FHIR IG analytics| Package | de.biv-ot.everordnung |
| Resource Type | Bundle |
| Id | Beispiel_e16H_Bundle.json |
| FHIR Version | R4 |
No resources found
No resources found
No narrative content found in resource
{
"resourceType": "Bundle",
"id": "BIVOT-EVO-Beispiel-e16H",
"meta": {
"profile": [
"https://fhir.biv-ot.org/eVerordnung/StructureDefinition/BIVOT_PR_EVO_Bundle_HiMi|1.0.0"
]
},
"identifier": {
"system": "https://gematik.de/fhir/erp/NamingSystem/GEM_ERP_NS_PrescriptionId",
"value": "160.100.000.000.012.06"
},
"type": "document",
"timestamp": "2026-07-20T10:00:00Z",
"entry": [
{
"fullUrl": "http://pvs.praxis.local/fhir/Composition/composition-e16H",
"resource": {
"resourceType": "Composition",
"id": "composition-e16H",
"meta": {
"profile": [
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]
},
"extension": [
{
"url": "https://fhir.kbv.de/StructureDefinition/KBV_EX_FOR_Legal_basis",
"valueCoding": {
"system": "https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_KBV_STATUSKENNZEICHEN",
"code": "00"
}
}
],
"status": "final",
"type": {
"coding": [
{
"system": "https://fhir.biv-ot.org/eVerordnung/CodeSystem/BIVOT_CS_EVO_Formular_Art",
"code": "e16H"
}
]
},
"subject": {
"reference": "Patient/patient-1"
},
"date": "2026-07-20",
"author": [
{
"reference": "Practitioner/practitioner-1",
"type": "Practitioner"
},
{
"type": "Device",
"identifier": {
"system": "https://fhir.kbv.de/NamingSystem/KBV_NS_FOR_Pruefnummer",
"value": "Y/400/2610/36/999"
}
}
],
"title": "elektronische Hilfsmittelverordnung",
"custodian": {
"reference": "Organization/organization-1"
},
"section": [
{
"code": {
"coding": [
{
"system": "https://fhir.biv-ot.org/eVerordnung/CodeSystem/BIVOT_CS_EVO_Section_Type",
"code": "PrescriptionHilfsmittel"
}
]
},
"entry": [
{
"reference": "DeviceRequest/devicerequest-e16H"
}
]
},
{
"code": {
"coding": [
{
"system": "https://fhir.biv-ot.org/eVerordnung/CodeSystem/BIVOT_CS_EVO_Section_Type",
"code": "Coverage"
}
]
},
"entry": [
{
"reference": "Coverage/coverage-1"
}
]
}
]
}
},
{
"fullUrl": "http://pvs.praxis.local/fhir/DeviceRequest/devicerequest-e16H",
"resource": {
"resourceType": "DeviceRequest",
"id": "devicerequest-e16H",
"meta": {
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]
},
"extension": [
{
"url": "https://fhir.kbv.de/StructureDefinition/KBV_EX_FOR_StatusCoPayment",
"valueCoding": {
"system": "https://fhir.kbv.de/CodeSystem/KBV_CS_FOR_StatusCoPayment",
"code": "0"
}
},
{
"url": "https://fhir.kbv.de/StructureDefinition/KBV_EX_FOR_SER",
"valueBoolean": false
},
{
"url": "https://fhir.biv-ot.org/eVerordnung/StructureDefinition/BIVOT_EX_EVO_DiagnosisICD",
"valueCoding": {
"system": "http://fhir.de/CodeSystem/bfarm/icd-10-gm",
"code": "M17.1",
"display": "Sonstige primäre Gonarthrose"
}
},
{
"url": "https://fhir.biv-ot.org/eVerordnung/StructureDefinition/BIVOT_EX_EVO_Folgeversorgung",
"valueBoolean": false
}
],
"status": "active",
"intent": "order",
"codeCodeableConcept": {
"coding": [
{
"system": "http://fhir.de/sid/gkv/hmnr",
"code": "10.50.01.1010"
}
],
"text": "Rollator, faltbar"
},
"subject": {
"reference": "Patient/patient-1"
},
"authoredOn": "2026-07-20",
"requester": {
"reference": "Practitioner/practitioner-1"
},
"insurance": [
{
"reference": "Coverage/coverage-1"
}
]
}
},
{
"fullUrl": "http://pvs.praxis.local/fhir/Patient/patient-1",
"resource": {
"resourceType": "Patient",
"id": "patient-1",
"meta": {
"versionId": "1",
"profile": [
"https://fhir.kbv.de/StructureDefinition/KBV_PR_FOR_Patient|1.3"
]
},
"identifier": [
{
"type": {
"coding": [
{
"system": "http://fhir.de/CodeSystem/identifier-type-de-basis",
"code": "KVZ10"
}
]
},
"system": "http://fhir.de/sid/gkv/kvid-10",
"value": "X110411675"
}
],
"name": [
{
"use": "official",
"family": "Mustermann",
"_family": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/humanname-own-name",
"valueString": "Mustermann"
}
]
},
"given": [
"Max"
]
}
],
"birthDate": "1965-04-12",
"address": [
{
"type": "both",
"line": [
"Musterstraße 1"
],
"_line": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName",
"valueString": "Musterstraße"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber",
"valueString": "1"
}
]
}
],
"city": "Berlin",
"postalCode": "10117",
"country": "D"
}
]
}
},
{
"fullUrl": "http://pvs.praxis.local/fhir/Practitioner/practitioner-1",
"resource": {
"resourceType": "Practitioner",
"id": "practitioner-1",
"meta": {
"versionId": "1",
"profile": [
"https://fhir.kbv.de/StructureDefinition/KBV_PR_FOR_Practitioner|1.3"
]
},
"identifier": [
{
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v2-0203",
"code": "LANR"
}
]
},
"system": "https://fhir.kbv.de/NamingSystem/KBV_NS_Base_ANR",
"value": "838382202"
}
],
"name": [
{
"use": "official",
"family": "Topp-Glücklich",
"_family": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/humanname-own-name",
"valueString": "Topp-Glücklich"
}
]
},
"given": [
"Hans"
],
"prefix": [
"Dr. med."
],
"_prefix": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier",
"valueCode": "AC"
}
]
}
]
}
],
"qualification": [
{
"code": {
"coding": [
{
"system": "https://fhir.kbv.de/CodeSystem/KBV_CS_FOR_Qualification_Type",
"code": "00"
}
]
}
},
{
"code": {
"coding": [
{
"system": "https://fhir.kbv.de/CodeSystem/KBV_CS_FOR_Berufsbezeichnung",
"code": "Berufsbezeichnung"
}
],
"text": "Facharzt für Orthopädie"
}
}
]
}
},
{
"fullUrl": "http://pvs.praxis.local/fhir/Organization/organization-1",
"resource": {
"resourceType": "Organization",
"id": "organization-1",
"meta": {
"versionId": "1",
"profile": [
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]
},
"identifier": [
{
"type": {
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{
"system": "http://terminology.hl7.org/CodeSystem/v2-0203",
"code": "BSNR"
}
]
},
"system": "https://fhir.kbv.de/NamingSystem/KBV_NS_Base_BSNR",
"value": "031234567"
}
],
"name": "Orthopädische Praxis Dr. Topp-Glücklich",
"telecom": [
{
"system": "phone",
"value": "030 1234567"
}
],
"address": [
{
"type": "both",
"line": [
"Musterstraße 2"
],
"_line": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName",
"valueString": "Musterstraße"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber",
"valueString": "2"
}
]
}
],
"city": "Berlin",
"postalCode": "10117",
"country": "D"
}
]
}
},
{
"fullUrl": "http://pvs.praxis.local/fhir/Coverage/coverage-1",
"resource": {
"resourceType": "Coverage",
"id": "coverage-1",
"meta": {
"versionId": "1",
"profile": [
"https://fhir.kbv.de/StructureDefinition/KBV_PR_FOR_Coverage|1.3"
]
},
"extension": [
{
"url": "http://fhir.de/StructureDefinition/gkv/besondere-personengruppe",
"valueCoding": {
"system": "https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_KBV_PERSONENGRUPPE",
"code": "00"
}
},
{
"url": "http://fhir.de/StructureDefinition/gkv/dmp-kennzeichen",
"valueCoding": {
"system": "https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_KBV_DMP",
"code": "00"
}
},
{
"url": "http://fhir.de/StructureDefinition/gkv/wop",
"valueCoding": {
"system": "https://fhir.kbv.de/CodeSystem/KBV_CS_ITA_WOP",
"code": "72"
}
},
{
"url": "http://fhir.de/StructureDefinition/gkv/versichertenart",
"valueCoding": {
"system": "https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_KBV_VERSICHERTENSTATUS",
"code": "1"
}
}
],
"status": "active",
"type": {
"coding": [
{
"system": "http://fhir.de/CodeSystem/versicherungsart-de-basis",
"code": "GKV"
}
]
},
"beneficiary": {
"reference": "Patient/patient-1"
},
"payor": [
{
"identifier": {
"system": "http://fhir.de/sid/arge-ik/iknr",
"value": "104212059"
},
"display": "AOK Rheinland/Hamburg"
}
]
}
}
]
}