/>
            <display value="PAR-Befundbericht"/>
          </detail>
        </evidence>
      </Condition>
    </resource>
  </entry>
</Bundle>