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Packagede.gematik.elektronische-versicherungsbescheinigung
Resource TypeBundle
IdBundle-cef4c975-753e-4b25-bec3-6549c7360e0a.json
FHIR VersionR4

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Source1

{
  "resourceType": "Bundle",
  "id": "cef4c975-753e-4b25-bec3-6549c7360e0a",
  "meta": {
    "profile": [
      "https://gematik.de/fhir/eeb/StructureDefinition/EEBAnfrageBundle"
    ]
  },
  "type": "message",
  "identifier": {
    "system": "urn:ietf:rfc:3986",
    "value": "urn:uuid:186b422f-2bf6-474c-b512-480c6f1f1c7c"
  },
  "timestamp": "2022-08-29T02:10:37.154+02:00",
  "entry": [
    {
      "fullUrl": "https://gematik.de/fhir/MessageHeader/591371dd-1ff4-48e7-ac25-29988a7ee903",
      "resource": {
        "resourceType": "MessageHeader",
        "id": "591371dd-1ff4-48e7-ac25-29988a7ee903",
        "meta": {
          "profile": [
            "https://gematik.de/fhir/eeb/StructureDefinition/EEBAnfrageHeader"
          ]
        },
        "extension": [
          {
            "url": "https://gematik.de/fhir/eeb/StructureDefinition/Leistungsdatum",
            "valueDate": "2022-02-01"
          },
          {
            "url": "https://gematik.de/fhir/eeb/StructureDefinition/Einverstaendnis",
            "valueBoolean": true
          },
          {
            "url": "https://gematik.de/fhir/eeb/StructureDefinition/Institutionskennzeichen",
            "valueIdentifier": {
              "system": "http://fhir.de/sid/arge-ik/iknr",
              "value": "12345678"
            }
          }
        ],
        "eventCoding": {
          "system": "https://gematik.de/fhir/directory/CodeSystem/OrganizationProfessionOID",
          "code": "1.2.276.0.76.4.50",
          "display": "Betriebsstätte Arzt"
        },
        "sender": {
          "reference": "Organisation/fad15347-a4b3-4899-a454-9fb43bdb0f30"
        },
        "source": {
          "endpoint": "https://pvs.de/KIM"
        },
        "focus": [
          {
            "reference": "Patient/16c07b55-c7bd-4e64-86bc-bf00f0435ba7"
          }
        ]
      }
    },
    {
      "fullUrl": "https://gematik.de/fhir/Patient/16c07b55-c7bd-4e64-86bc-bf00f0435ba7",
      "resource": {
        "resourceType": "Patient",
        "id": "16c07b55-c7bd-4e64-86bc-bf00f0435ba7",
        "meta": {
          "profile": [
            "https://fhir.kbv.de/StructureDefinition/KBV_PR_FOR_Patient|1.1.0"
          ]
        },
        "name": [
          {
            "use": "official",
            "family": "Meier",
            "_family": {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/humanname-own-name",
                  "valueString": "Meier"
                }
              ]
            },
            "given": [
              "Max"
            ]
          }
        ],
        "address": [
          {
            "type": "both",
            "line": [
              "Teststrasse 2"
            ],
            "_line": [
              {
                "extension": [
                  {
                    "url": "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber",
                    "valueString": "2"
                  },
                  {
                    "url": "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName",
                    "valueString": "Teststrasse"
                  }
                ]
              }
            ],
            "city": "Dortmund",
            "postalCode": "44227",
            "country": "D"
          }
        ],
        "birthDate": "1970-04-11"
      }
    },
    {
      "fullUrl": "https://gematik.de/fhir/Organisation/fad15347-a4b3-4899-a454-9fb43bdb0f30",
      "resource": {
        "resourceType": "Organization",
        "id": "fad15347-a4b3-4899-a454-9fb43bdb0f30",
        "meta": {
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            "https://fhir.kbv.de/StructureDefinition/KBV_PR_FOR_Organization|1.1.0"
          ]
        },
        "telecom": [
          {
            "system": "phone",
            "value": "0123456789"
          }
        ],
        "address": [
          {
            "type": "both",
            "line": [
              "Testweg 10"
            ],
            "_line": [
              {
                "extension": [
                  {
                    "url": "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber",
                    "valueString": "10"
                  },
                  {
                    "url": "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName",
                    "valueString": "Testweg"
                  }
                ]
              }
            ],
            "city": "Berlin",
            "postalCode": "10115",
            "country": "D"
          }
        ],
        "identifier": [
          {
            "type": {
              "coding": [
                {
                  "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code": "PRN"
                }
              ]
            },
            "system": "https://gematik.de/fhir/sid/telematik-id",
            "value": "123456"
          },
          {
            "type": {
              "coding": [
                {
                  "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code": "BSNR"
                }
              ]
            },
            "system": "https://fhir.kbv.de/NamingSystem/KBV_NS_Base_BSNR",
            "value": "123456789"
          }
        ],
        "name": "Praxis Test"
      }
    }
  ]
}