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Source1

{
  "resourceType": "Coverage",
  "id": "Example-coverage-example",
  "meta": {
    "profile": [
      "http://fhir.de/StructureDefinition/coverage-de-gkv"
    ]
  },
  "type": {
    "coding": [
      {
        "code": "GKV",
        "system": "http://fhir.de/CodeSystem/versicherungsart-de-basis"
      }
    ]
  },
  "payor": [
    {
      "identifier": {
        "system": "http://fhir.de/sid/arge-ik/iknr",
        "value": "823746876"
      },
      "extension": [
        {
          "url": "http://fhir.de/StructureDefinition/AbrechnendeIK",
          "valueIdentifier": {
            "system": "http://fhir.de/sid/arge-ik/iknr",
            "value": "756756324"
          }
        }
      ],
      "display": "Krankenkasse A"
    }
  ],
  "extension": [
    {
      "url": "http://fhir.de/StructureDefinition/gkv/einlesedatum-karte",
      "valueDateTime": "2019-12-03"
    },
    {
      "url": "http://fhir.de/StructureDefinition/gkv/version-vsdm",
      "valueString": "5.2.1"
    },
    {
      "url": "http://fhir.de/StructureDefinition/gkv/generation-egk",
      "valueString": "1+"
    },
    {
      "url": "http://fhir.de/StructureDefinition/gkv/versichertenart",
      "valueCoding": {
        "code": "1",
        "system": "https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_KBV_VERSICHERTENSTATUS"
      }
    },
    {
      "extension": [
        {
          "url": "aerztlicheVersorgung",
          "valueBoolean": true
        },
        {
          "url": "zahnaerztlicheVersorgung",
          "valueBoolean": false
        }
      ],
      "url": "http://fhir.de/StructureDefinition/gkv/kostenerstattung"
    },
    {
      "url": "http://fhir.de/StructureDefinition/gkv/wop",
      "valueCoding": {
        "code": "38",
        "system": "https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_ITA_WOP",
        "display": "Nordrhein"
      }
    },
    {
      "url": "http://fhir.de/StructureDefinition/gkv/besondere-personengruppe",
      "valueCoding": {
        "code": "06",
        "system": "https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_KBV_PERSONENGRUPPE",
        "display": "SER"
      }
    },
    {
      "extension": [
        {
          "url": "art",
          "valueCoding": {
            "code": "1",
            "system": "http://fhir.de/CodeSystem/gkv/RuhenderLeistungsanspruchGKV"
          }
        },
        {
          "url": "dauer",
          "valuePeriod": {
            "start": "2018-01-01"
          }
        }
      ],
      "url": "http://fhir.de/StructureDefinition/gkv/ruhender-leistungsanspruch"
    },
    {
      "extension": [
        {
          "url": "status",
          "valueBoolean": true
        },
        {
          "url": "gueltigBis",
          "valueDate": "2020-12-31"
        }
      ],
      "url": "http://fhir.de/StructureDefinition/gkv/zuzahlungsstatus"
    }
  ],
  "identifier": [
    {
      "system": "http://fhir.de/sid/gkv/kvid-10",
      "value": "A123454321"
    }
  ],
  "status": "active",
  "subscriber": {
    "reference": "Patient/example",
    "display": "Max Mustermann"
  },
  "beneficiary": {
    "reference": "Patient/example",
    "display": "Max Mustermann"
  }
}