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Source1

{
  "resourceType": "Bundle",
  "id": "4a270af6-nneu-ohne-kvnr-dfe20acfb5c5",
  "identifier": {
    "system": "urn:ietf:rfc:3986",
    "value": "urn:uuid:4a270af6-1234-5678-abcd-dfe20acfb5c5"
  },
  "type": "message",
  "entry": [
    {
      "fullUrl": "https://gematik.de/fhir/MessageHeader/e184d490-22f3-4009-892e-77b9bc9a7504",
      "resource": {
        "resourceType": "MessageHeader",
        "id": "e184d490-22f3-4009-892e-77b9bc9a7504",
        "meta": {
          "profile": [
            "https://gematik.de/fhir/eeb/StructureDefinition/EEBBescheinigungHeader"
          ]
        },
        "eventCoding": {
          "code": "1.2.276.0.76.4.50",
          "system": "https://gematik.de/fhir/directory/CodeSystem/OrganizationProfessionOID",
          "display": "Betriebsstätte Arzt"
        },
        "source": {
          "endpoint": "http://www.tk.de"
        },
        "response": {
          "code": "ok",
          "identifier": "8e2df5fe-2691-4277-936c-9cc2140b189b"
        }
      }
    },
    {
      "fullUrl": "https://gematik.de/fhir/Patient/2e67b7dc-24c0-4b23-9487-9a7dd8e140cd",
      "resource": {
        "resourceType": "Patient",
        "id": "2e67b7dc-24c0-4b23-9487-9a7dd8e140cd",
        "meta": {
          "profile": [
            "https://fhir.kbv.de/StructureDefinition/KBV_PR_FOR_Patient|1.1.0"
          ]
        },
        "identifier": [
          {
            "type": {
              "coding": [
                {
                  "system": "https://fhir.kbv.de/CodeSystem/KBV_CS_Base_identifier_type",
                  "code": "kvk"
                }
              ]
            },
            "system": "http://fhir.de/sid/gkv/kvk-versichertennummer",
            "value": "3143112513"
          }
        ],
        "name": [
          {
            "use": "official",
            "family": "TK-eEB",
            "_family": {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/humanname-own-name",
                  "valueString": "TK-eEB"
                }
              ]
            },
            "given": [
              "Max"
            ]
          }
        ],
        "address": [
          {
            "type": "both",
            "city": "München",
            "postalCode": "80805",
            "country": "D"
          }
        ],
        "birthDate": "1969-02-23"
      }
    },
    {
      "fullUrl": "https://gematik.de/fhir/Coverage/fcdf444c-8b0b-49ed-be0c-2ba3ee8a9254",
      "resource": {
        "resourceType": "Coverage",
        "id": "fcdf444c-8b0b-49ed-be0c-2ba3ee8a9254",
        "meta": {
          "profile": [
            "https://gematik.de/fhir/eeb/StructureDefinition/EEBCoverageNoEgk"
          ]
        },
        "status": "active",
        "extension": [
          {
            "url": "http://fhir.de/StructureDefinition/gkv/versichertenart",
            "valueCoding": {
              "system": "https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_KBV_VERSICHERTENSTATUS",
              "code": "1"
            }
          },
          {
            "url": "http://fhir.de/StructureDefinition/gkv/wop",
            "valueCoding": {
              "system": "https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_ITA_WOP",
              "code": "71",
              "display": "Bayern"
            }
          },
          {
            "url": "http://fhir.de/StructureDefinition/gkv/besondere-personengruppe",
            "valueCoding": {
              "system": "https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_KBV_PERSONENGRUPPE",
              "code": "00",
              "display": "nicht gesetzt"
            }
          },
          {
            "url": "http://fhir.de/StructureDefinition/gkv/zuzahlungsstatus",
            "extension": [
              {
                "url": "status",
                "valueBoolean": false
              }
            ]
          }
        ],
        "payor": [
          {
            "extension": [
              {
                "url": "http://fhir.de/StructureDefinition/AbrechnendeIK",
                "valueIdentifier": {
                  "system": "http://fhir.de/sid/arge-ik/iknr",
                  "value": "108377503"
                }
              }
            ],
            "identifier": {
              "system": "http://fhir.de/sid/arge-ik/iknr",
              "value": "101575519"
            },
            "display": "Techniker Krankenkasse"
          }
        ],
        "period": {
          "start": "2025-05-03",
          "end": "2025-06-30"
        },
        "beneficiary": {
          "reference": "Patient/2e67b7dc-24c0-4b23-9487-9a7dd8e140cd"
        },
        "type": {
          "coding": [
            {
              "code": "GKV",
              "system": "http://fhir.de/CodeSystem/versicherungsart-de-basis",
              "display": "gesetzliche Krankenversicherung"
            }
          ]
        }
      }
    }
  ],
  "timestamp": "2025-05-16T10:28:38.475+02:00"
}