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Packagede.biv-ot.everordnung
Resource TypeBundle
IdBeispiel_e8AH_Bundle.json
FHIR VersionR4

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Source1

{
  "resourceType": "Bundle",
  "id": "BIVOT-EVO-Beispiel-e8AH",
  "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": "160.100.000.000.014.00"
  },
  "type": "document",
  "timestamp": "2026-07-20T10:30:00Z",
  "entry": [
    {
      "fullUrl": "http://pvs.praxis.local/fhir/Composition/composition-e8AH",
      "resource": {
        "resourceType": "Composition",
        "id": "composition-e8AH",
        "meta": {
          "profile": [
            "https://fhir.biv-ot.org/eVerordnung/StructureDefinition/BIVOT_PR_EVO_Composition_HiMi|1.0.0"
          ]
        },
        "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": "e8AH"
            }
          ]
        },
        "subject": {
          "reference": "Patient/patient-1"
        },
        "date": "2026-07-20",
        "author": [
          {
            "reference": "Practitioner/practitioner-auge",
            "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-auge"
        },
        "section": [
          {
            "code": {
              "coding": [
                {
                  "system": "https://fhir.biv-ot.org/eVerordnung/CodeSystem/BIVOT_CS_EVO_Section_Type",
                  "code": "PrescriptionHilfsmittel"
                }
              ]
            },
            "entry": [
              {
                "reference": "DeviceRequest/devicerequest-e8AH"
              }
            ]
          },
          {
            "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-e8AH",
      "resource": {
        "resourceType": "DeviceRequest",
        "id": "devicerequest-e8AH",
        "meta": {
          "profile": [
            "https://fhir.biv-ot.org/eVerordnung/StructureDefinition/BIVOT_PR_EVO_Prescription_OpticalDevice|1.0.0"
          ]
        },
        "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": "H35.3",
              "display": "Degeneration der Makula und des hinteren Poles"
            }
          },
          {
            "url": "https://fhir.biv-ot.org/eVerordnung/StructureDefinition/BIVOT_EX_EVO_Folgeversorgung",
            "valueBoolean": false
          },
          {
            "url": "https://fhir.biv-ot.org/eVerordnung/StructureDefinition/BIVOT_EX_EVO_Versorgungsart",
            "valueCodeableConcept": {
              "coding": [
                {
                  "system": "https://fhir.biv-ot.org/eVerordnung/CodeSystem/BIVOT_CS_EVO_Versorgungsart",
                  "code": "lieferung"
                }
              ]
            }
          },
          {
            "url": "https://fhir.biv-ot.org/eVerordnung/StructureDefinition/BIVOT_EX_EVO_SehbehinderungWHO1",
            "extension": [
              {
                "url": "liegtVor",
                "valueBoolean": true
              },
              {
                "url": "mitBrille",
                "valueBoolean": true
              },
              {
                "url": "mitKontaktlinsen",
                "valueBoolean": false
              }
            ]
          },
          {
            "url": "https://fhir.biv-ot.org/eVerordnung/StructureDefinition/BIVOT_EX_EVO_Sehhilfenart",
            "valueCoding": {
              "system": "https://fhir.biv-ot.org/eVerordnung/CodeSystem/BIVOT_CS_EVO_Sehhilfenart",
              "code": "vergroesserndeSehhilfe"
            }
          },
          {
            "url": "https://fhir.biv-ot.org/eVerordnung/StructureDefinition/BIVOT_EX_EVO_Vergroesserungsbedarf",
            "valueDecimal": 4
          },
          {
            "url": "https://fhir.biv-ot.org/eVerordnung/StructureDefinition/BIVOT_EX_EVO_Augenbefund",
            "extension": [
              {
                "url": "seite",
                "valueCoding": {
                  "system": "https://fhir.biv-ot.org/eVerordnung/CodeSystem/BIVOT_CS_EVO_Seite",
                  "code": "beidseits"
                }
              },
              {
                "url": "befund",
                "valueString": "Trockene altersbedingte Makuladegeneration beidseits"
              }
            ]
          }
        ],
        "status": "active",
        "intent": "order",
        "codeCodeableConcept": {
          "text": "Elektronisch vergrößernde Sehhilfe (Bildschirmlesegerät)"
        },
        "subject": {
          "reference": "Patient/patient-1"
        },
        "authoredOn": "2026-07-20",
        "requester": {
          "reference": "Practitioner/practitioner-auge"
        },
        "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-auge",
      "resource": {
        "resourceType": "Practitioner",
        "id": "practitioner-auge",
        "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": "754236907"
          }
        ],
        "name": [
          {
            "use": "official",
            "family": "Weber",
            "_family": {
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                {
                  "url": "http://hl7.org/fhir/StructureDefinition/humanname-own-name",
                  "valueString": "Weber"
                }
              ]
            },
            "given": [
              "Julia"
            ],
            "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": "Fachärztin für Augenheilkunde"
            }
          }
        ]
      }
    },
    {
      "fullUrl": "http://pvs.praxis.local/fhir/Organization/organization-auge",
      "resource": {
        "resourceType": "Organization",
        "id": "organization-auge",
        "meta": {
          "versionId": "1",
          "profile": [
            "https://fhir.kbv.de/StructureDefinition/KBV_PR_FOR_Organization|1.3"
          ]
        },
        "identifier": [
          {
            "type": {
              "coding": [
                {
                  "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code": "BSNR"
                }
              ]
            },
            "system": "https://fhir.kbv.de/NamingSystem/KBV_NS_Base_BSNR",
            "value": "031234569"
          }
        ],
        "name": "Augenarztpraxis Dr. Weber",
        "telecom": [
          {
            "system": "phone",
            "value": "030 9876543"
          }
        ],
        "address": [
          {
            "type": "both",
            "line": [
              "Sehweg 4"
            ],
            "_line": [
              {
                "extension": [
                  {
                    "url": "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName",
                    "valueString": "Sehweg"
                  },
                  {
                    "url": "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber",
                    "valueString": "4"
                  }
                ]
              }
            ],
            "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"
          }
        ]
      }
    }
  ]
}