German Practice Management FHIR Profiles (R4)
0.90.0 - STU1 Germany

German Practice Management FHIR Profiles (R4) - Local Development build (v0.90.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

: Example Outgoing Referral Proof Bundle - TTL Representation

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

<http://hl7.org/fhir/Bundle/example-outgoing-referral-bundle> a fhir:Bundle ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:Resource.id [ fhir:value "example-outgoing-referral-bundle"] ;
  fhir:Bundle.type [ fhir:value "collection"] ;
  fhir:Bundle.entry [
     fhir:index 0 ;
     fhir:Bundle.entry.fullUrl [ fhir:value "https://fhir.cognovis.de/praxis/ServiceRequest/example-outgoing-referral" ] ;
     fhir:Bundle.entry.resource <https://fhir.cognovis.de/praxis/ServiceRequest/example-outgoing-referral>
  ], [
     fhir:index 1 ;
     fhir:Bundle.entry.fullUrl [ fhir:value "https://fhir.cognovis.de/praxis/Condition/example-referral-diagnosis" ] ;
     fhir:Bundle.entry.resource <https://fhir.cognovis.de/praxis/Condition/example-referral-diagnosis>
  ], [
     fhir:index 2 ;
     fhir:Bundle.entry.fullUrl [ fhir:value "https://fhir.cognovis.de/praxis/Observation/example-referral-finding" ] ;
     fhir:Bundle.entry.resource <https://fhir.cognovis.de/praxis/Observation/example-referral-finding>
  ], [
     fhir:index 3 ;
     fhir:Bundle.entry.fullUrl [ fhir:value "https://fhir.cognovis.de/praxis/Patient/example-patient" ] ;
     fhir:Bundle.entry.resource <https://fhir.cognovis.de/praxis/Patient/example-patient>
  ], [
     fhir:index 4 ;
     fhir:Bundle.entry.fullUrl [ fhir:value "https://fhir.cognovis.de/praxis/Practitioner/example-practitioner" ] ;
     fhir:Bundle.entry.resource <https://fhir.cognovis.de/praxis/Practitioner/example-practitioner>
  ], [
     fhir:index 5 ;
     fhir:Bundle.entry.fullUrl [ fhir:value "https://fhir.cognovis.de/praxis/Organization/example-referral-recipient" ] ;
     fhir:Bundle.entry.resource <https://fhir.cognovis.de/praxis/Organization/example-referral-recipient>
  ], [
     fhir:index 6 ;
     fhir:Bundle.entry.fullUrl [ fhir:value "https://fhir.cognovis.de/praxis/Coverage/example-coverage-gkv-wop" ] ;
     fhir:Bundle.entry.resource <https://fhir.cognovis.de/praxis/Coverage/example-coverage-gkv-wop>
  ] .

<https://fhir.cognovis.de/praxis/ServiceRequest/example-outgoing-referral> a fhir:ServiceRequest ;
  fhir:Resource.id [ fhir:value "example-outgoing-referral"] ;
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "https://fhir.cognovis.de/praxis/StructureDefinition/praxis-referral-de" ;
       fhir:index 0 ;
       fhir:link <https://fhir.cognovis.de/praxis/StructureDefinition/praxis-referral-de>
     ]
  ] ;
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ] ;
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"ServiceRequest_example-outgoing-referral\"> </a><p class=\"res-header-id\"><b>Generated Narrative: ServiceRequest example-outgoing-referral</b></p><a name=\"example-outgoing-referral\"> </a><a name=\"hcexample-outgoing-referral\"> </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-referral-de.html\">Praxis Referral DE</a></p></div><p><b>identifier</b>: Placer Identifier/REFERRAL-2026-3001</p><p><b>status</b>: Active</p><p><b>intent</b>: Order</p><p><b>category</b>: <span title=\"Codes:{https://fhir.cognovis.de/praxis/CodeSystem/referral-assignment-type consultation}\">Consultation</span></p><p><b>priority</b>: Urgent</p><p><b>code</b>: <span title=\"Codes:{https://example.org/fhir/CodeSystem/service-catalog orthopedic-consultation}\">Orthopedic consultation</span></p><p><b>subject</b>: <a href=\"Patient-example-patient.html\">Thomas Weber (official) Male, DoB: 1975-06-15</a></p><p><b>occurrence</b>: 2026-07-28 --&gt; 2026-08-28</p><p><b>authoredOn</b>: 2026-07-28</p><p><b>requester</b>: <a href=\"Practitioner-example-practitioner.html\">Practitioner Markus Schoell (official)</a></p><p><b>performer</b>: <a href=\"Organization-example-referral-recipient.html\">Organization Example Specialist Center</a></p><p><b>reasonReference</b>: <a href=\"Condition-example-referral-diagnosis.html\">Condition Pain in knee</a></p><p><b>insurance</b>: <a href=\"Coverage-example-coverage-gkv-wop.html\">Coverage: extension = Nordrhein (KBV_CS_SFHIR_ITA_WOP#38); identifier = Gesetzliche Krankenversicherung; status = active; type = gesetzliche Krankenversicherung</a></p><p><b>supportingInfo</b>: <a href=\"Observation-example-referral-finding.html\">Observation Knee range of motion</a></p></div>"
  ] ;
  fhir:ServiceRequest.identifier [
     fhir:index 0 ;
     fhir:Identifier.type [
       fhir:CodeableConcept.coding [
         fhir:index 0 ;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v2-0203" ] ;
         fhir:Coding.code [ fhir:value "PLAC" ]
       ]
     ] ;
     fhir:Identifier.system [ fhir:value "https://example.org/fhir/NamingSystem/order-id" ] ;
     fhir:Identifier.value [ fhir:value "REFERRAL-2026-3001" ]
  ] ;
  fhir:ServiceRequest.status [ fhir:value "active"] ;
  fhir:ServiceRequest.intent [ fhir:value "order"] ;
  fhir:ServiceRequest.category [
     fhir:index 0 ;
     fhir:CodeableConcept.coding [
       fhir:index 0 ;
       fhir:Coding.system [ fhir:value "https://fhir.cognovis.de/praxis/CodeSystem/referral-assignment-type" ] ;
       fhir:Coding.code [ fhir:value "consultation" ] ;
       fhir:Coding.display [ fhir:value "Consultation" ]
     ]
  ] ;
  fhir:ServiceRequest.priority [ fhir:value "urgent"] ;
  fhir:ServiceRequest.code [
     fhir:CodeableConcept.coding [
       fhir:index 0 ;
       fhir:Coding.system [ fhir:value "https://example.org/fhir/CodeSystem/service-catalog" ] ;
       fhir:Coding.version [ fhir:value "2026-01" ] ;
       fhir:Coding.code [ fhir:value "orthopedic-consultation" ] ;
       fhir:Coding.display [ fhir:value "Orthopedic consultation" ]
     ]
  ] ;
  fhir:ServiceRequest.subject [
     fhir:link <http://hl7.org/fhir/Patient/example-patient> ;
     fhir:Reference.reference [ fhir:value "Patient/example-patient" ]
  ] ;
  fhir:ServiceRequest.occurrencePeriod [
     fhir:Period.start [ fhir:value "2026-07-28"^^xsd:date ] ;
     fhir:Period.end [ fhir:value "2026-08-28"^^xsd:date ]
  ] ;
  fhir:ServiceRequest.authoredOn [ fhir:value "2026-07-28"^^xsd:date] ;
  fhir:ServiceRequest.requester [
     fhir:link <http://hl7.org/fhir/Practitioner/example-practitioner> ;
     fhir:Reference.reference [ fhir:value "Practitioner/example-practitioner" ]
  ] ;
  fhir:ServiceRequest.performer [
     fhir:index 0 ;
     fhir:link <http://hl7.org/fhir/Organization/example-referral-recipient> ;
     fhir:Reference.reference [ fhir:value "Organization/example-referral-recipient" ]
  ] ;
  fhir:ServiceRequest.reasonReference [
     fhir:index 0 ;
     fhir:link <http://hl7.org/fhir/Condition/example-referral-diagnosis> ;
     fhir:Reference.reference [ fhir:value "Condition/example-referral-diagnosis" ]
  ] ;
  fhir:ServiceRequest.insurance [
     fhir:index 0 ;
     fhir:link <http://hl7.org/fhir/Coverage/example-coverage-gkv-wop> ;
     fhir:Reference.reference [ fhir:value "Coverage/example-coverage-gkv-wop" ]
  ] ;
  fhir:ServiceRequest.supportingInfo [
     fhir:index 0 ;
     fhir:link <http://hl7.org/fhir/Observation/example-referral-finding> ;
     fhir:Reference.reference [ fhir:value "Observation/example-referral-finding" ]
  ] .

<http://hl7.org/fhir/Patient/example-patient> a fhir:Patient .

<http://hl7.org/fhir/Practitioner/example-practitioner> a fhir:Practitioner .

<http://hl7.org/fhir/Organization/example-referral-recipient> a fhir:Organization .

<http://hl7.org/fhir/Condition/example-referral-diagnosis> a fhir:Condition .

<http://hl7.org/fhir/Coverage/example-coverage-gkv-wop> a fhir:Coverage .

<http://hl7.org/fhir/Observation/example-referral-finding> a fhir:Observation .

<https://fhir.cognovis.de/praxis/Condition/example-referral-diagnosis> a fhir:Condition ;
  fhir:Resource.id [ fhir:value "example-referral-diagnosis"] ;
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ] ;
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Condition_example-referral-diagnosis\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Condition example-referral-diagnosis</b></p><a name=\"example-referral-diagnosis\"> </a><a name=\"hcexample-referral-diagnosis\"> </a><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 M25.56}\">Pain in knee</span></p><p><b>subject</b>: <a href=\"Patient-example-patient.html\">Thomas Weber (official) Male, DoB: 1975-06-15</a></p></div>"
  ] ;
  fhir:Condition.clinicalStatus [
     fhir:CodeableConcept.coding [
       fhir:index 0 ;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/condition-clinical" ] ;
       fhir:Coding.code [ fhir:value "active" ]
     ]
  ] ;
  fhir:Condition.verificationStatus [
     fhir:CodeableConcept.coding [
       fhir:index 0 ;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/condition-ver-status" ] ;
       fhir:Coding.code [ fhir:value "confirmed" ]
     ]
  ] ;
  fhir:Condition.code [
     fhir:CodeableConcept.coding [
       fhir:index 0 ;
       fhir:Coding.system [ fhir:value "http://fhir.de/CodeSystem/bfarm/icd-10-gm" ] ;
       fhir:Coding.version [ fhir:value "2026" ] ;
       fhir:Coding.code [ fhir:value "M25.56" ] ;
       fhir:Coding.display [ fhir:value "Pain in knee" ]
     ]
  ] ;
  fhir:Condition.subject [
     fhir:link <http://hl7.org/fhir/Patient/example-patient> ;
     fhir:Reference.reference [ fhir:value "Patient/example-patient" ]
  ] .

<https://fhir.cognovis.de/praxis/Observation/example-referral-finding> a fhir:Observation ;
  fhir:Resource.id [ fhir:value "example-referral-finding"] ;
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ] ;
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_example-referral-finding\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation example-referral-finding</b></p><a name=\"example-referral-finding\"> </a><a name=\"hcexample-referral-finding\"> </a><p><b>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{https://example.org/fhir/CodeSystem/clinical-findings knee-range-of-motion}\">Knee range of motion</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>: 2026-07-27</p><p><b>value</b>: Flexion limited to 90 degrees</p></div>"
  ] ;
  fhir:Observation.status [ fhir:value "final"] ;
  fhir:Observation.code [
     fhir:CodeableConcept.coding [
       fhir:index 0 ;
       fhir:Coding.system [ fhir:value "https://example.org/fhir/CodeSystem/clinical-findings" ] ;
       fhir:Coding.version [ fhir:value "2026-01" ] ;
       fhir:Coding.code [ fhir:value "knee-range-of-motion" ] ;
       fhir:Coding.display [ fhir:value "Knee range of motion" ]
     ]
  ] ;
  fhir:Observation.subject [
     fhir:link <http://hl7.org/fhir/Patient/example-patient> ;
     fhir:Reference.reference [ fhir:value "Patient/example-patient" ]
  ] ;
  fhir:Observation.effectiveDateTime [ fhir:value "2026-07-27"^^xsd:date] ;
  fhir:Observation.valueString [ fhir:value "Flexion limited to 90 degrees"] .

<https://fhir.cognovis.de/praxis/Patient/example-patient> a fhir:Patient ;
  fhir:Resource.id [ fhir:value "example-patient"] ;
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ] ;
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Patient_example-patient\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Patient example-patient</b></p><a name=\"example-patient\"> </a><a name=\"hcexample-patient\"> </a><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\">Thomas Weber (official) Male, DoB: 1975-06-15</p><hr/><table class=\"grid\"><tr><td style=\"background-color: #f3f5da\" title=\"Record is active\">Active:</td><td colspan=\"3\">true</td></tr></table></div>"
  ] ;
  fhir:Patient.active [ fhir:value "true"^^xsd:boolean] ;
  fhir:Patient.name [
     fhir:index 0 ;
     fhir:HumanName.use [ fhir:value "official" ] ;
     fhir:HumanName.family [ fhir:value "Weber" ] ;
     fhir:HumanName.given [
       fhir:value "Thomas" ;
       fhir:index 0
     ]
  ] ;
  fhir:Patient.gender [ fhir:value "male"] ;
  fhir:Patient.birthDate [ fhir:value "1975-06-15"^^xsd:date] .

<https://fhir.cognovis.de/praxis/Practitioner/example-practitioner> a fhir:Practitioner ;
  fhir:Resource.id [ fhir:value "example-practitioner"] ;
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ] ;
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Practitioner_example-practitioner\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Practitioner example-practitioner</b></p><a name=\"example-practitioner\"> </a><a name=\"hcexample-practitioner\"> </a><p><b>active</b>: true</p><p><b>name</b>: Markus Schoell (Official)</p></div>"
  ] ;
  fhir:Practitioner.active [ fhir:value "true"^^xsd:boolean] ;
  fhir:Practitioner.name [
     fhir:index 0 ;
     fhir:HumanName.use [ fhir:value "official" ] ;
     fhir:HumanName.family [ fhir:value "Schoell" ] ;
     fhir:HumanName.given [
       fhir:value "Markus" ;
       fhir:index 0
     ] ;
     fhir:HumanName.prefix [
       fhir:value "Dr." ;
       fhir:index 0 ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier" ] ;
         fhir:Extension.valueCode [ fhir:value "AC" ]
       ]
     ]
  ] .

<https://fhir.cognovis.de/praxis/Organization/example-referral-recipient> a fhir:Organization ;
  fhir:Resource.id [ fhir:value "example-referral-recipient"] ;
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ] ;
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Organization_example-referral-recipient\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Organization example-referral-recipient</b></p><a name=\"example-referral-recipient\"> </a><a name=\"hcexample-referral-recipient\"> </a><p><b>active</b>: true</p><p><b>name</b>: Example Specialist Center</p></div>"
  ] ;
  fhir:Organization.active [ fhir:value "true"^^xsd:boolean] ;
  fhir:Organization.name [ fhir:value "Example Specialist Center"] .

<https://fhir.cognovis.de/praxis/Coverage/example-coverage-gkv-wop> a fhir:Coverage ;
  fhir:Resource.id [ fhir:value "example-coverage-gkv-wop"] ;
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "https://fhir.cognovis.de/praxis/StructureDefinition/fpde-coverage-gkv" ;
       fhir:index 0 ;
       fhir:link <https://fhir.cognovis.de/praxis/StructureDefinition/fpde-coverage-gkv>
     ]
  ] ;
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "extensions" ] ;
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Coverage_example-coverage-gkv-wop\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Coverage example-coverage-gkv-wop</b></p><a name=\"example-coverage-gkv-wop\"> </a><a name=\"hcexample-coverage-gkv-wop\"> </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-fpde-coverage-gkv.html\">FPDE Coverage GKV</a></p></div><p><b>Kennzeichen Wohnortprinzip (WOP)</b>: <a href=\"https://simplifier.net/resolve?scope=de.cognovis.terminology.kbv@1.0.0&amp;canonical=https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_ITA_WOP#KBV-CS-SFHIR-ITA-WOP-v1.23.x-38\">KBV_CS_SFHIR_ITA_WOP: 38</a> (Nordrhein)</p><p><b>identifier</b>: Gesetzliche Krankenversicherung/A123456789</p><p><b>status</b>: Active</p><p><b>type</b>: <span title=\"Codes:{http://fhir.de/CodeSystem/versicherungsart-de-basis GKV}\">gesetzliche Krankenversicherung</span></p><p><b>beneficiary</b>: <a href=\"Patient-example-patient.html\">Thomas Weber (official) Male, DoB: 1975-06-15</a></p><p><b>payor</b>: AOK Rheinland/Hamburg</p></div>"
  ] ;
  fhir:DomainResource.extension [
     fhir:index 0 ;
     fhir:Extension.url [ fhir:value "http://fhir.de/StructureDefinition/gkv/wop" ] ;
     fhir:Extension.valueCoding [
       fhir:Coding.system [ fhir:value "https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_ITA_WOP" ] ;
       fhir:Coding.code [ fhir:value "38" ] ;
       fhir:Coding.display [ fhir:value "Nordrhein" ]
     ]
  ] ;
  fhir:Coverage.identifier [
     fhir:index 0 ;
     fhir:Identifier.type [
       fhir:CodeableConcept.coding [
         fhir:index 0 ;
         fhir:Coding.system [ fhir:value "http://fhir.de/CodeSystem/identifier-type-de-basis" ] ;
         fhir:Coding.code [ fhir:value "GKV" ]
       ], [
         fhir:index 1 ;
         fhir:Coding.system [ fhir:value "http://fhir.de/CodeSystem/identifier-type-de-basis" ] ;
         fhir:Coding.code [ fhir:value "KVZ10" ]
       ]
     ] ;
     fhir:Identifier.system [ fhir:value "http://fhir.de/sid/gkv/kvid-10" ] ;
     fhir:Identifier.value [ fhir:value "A123456789" ]
  ] ;
  fhir:Coverage.status [ fhir:value "active"] ;
  fhir:Coverage.type [
     fhir:CodeableConcept.coding [
       fhir:index 0 ;
       fhir:Coding.system [ fhir:value "http://fhir.de/CodeSystem/versicherungsart-de-basis" ] ;
       fhir:Coding.code [ fhir:value "GKV" ] ;
       fhir:Coding.display [ fhir:value "gesetzliche Krankenversicherung" ]
     ]
  ] ;
  fhir:Coverage.beneficiary [
     fhir:link <http://hl7.org/fhir/Patient/example-patient> ;
     fhir:Reference.reference [ fhir:value "Patient/example-patient" ]
  ] ;
  fhir:Coverage.payor [
     fhir:index 0 ;
     fhir:Reference.display [ fhir:value "AOK Rheinland/Hamburg" ]
  ] .

# - ontology header ------------------------------------------------------------

<http://hl7.org/fhir/Bundle/example-outgoing-referral-bundle.ttl> a owl:Ontology ;
  owl:imports fhir:fhir.ttl ;
  owl:versionIRI <http://build.fhir.org/Bundle/example-outgoing-referral-bundle.ttl> .