PAR-Grading Bundle — alle Constraint-Typen - TTL Representation - German Practice Management FHIR Profiles (R4) v0.90.0

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

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix loinc: <http://loinc.org/rdf#> .
@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/par-grading-bundle> a fhir:Bundle ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:Resource.id [ fhir:value "par-grading-bundle"] ;
  fhir:Bundle.type [ fhir:value "collection"] ;
  fhir:Bundle.entry [
     fhir:index 0 ;
     fhir:Bundle.entry.fullUrl [ fhir:value "https://fhir.cognovis.de/praxis/Practitioner/par-grading-practitioner-arzt" ] ;
     fhir:Bundle.entry.resource <https://fhir.cognovis.de/praxis/Practitioner/par-grading-practitioner-arzt>
  ], [
     fhir:index 1 ;
     fhir:Bundle.entry.fullUrl [ fhir:value "https://fhir.cognovis.de/praxis/Observation/par-grading-hba1c-obs" ] ;
     fhir:Bundle.entry.resource <https://fhir.cognovis.de/praxis/Observation/par-grading-hba1c-obs>
  ], [
     fhir:index 2 ;
     fhir:Bundle.entry.fullUrl [ fhir:value "https://fhir.cognovis.de/praxis/Observation/par-grading-smoking-obs" ] ;
     fhir:Bundle.entry.resource <https://fhir.cognovis.de/praxis/Observation/par-grading-smoking-obs>
  ], [
     fhir:index 3 ;
     fhir:Bundle.entry.fullUrl [ fhir:value "https://fhir.cognovis.de/praxis/ImagingStudy/par-grading-roentgen" ] ;
     fhir:Bundle.entry.resource <https://fhir.cognovis.de/praxis/ImagingStudy/par-grading-roentgen>
  ], [
     fhir:index 4 ;
     fhir:Bundle.entry.fullUrl [ fhir:value "https://fhir.cognovis.de/praxis/DiagnosticReport/par-grading-befund" ] ;
     fhir:Bundle.entry.resource <https://fhir.cognovis.de/praxis/DiagnosticReport/par-grading-befund>
  ], [
     fhir:index 5 ;
     fhir:Bundle.entry.fullUrl [ fhir:value "https://fhir.cognovis.de/praxis/Condition/par-grading-condition" ] ;
     fhir:Bundle.entry.resource <https://fhir.cognovis.de/praxis/Condition/par-grading-condition>
  ] .

<https://fhir.cognovis.de/praxis/Practitioner/par-grading-practitioner-arzt> a fhir:Practitioner ;
  fhir:Resource.id [ fhir:value "par-grading-practitioner-arzt"] ;
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "https://fhir.kbv.de/StructureDefinition/KBV_PR_Base_Practitioner" ;
       fhir:index 0 ;
       fhir:link <https://fhir.kbv.de/StructureDefinition/KBV_PR_Base_Practitioner>
     ]
  ] ;
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ] ;
     fhir:Narrative.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@1.9.0&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>"
  ] ;
  fhir:Practitioner.identifier [
     fhir:index 0 ;
     fhir:Identifier.system [ fhir:value "https://fhir.kbv.de/NamingSystem/KBV_NS_Base_ANR" ] ;
     fhir:Identifier.value [ fhir:value "123456789" ]
  ] ;
  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 "Mueller" ] ;
     fhir:HumanName.given [
       fhir:value "Stefan" ;
       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/Observation/par-grading-hba1c-obs> a fhir:Observation ;
  fhir:Resource.id [ fhir:value "par-grading-hba1c-obs"] ;
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "https://fhir.cognovis.de/praxis/StructureDefinition/hba1c-observation-de" ;
       fhir:index 0 ;
       fhir:link <https://fhir.cognovis.de/praxis/StructureDefinition/hba1c-observation-de>
     ]
  ] ;
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ] ;
     fhir:Narrative.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% = 'percent')</span></p><p><b>interpretation</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation H}\">High</span></p></div>"
  ] ;
  fhir:Observation.status [ fhir:value "final"] ;
  fhir:Observation.category [
     fhir:index 0 ;
     fhir:CodeableConcept.coding [
       fhir:index 0 ;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/observation-category" ] ;
       fhir:Coding.code [ fhir:value "laboratory" ]
     ]
  ] ;
  fhir:Observation.code [
     fhir:CodeableConcept.coding [
       fhir:index 0 ;
       a loinc:4548-4 ;
       fhir:Coding.system [ fhir:value "http://loinc.org" ] ;
       fhir:Coding.code [ fhir:value "4548-4" ] ;
       fhir:Coding.display [ fhir:value "Hämoglobin A1c/Hämoglobin.gesamt in Blut" ]
     ]
  ] ;
  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 "2026-05-01T09:00:00+02:00"^^xsd:dateTime] ;
  fhir:Observation.valueQuantity [
     fhir:Quantity.value [ fhir:value "8.5"^^xsd:decimal ] ;
     fhir:Quantity.unit [ fhir:value "%" ] ;
     fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ] ;
     fhir:Quantity.code [ fhir:value "%" ]
  ] ;
  fhir:Observation.interpretation [
     fhir:index 0 ;
     fhir:CodeableConcept.coding [
       fhir:index 0 ;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation" ] ;
       fhir:Coding.code [ fhir:value "H" ] ;
       fhir:Coding.display [ fhir:value "High" ]
     ]
  ] .

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

<https://fhir.cognovis.de/praxis/Observation/par-grading-smoking-obs> a fhir:Observation ;
  fhir:Resource.id [ fhir:value "par-grading-smoking-obs"] ;
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "https://fhir.cognovis.de/praxis/StructureDefinition/smoking-status-de" ;
       fhir:index 0 ;
       fhir:link <https://fhir.cognovis.de/praxis/StructureDefinition/smoking-status-de>
     ]
  ] ;
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ] ;
     fhir:Narrative.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>"
  ] ;
  fhir:Observation.status [ fhir:value "final"] ;
  fhir:Observation.category [
     fhir:index 0 ;
     fhir:CodeableConcept.coding [
       fhir:index 0 ;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/observation-category" ] ;
       fhir:Coding.code [ fhir:value "social-history" ]
     ]
  ] ;
  fhir:Observation.code [
     fhir:CodeableConcept.coding [
       fhir:index 0 ;
       a loinc:72166-2 ;
       fhir:Coding.system [ fhir:value "http://loinc.org" ] ;
       fhir:Coding.code [ fhir:value "72166-2" ] ;
       fhir:Coding.display [ fhir:value "Raucherstatus" ]
     ]
  ] ;
  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 "2026-05-01T09:05:00+02:00"^^xsd:dateTime] ;
  fhir:Observation.valueCodeableConcept [
     fhir:CodeableConcept.coding [
       fhir:index 0 ;
       a loinc:LA15920-4 ;
       fhir:Coding.system [ fhir:value "http://loinc.org" ] ;
       fhir:Coding.code [ fhir:value "LA15920-4" ] ;
       fhir:Coding.display [ fhir:value "Former smoker" ]
     ]
  ] .

<https://fhir.cognovis.de/praxis/ImagingStudy/par-grading-roentgen> a fhir:ImagingStudy ;
  fhir:Resource.id [ fhir:value "par-grading-roentgen"] ;
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ] ;
     fhir:Narrative.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://hl7.org/fhir/R4/codesystem-dicom-dcim.html#dicom-dcim-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://hl7.org/fhir/R4/codesystem-dicom-dcim.html#dicom-dcim-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>"
  ] ;
  fhir:ImagingStudy.status [ fhir:value "available"] ;
  fhir:ImagingStudy.modality [
     fhir:index 0 ;
     fhir:Coding.system [ fhir:value "http://dicom.nema.org/resources/ontology/DCM" ] ;
     fhir:Coding.code [ fhir:value "DX" ] ;
     fhir:Coding.display [ fhir:value "Digital Radiography" ]
  ] ;
  fhir:ImagingStudy.subject [
     fhir:link <http://hl7.org/fhir/Patient/example-patient> ;
     fhir:Reference.reference [ fhir:value "Patient/example-patient" ]
  ] ;
  fhir:ImagingStudy.started [ fhir:value "2026-05-01T10:00:00+02:00"^^xsd:dateTime] ;
  fhir:ImagingStudy.series [
     fhir:index 0 ;
     fhir:ImagingStudy.series.uid [ fhir:value "2.16.840.1.113883.19.5.99.3.1" ] ;
     fhir:ImagingStudy.series.number [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
     fhir:ImagingStudy.series.modality [
       fhir:Coding.system [ fhir:value "http://dicom.nema.org/resources/ontology/DCM" ] ;
       fhir:Coding.code [ fhir:value "DX" ] ;
       fhir:Coding.display [ fhir:value "Digital Radiography" ]
     ] ;
     fhir:ImagingStudy.series.description [ fhir:value "Panorama OPG PAR-Grading" ] ;
     fhir:ImagingStudy.series.instance [
       fhir:index 0 ;
       fhir:ImagingStudy.series.instance.uid [ fhir:value "2.16.840.1.113883.19.5.99.3.1.1" ] ;
       fhir:ImagingStudy.series.instance.sopClass [
         fhir:Coding.system [ fhir:value "urn:ietf:rfc:3986" ] ;
         fhir:Coding.code [ fhir:value "urn:oid:1.2.840.10008.5.1.4.1.1.1.1" ]
       ]
     ]
  ] .

<https://fhir.cognovis.de/praxis/DiagnosticReport/par-grading-befund> a fhir:DiagnosticReport ;
  fhir:Resource.id [ fhir:value "par-grading-befund"] ;
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ] ;
     fhir:Narrative.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>Relevant Time</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>Relevant Time</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% = 'percent')</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>"
  ] ;
  fhir:DiagnosticReport.status [ fhir:value "final"] ;
  fhir:DiagnosticReport.code [
     fhir:CodeableConcept.coding [
       fhir:index 0 ;
       a loinc:18748-4 ;
       fhir:Coding.system [ fhir:value "http://loinc.org" ] ;
       fhir:Coding.code [ fhir:value "18748-4" ] ;
       fhir:Coding.display [ fhir:value "Diagnostische Bildgebung - Untersuchung" ]
     ]
  ] ;
  fhir:DiagnosticReport.subject [
     fhir:link <http://hl7.org/fhir/Patient/example-patient> ;
     fhir:Reference.reference [ fhir:value "Patient/example-patient" ]
  ] ;
  fhir:DiagnosticReport.effectiveDateTime [ fhir:value "2026-05-01T14:00:00+02:00"^^xsd:dateTime] ;
  fhir:DiagnosticReport.issued [ fhir:value "2026-05-01T13:00:00Z"^^xsd:dateTime] ;
  fhir:DiagnosticReport.result [
     fhir:index 0 ;
     fhir:link <http://hl7.org/fhir/Observation/par-grading-hba1c-obs> ;
     fhir:Reference.reference [ fhir:value "Observation/par-grading-hba1c-obs" ]
  ] ;
  fhir:DiagnosticReport.conclusion [ fhir:value "PAR-Grad III. Erhoehter HbA1c (8.5 %) und Ex-Raucher als Risikofaktoren. Knochenabbau radiologisch gesichert."] .

<http://hl7.org/fhir/Observation/par-grading-hba1c-obs> a fhir:Observation .

<https://fhir.cognovis.de/praxis/Condition/par-grading-condition> a fhir:Condition ;
  fhir:Resource.id [ fhir:value "par-grading-condition"] ;
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "https://fhir.kbv.de/StructureDefinition/KBV_PR_Base_Condition_Diagnosis" ;
       fhir:index 0 ;
       fhir:link <https://fhir.kbv.de/StructureDefinition/KBV_PR_Base_Condition_Diagnosis>
     ]
  ] ;
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ] ;
     fhir:Narrative.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=\"https://simplifier.net/resolve?scope=kbv.basis@1.9.0&amp;canonical=https://fhir.kbv.de/StructureDefinition/KBV_PR_Base_Condition_Diagnosis\">KBV_PR_Base_Condition_Diagnosis</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>"
  ] ;
  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:Element.extension [
         fhir:index 0 ;
         fhir:Extension.url [ fhir:value "http://fhir.de/StructureDefinition/icd-10-gm-diagnosesicherheit" ] ;
         fhir:Extension.valueCoding [
           fhir:Coding.system [ fhir:value "https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_ICD_DIAGNOSESICHERHEIT" ] ;
           fhir:Coding.code [ fhir:value "G" ] ;
           fhir:Coding.display [ fhir:value "gesicherte Diagnose" ]
         ]
       ] ;
       fhir:Coding.system [ fhir:value "http://fhir.de/CodeSystem/bfarm/icd-10-gm" ] ;
       fhir:Coding.version [ fhir:value "2024" ] ;
       fhir:Coding.code [ fhir:value "K05.3" ] ;
       fhir:Coding.display [ fhir:value "Chronische Parodontitis" ]
     ]
  ] ;
  fhir:Condition.subject [
     fhir:link <http://hl7.org/fhir/Patient/example-patient> ;
     fhir:Reference.reference [ fhir:value "Patient/example-patient" ]
  ] ;
  fhir:Condition.recordedDate [ fhir:value "2026-05-01"^^xsd:date] ;
  fhir:Condition.asserter [
     fhir:link <http://hl7.org/fhir/Practitioner/par-grading-practitioner-arzt> ;
     fhir:Reference.reference [ fhir:value "Practitioner/par-grading-practitioner-arzt" ] ;
     fhir:Reference.display [ fhir:value "Dr. Stefan Mueller" ]
  ] ;
  fhir:Condition.evidence [
     fhir:index 0 ;
     fhir:Condition.evidence.detail [
       fhir:index 0 ;
       fhir:link <http://hl7.org/fhir/Observation/par-grading-hba1c-obs> ;
       fhir:Reference.reference [ fhir:value "Observation/par-grading-hba1c-obs" ] ;
       fhir:Reference.display [ fhir:value "HbA1c 8.5%" ]
     ], [
       fhir:index 1 ;
       fhir:link <http://hl7.org/fhir/Observation/par-grading-smoking-obs> ;
       fhir:Reference.reference [ fhir:value "Observation/par-grading-smoking-obs" ] ;
       fhir:Reference.display [ fhir:value "Raucherstatus Ex-Raucher" ]
     ], [
       fhir:index 2 ;
       fhir:link <http://hl7.org/fhir/ImagingStudy/par-grading-roentgen> ;
       fhir:Reference.reference [ fhir:value "ImagingStudy/par-grading-roentgen" ] ;
       fhir:Reference.display [ fhir:value "Panoramaroentgen OPG" ]
     ], [
       fhir:index 3 ;
       fhir:link <http://hl7.org/fhir/DiagnosticReport/par-grading-befund> ;
       fhir:Reference.reference [ fhir:value "DiagnosticReport/par-grading-befund" ] ;
       fhir:Reference.display [ fhir:value "PAR-Befundbericht" ]
     ]
  ] .

<http://hl7.org/fhir/Practitioner/par-grading-practitioner-arzt> a fhir:Practitioner .

<http://hl7.org/fhir/Observation/par-grading-smoking-obs> a fhir:Observation .

<http://hl7.org/fhir/ImagingStudy/par-grading-roentgen> a fhir:ImagingStudy .

<http://hl7.org/fhir/DiagnosticReport/par-grading-befund> a fhir:DiagnosticReport .

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

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