<?xml version="1.0" encoding="UTF-8"?>

<Procedure xmlns="http://hl7.org/fhir">
  <id value="example-dvt-oberkiefer-implantat"/>
  <meta>
    <profile value="https://fhir.cognovis.de/praxis/StructureDefinition/roentgen-procedure-praxis-de"/>
  </meta>
  <text>
    <status value="extensions"/><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>
  </text>
  <extension url="https://fhir.cognovis.de/praxis/StructureDefinition/radiation-dose">
    <extension url="dap">
      <valueQuantity>
        <value value="1500"/>
        <unit value="uGy.m2"/>
        <system value="http://unitsofmeasure.org"/>
        <code value="uGy.m2"/>
      </valueQuantity>
    </extension>
    <extension url="kvp">
      <valueQuantity>
        <value value="90"/>
        <unit value="kV"/>
        <system value="http://unitsofmeasure.org"/>
        <code value="kV"/>
      </valueQuantity>
    </extension>
    <extension url="exposureTime">
      <valueQuantity>
        <value value="17"/>
        <unit value="s"/>
        <system value="http://unitsofmeasure.org"/>
        <code value="s"/>
      </valueQuantity>
    </extension>
  </extension>
  <status value="completed"/>
  <category>
    <coding>
      <system value="http://snomed.info/sct"/>
      <code value="103693007"/>
      <display value="Diagnostic procedure"/>
    </coding>
  </category>
  <code>
    <coding>
      <system value="http://snomed.info/sct"/>
      <code value="1255414003"/>
      <display value="Cone beam computed tomography of maxilla"/>
    </coding>
  </code>
  <subject>
    <reference value="Patient/example-patient-dvt"/>
  </subject>
  <performedDateTime value="2026-04-30T10:30:00+02:00"/>
  <performer>
    <extension url="https://fhir.cognovis.de/praxis/StructureDefinition/anwender-fachkunde">
      <valueCoding>
        <system value="https://fhir.cognovis.de/imaging/CodeSystem/fachkunde-strahlenschutz"/>
        <code value="dvt"/>
        <display value="Fachkunde DVT"/>
      </valueCoding>
    </extension>
    <function>
      <coding>
        <system value="https://fhir.cognovis.de/praxis/CodeSystem/radiology-role"/>
        <code value="MTR"/>
        <display value="MTR"/>
      </coding>
    </function>
    <actor>
      <reference value="Practitioner/example-practitioner-mtr-dvt"/>
    </actor>
  </performer>
  <performer>
    <function>
      <coding>
        <system value="https://fhir.cognovis.de/praxis/CodeSystem/radiology-role"/>
        <code value="SupervisingRadiologist"/>
        <display value="Supervising Radiologist"/>
      </coding>
    </function>
    <actor>
      <reference value="Practitioner/example-practitioner-radiologin-dvt"/>
    </actor>
  </performer>
  <reasonCode>
    <extension url="https://fhir.cognovis.de/praxis/StructureDefinition/rechtfertigende-indikation-attest">
      <extension url="assessor">
        <valueReference>
          <reference value="Practitioner/example-practitioner-radiologin-dvt"/>
        </valueReference>
      </extension>
      <extension url="assessmentDate">
        <valueDateTime value="2026-04-30T09:45:00+02:00"/>
      </extension>
      <extension url="narrative">
        <valueString value="Implantatplanung Region 16 — DVT indiziert fuer exakte Knochenhoehen- und -breitenbestimmung sowie Nachweis ausreichender Knochensubstanz fuer Implantat. Keine konventionelle Roentgenalternative ausreichend."/>
      </extension>
    </extension>
    <coding>
      <system value="http://fhir.de/CodeSystem/bfarm/icd-10-gm"/>
      <code value="K08.1"/>
      <display value="Verlust von Zaehnen durch Unfall, Extraktion oder lokale parodontale Erkrankung"/>
    </coding>
    <text value="Implantatplanung Region 16 nach Extraktion — DVT fuer 3D-Knochenvolumen-Analyse"/>
  </reasonCode>
</Procedure>