{
  "resourceType" : "Procedure",
  "id" : "example-dvt-oberkiefer-implantat",
  "meta" : {
    "profile" : ["https://fhir.cognovis.de/praxis/StructureDefinition/roentgen-procedure-praxis-de"]
  },
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Procedure example-dvt-oberkiefer-implantat</b></p><a name=\"example-dvt-oberkiefer-implantat\"> </a><a name=\"hcexample-dvt-oberkiefer-implantat\"> </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-roentgen-procedure-praxis-de.html\">Roentgen Procedure (Praxis DE)</a></p></div><blockquote><p><b>Radiation Dose</b></p><ul><li>dap: 1500 uGy.m2<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codeuGy.m2 = 'uGy.m2')</span></li><li>kvp: 90 kV<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codekV = 'kV')</span></li><li>exposureTime: 17 s<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codes = 's')</span></li></ul></blockquote><p><b>status</b>: Completed</p><p><b>category</b>: <span title=\"Codes:{http://snomed.info/sct 103693007}\">Diagnostic procedure</span></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 1255414003}\">Cone beam computed tomography of maxilla</span></p><p><b>subject</b>: <a href=\"Patient-example-patient-dvt.html\">Max Hartmann (official) Male, DoB: 1978-09-12</a></p><p><b>performed</b>: 2026-04-30 10:30:00+0200</p><blockquote><p><b>performer</b></p><p><b>Anwender Fachkunde Strahlenschutz</b>: <a href=\"https://simplifier.net/resolve?scope=de.cognovis.terminology.imaging@2026.0.0&amp;canonical=https://fhir.cognovis.de/imaging/CodeSystem/fachkunde-strahlenschutz#fachkunde-strahlenschutz-dvt\">Fachkunde Strahlenschutz: dvt</a> (Fachkunde DVT)</p><p><b>function</b>: <span title=\"Codes:{https://fhir.cognovis.de/praxis/CodeSystem/radiology-role MTR}\">MTR</span></p><p><b>actor</b>: <a href=\"Practitioner-example-practitioner-mtr-dvt.html\">Practitioner Klaus Richter (official)</a></p></blockquote><blockquote><p><b>performer</b></p><p><b>function</b>: <span title=\"Codes:{https://fhir.cognovis.de/praxis/CodeSystem/radiology-role SupervisingRadiologist}\">Supervising Radiologist</span></p><p><b>actor</b>: <a href=\"Practitioner-example-practitioner-radiologin-dvt.html\">Practitioner Anna Hofmann (official)</a></p></blockquote><p><b>reasonCode</b>: <span title=\"Codes:{http://fhir.de/CodeSystem/bfarm/icd-10-gm K08.1}\">Implantatplanung Region 16 nach Extraktion — DVT fuer 3D-Knochenvolumen-Analyse</span></p></div>"
  },
  "extension" : [{
    "extension" : [{
      "url" : "dap",
      "valueQuantity" : {
        "value" : 1500,
        "unit" : "uGy.m2",
        "system" : "http://unitsofmeasure.org",
        "code" : "uGy.m2"
      }
    },
    {
      "url" : "kvp",
      "valueQuantity" : {
        "value" : 90,
        "unit" : "kV",
        "system" : "http://unitsofmeasure.org",
        "code" : "kV"
      }
    },
    {
      "url" : "exposureTime",
      "valueQuantity" : {
        "value" : 17,
        "unit" : "s",
        "system" : "http://unitsofmeasure.org",
        "code" : "s"
      }
    }],
    "url" : "https://fhir.cognovis.de/praxis/StructureDefinition/radiation-dose"
  }],
  "status" : "completed",
  "category" : {
    "coding" : [{
      "system" : "http://snomed.info/sct",
      "code" : "103693007",
      "display" : "Diagnostic procedure"
    }]
  },
  "code" : {
    "coding" : [{
      "system" : "http://snomed.info/sct",
      "code" : "1255414003",
      "display" : "Cone beam computed tomography of maxilla"
    }]
  },
  "subject" : {
    "reference" : "Patient/example-patient-dvt"
  },
  "performedDateTime" : "2026-04-30T10:30:00+02:00",
  "performer" : [{
    "extension" : [{
      "url" : "https://fhir.cognovis.de/praxis/StructureDefinition/anwender-fachkunde",
      "valueCoding" : {
        "system" : "https://fhir.cognovis.de/imaging/CodeSystem/fachkunde-strahlenschutz",
        "code" : "dvt",
        "display" : "Fachkunde DVT"
      }
    }],
    "function" : {
      "coding" : [{
        "system" : "https://fhir.cognovis.de/praxis/CodeSystem/radiology-role",
        "code" : "MTR",
        "display" : "MTR"
      }]
    },
    "actor" : {
      "reference" : "Practitioner/example-practitioner-mtr-dvt"
    }
  },
  {
    "function" : {
      "coding" : [{
        "system" : "https://fhir.cognovis.de/praxis/CodeSystem/radiology-role",
        "code" : "SupervisingRadiologist",
        "display" : "Supervising Radiologist"
      }]
    },
    "actor" : {
      "reference" : "Practitioner/example-practitioner-radiologin-dvt"
    }
  }],
  "reasonCode" : [{
    "extension" : [{
      "extension" : [{
        "url" : "assessor",
        "valueReference" : {
          "reference" : "Practitioner/example-practitioner-radiologin-dvt"
        }
      },
      {
        "url" : "assessmentDate",
        "valueDateTime" : "2026-04-30T09:45:00+02:00"
      },
      {
        "url" : "narrative",
        "valueString" : "Implantatplanung Region 16 — DVT indiziert fuer exakte Knochenhoehen- und -breitenbestimmung sowie Nachweis ausreichender Knochensubstanz fuer Implantat. Keine konventionelle Roentgenalternative ausreichend."
      }],
      "url" : "https://fhir.cognovis.de/praxis/StructureDefinition/rechtfertigende-indikation-attest"
    }],
    "coding" : [{
      "system" : "http://fhir.de/CodeSystem/bfarm/icd-10-gm",
      "code" : "K08.1",
      "display" : "Verlust von Zaehnen durch Unfall, Extraktion oder lokale parodontale Erkrankung"
    }],
    "text" : "Implantatplanung Region 16 nach Extraktion — DVT fuer 3D-Knochenvolumen-Analyse"
  }]
}