| Official URL: https://fhir.cognovis.de/praxis/ImplementationGuide/de.cognovis.fhir.praxis | Version: 0.101.6 | |||
| Active as of 2026-09-11 | Computable Name: GermanPracticeManagementProfiles | |||
| Other Identifiers: OID:2.16.840.1.113883.3.7985 | ||||
Copyright/Legal: Copyright 2026+ cognovis GmbH. Cognovis-authored material is licensed under Apache-2.0; third-party material retains its own terms as documented in THIRD_PARTY_NOTICES.md. |
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This FHIR R4 Implementation Guide defines vendor-neutral profiles, extensions, terminology declarations, and examples for ambulatory practice management in Germany.
| Domain | Contract |
|---|---|
| Medical billing composition | Medical evidence and workflow constraints over the German Billing IG |
| Practice operations | Encounters, appointments, queue state, locations, roles, and service offerings |
| Clinical workflows | Laboratory, imaging, referral, order, medication, immunization, and care-coordination resources |
| Administration | Practice operations, clinical authorization children, consent, and communication |
| Provenance | Bounded compatibility with the HL7 AI Transparency lineage model |
The IG defines exchange structures and bindings. It does not publish customer, product, adapter, contract-catalog, or runtime configuration data.
Generic Account, Coverage, ChargeItem, Claim, prior-authorization, Contract, Invoice, tax, receivable, budget, remuneration, and remittance contracts are owned by the German Billing IG. Praxis profiles may derive from those contracts only to add medical evidence or medical workflow constraints. See the Praxis-to-Billing Migration for predecessor handling.
HZV and other selective-contract catalogs are reference-only terminology. The
public package does not enumerate their codes or displays. Implementations carry
the applicable contract through Coverage, Contract, and the billing-case
context, and use the issuer's coding system for contract-specific services.
An EBM code is used only for a service billed in an EBM context. A mapping between EBM and a contract catalog is a translation aid, not a pricing source.
Use the generated Artifact Index for the complete list of profiles, extensions, CodeSystems, ValueSets, NamingSystems, and examples. The guidance pages in this IG define the current usage contract for selected cross-cutting topics.
Package hl7.fhir.uv.extensions.r4#5.2.0 This IG defines the global extensions - the ones defined for everyone. These extensions are always in scope wherever FHIR is being used (built Mon, Feb 10, 2025 21:45+1100+11:00) |
Package de.basisprofil.r4#1.6.0 Projekt Basisprofilierung R4 (HL7 Deutschland e.V.) |
Package hl7.fhir.uv.extensions.r4#5.3.0 This IG defines the global extensions - the ones defined for everyone. These extensions are always in scope wherever FHIR is being used (built Sat, May 16, 2026 18:32+1000+10:00) |
Package hl7.fhir.uv.extensions.r4#5.1.0 This IG defines the global extensions - the ones defined for everyone. These extensions are always in scope wherever FHIR is being used (built Sat, Apr 27, 2024 18:39+1000+10:00) |
Package ihe.rad.imr#1.1.0 Support encoding and presentation of an interactive multimedia report (built Thu, Jun 20, 2024 08:48-0500-05:00) |
Package dvmd.kdl.r4#2026.0.0 Das Package enthält die KDL im FHIR-Format für den Datenaustausch im Kontext der elektronischen Patientenakte. Die Zusammenstellung des FHIR Pakets basiert auf den Inhalten, die seitens DVMD e.V. zur Verfügung gestellt wurden. |
Package hl7.fhir.uv.ipa#1.1.0 This IG describes how an application acting on behalf of a patient can access information about the patient from an clinical records system using a FHIR based API. The clinical records system may be supporting a clinical care provider (e.g. a hospital, or a general practitioner), or a health data exchange, including a national health record system. (built Wed, Mar 19, 2025 14:34+0000+00:00) |
Package hl7.fhir.uv.xver-r5.r4#0.1.0 Extensions for Using Data Elements from FHIR R5 in FHIR R4 (built Fri, Mar 20, 2026 15:40+1100+11:00) |
Package hl7.fhir.eu.extensions.r4#1.3.0 This guide lists the extensions specified for the European REALM. (built Fri, Mar 27, 2026 19:47+0100+01:00) |
Package ihe.pharm.mpd.r4#1.0.0-comment-2 ImplementationGuide for IHE Pharmacy Medication Prescription and Dispense (MPD) profile (built Tue, May 27, 2025 16:32+0200+02:00) |
Package hl7.fhir.eu.base#2.0.0 This guide collects base and core profiles to be used in the European context. It also includes common artifacts, such as the profiles describing the European Health Insurance Card. (built Mon, Apr 27, 2026 22:40+0300+03:00) |
Package hl7.fhir.eu.eps#1.0.0-ballot This guide describes how the Patient Summary can be represented in the European REALM. (built Sat, Jun 6, 2026 08:56+0200+02:00) |
Package de.basisprofil.r4#1.5.4 Projekt Basisprofilierung R4 (HL7 Deutschland e.V.) |
Package kbv.basis#1.9.0 KBV-Basis-Profile V 1.9.0 Package beinhaltet nur die Resources, Terminologie-Dateien und Example-Dateien. |
Package kbv.all.st-combined#1.49.0 KBV Schluesseltabellen |
Package de.cognovis.fhir.billing.core#0.4.1 Jurisdiction-neutral FHIR R4 contracts for deterministic medical billing rules and their reference evaluator. (built Fri, Aug 21, 2026 18:25+0200+02:00) |
Package dvmd.kdl.r4#2025.0.1 Publikation der Terminologie-Ressourcen für die Nutzung der Klinische Dokumentenklassen-Liste (KDL) des DVMD Version 2025 |
Package de.ihe-d.terminology#3.0.1 de.ihe-d.terminology |
Package de.gematik.dipag#1.2.0 Der 'Digitale Patientenrechnung'-Fachdienst ermöglicht es Versicherten (allgemein Rechnungsempfängern) Rechnungen von Leistungserbringern zu erhalten und bei Kostenträgern einzureichen. |
Package de.cognovis.fhir.billing#0.3.2 Profession-neutral conformance profiles for German ambulatory billing, billing regimes, declarative rules, and curated Ziffernketten. (built Sun, Sep 6, 2026 14:02+0200+02:00) |
Package de.basisprofil.r4#1.5.2 Projekt Basisprofilierung R4 (HL7 Deutschland e.V.) |
Package hl7.fhir.uv.subscriptions-backport.r4#1.1.0 The Subscription R5 Backport Implementation Guide enables servers running versions of FHIR earlier than R5 to implement a subset of R5 Subscriptions in a standardized way. (built Wed, Jan 11, 2023 15:34+1100+11:00) |
Package de.gematik.isik-basismodul#4.0.3 Put a description here |
Package hl7.fhir.uv.tools.r4#1.1.2 This IG defines the extensions that the tools use internally. Some of these extensions are content that are being evaluated for elevation into the main spec, and others are tooling concerns (built Tue, Mar 24, 2026 11:13+1100+11:00) |
Package hl7.fhir.uv.extensions.r4#5.3.0-ballot-tc1 This IG defines the global extensions - the ones defined for everyone. These extensions are always in scope wherever FHIR is being used (built Sun, Aug 3, 2025 06:28+1000+10:00) |
Package hl7.fhir.uv.sdc#4.0.0 The SDC specification provides an infrastructure to standardize the capture and expanded use of patient-level data collected within an EHR. (built Tue, Mar 24, 2026 16:16+1100+11:00) |
Package hl7.fhir.uv.security-label-ds4p#1.0.0 FHIR data segmentation for privacy security label implementation guide (built Mon, Apr 17, 2023 19:19+0000+00:00) |
Package hl7.fhir.uv.aitransparency#1.0.0-current Provides guidance for representing the usage of AI in influencing FHIR resources. Starting with how to tag FHIR resources, and expanding into how to use Provenance, Device, and other data elements, this FHIR IG provides standards that enable downstream use cases to identify such resources. This allows the informed usage of AI influenced health data. (built Tue, Sep 8, 2026 12:58+0000+00:00) |
This is an R4 IG. None of the features it uses are changed in R4B, so it can be used as is with R4B systems. Packages for both R4 (de.cognovis.fhir.praxis.r4) and R4B (de.cognovis.fhir.praxis.r4b) are available.
There are no Global profiles defined
This publication includes IP covered under the following statements.
Cognovis-authored material from package version 0.96.0 onward is licensed
under Apache-2.0. Published versions through 0.95.0 retain their original
CC-BY-4.0 grants, and third-party material retains its own terms. See License
and Third-Party Notices.
